Loading...
Please wait, while we are loading the content...
Similar Documents
Associations Between Mild Cognitive Impairment and Hospitalization and Readmission
| Content Provider | Scilit |
|---|---|
| Author | Callahan, Kathryn E. Lovato, James F. Miller, Michael E. Easterling, Doug Snitz, Beth Williamson, Jeff D. |
| Copyright Year | 2015 |
| Description | Journal: Journal of the American Geriatrics Society To determine whether older adults with mild cognitive impairment (MCI), a condition not previously explored as a risk factor, have more hospitalizations and 30-day readmissions than those with normal cognition. Post hoc analysis of prospectively gathered data on incident hospitalization and readmission from the Ginkgo Evaluation of Memory Study (GEMS), a randomized, double-blind, placebo-controlled trial designed to assess the effect of Ginkgo biloba on incidence of dementia. GEMS was conducted in five academic medical centers in the United States. Community-dwelling adults aged 75 and older with normal cognition (n = 2,314) or MCI (n = 428) at baseline cognitive testing (N = 2,742). Index hospitalization and 30-day hospital readmission, adjusted for age, sex, race, education, clinic site, trial assignment status, comorbidities, number of prescription medications, and living with an identified proxy. MCI was associated with a 17% greater risk of index hospitalization than normal cognition (adjusted hazard ratio (aHR) = 1.17, 95% confidence interval (CI) = 1.02-1.34)). In participants who lived with a proxy, MCI was associated with a 39% greater risk of index hospitalization (aHR = 1.39, 95% CI = 1.17-1.66). Baseline MCI was not associated with greater odds of 30-day hospital readmission (adjusted odds ratio = 0.90, 95% CI = 0.60-1.36). MCI may represent a target condition for healthcare providers to coordinate support services in an effort to reduce hospitalization and subsequent disability. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4809245/pdf |
| Ending Page | 1885 |
| Page Count | 6 |
| Starting Page | 1880 |
| e-ISSN | 15325415 |
| DOI | 10.1111/jgs.13593 |
| Journal | Journal of the American Geriatrics Society |
| Issue Number | 9 |
| Volume Number | 63 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2015-08-27 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of the American Geriatrics Society Acute Hospital Utilization Mild Cognitive Impairment Rehospitalization |
| Content Type | Text |
| Resource Type | Article |
