The Impact of Acute Hospitalisation on People with Dementia: The Behaviour and Pain (BePaiD) Study

Project Summary

Our aim was to provide good quality research evidence on the impact of acute hospital admission on people with dementia; how behavioural and psychological symptoms (BPSD) affected outcomes for the person with dementia, informal carers and the hospital, and second the detection and management of pain in people with dementia

People with dementia who are admitted to the acute hospital often receive poor quality care. The National Dementia Strategy, the National Dementia Research Summit and Alzheimer’s Society “Counting the Cost” report highlighted lack of original research in this field. We will recruited a cohort of older people with dementia who had unplanned acute medical admissions and measured the prevalence of BPSD, pain and how these affected a variety of outcomes. We found a clear link between under detection of pain, distress behaviours and inappropriate prescription of antipsychotics.

Selected Publications

Pain and delirium in people with dementia in the acute general hospital setting. https://www.ncbi.nlm.nih.gov/pubmed/30165420

Psychometric evaluation of the Cohen-Mansfield Agitation Inventory in an acute general hospital setting. https://www.ncbi.nlm.nih.gov/pubmed/28560807

The management of behavioural and psychological symptoms of dementia in the acute general medical hospital: a longitudinal cohort study.


Pain, agitation, and behavioural problems in people with dementia admitted to general hospital wards: a longitudinal cohort study.


Behavioural and psychiatric symptoms in people with dementia admitted to the acute hospital: prospective cohort study.


When pain memories are lost: a pilot study of semantic knowledge of pain in dementia.