Preventable hospitalizations among older patients with cognitive impairments and dementia

International Psychogeriatrics
Dominik WolfAndreas Fellgiebel

Abstract

ABSTRACTObjectives:Dementia and cognitive impairment are associated with higher rates of complications and mortality during hospitalization in older patients. Moreover, length of hospital stay and costs are increased. In this prospective cohort study, we investigated the frequency of hospitalizations caused by ambulatory care-sensitive conditions (ACSCs), for which proactive ambulatory care might prevent the need for a hospital stay, in older patients with and without cognitive impairments. Prospective cohort study. Eight hospitals in Germany. A total of 1,320 patients aged 70 years and older. The Mini-Cog test has been used to assess cognition and to categorize patients in the groups no/moderate cognitive impairments (probably no dementia) and severe cognitive impairments (probable dementia). Moreover, lengths of hospital stay and complication rates have been assessed, using a binary questionnaire (if occurred during hospital stay or not; behavioral symptoms were adapted from the Cohen-Mansfield Agitation Inventory). Data have been acquired by the nursing staff who received a special multi-day training. Patients with severe cognitive impairments showed higher complication rates (including incontinence, disorientation, irritabi...Continue Reading

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Citations

Jun 25, 2019·Current Treatment Options in Neurology·John M Ringman, Lon Schneider
Sep 29, 2020·International Psychogeriatrics·Lucia Chinnappa-QuinnPerminder S Sachdev
Dec 3, 2020·Journal of Clinical Medicine·Carlos Llanes-ÁlvarezManuel A Franco-Martín
Apr 13, 2021·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Jonathan PlanteKenneth Rockwood

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