Discharge destination alters rehospitalization rates

Discharge destination alters rehospitalization rates

(HealthDay)—Destination of discharge alters the association between cognitive impairment and rehospitalization, according to a study published in the November issue of the Journal of the American Geriatrics Society.

Arif Nazir, M.D., from Indiana University in Indianapolis, and colleagues examined rates of rehospitalization (any after the index admission) among 976 individuals aged 65 and older admitted to the of a public hospital. The effect of cognitive impairment, defined as having two or more errors on the Short Portable Mental Status Questionnaire, on rehospitalization was evaluated.

The researchers found that cognitive impairment and discharge location significantly predicted rehospitalization rates (P = 0.008) and time to one-year rehospitalization (P = 0.03), after adjusting for confounders. Compared to with no cognitive impairment, participants with cognitive impairment discharged to a facility had a longer time to rehospitalization (median 142 versus 98 days; hazard ratio, 0.77; P = 0.07). Participants with cognitive impairment discharged to home had a slightly shorter time to rehospitalization versus those without cognitive impairment (median 182 versus 224 days; hazard ratio, 1.15; P = 0.23). While each interaction was non-significant, they were significantly different from each other (P = 0.03).

"Discharge destination modifies the association between and rehospitalization," the authors conclude.

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

USPSTF: Evidence lacking for cognitive impairment testing

Oct 22, 2013

(HealthDay)—Screening instruments can detect dementia but there is insufficient evidence to determine the clinical effect of screening and interventions, according to a review conducted for the U.S. Preventive Services ...

Metformin may increase risk of cognitive impairment

Sep 21, 2013

(HealthDay)—Metformin may increase the risk of cognitive impairment in patients with diabetes; however, calcium supplementation may attenuate this risk, according to research published online Sept. 5 in ...

Recommended for you

Can YouTube save your life?

10 hours ago

Only a handful of CPR and basic life support (BLS) videos available on YouTube provide instructions which are consistent with recent health guidelines, according to a new study published in Emergency Medicine Australasia, the jo ...

Doctors frequently experience ethical dilemmas

11 hours ago

(HealthDay)—For physicians trying to balance various financial and time pressures, ethical dilemmas are common, according to an article published Aug. 7 in Medical Economics.

AMGA: Physician turnover still high in 2013

11 hours ago

(HealthDay)—For the second year running, physician turnover remains at the highest rate since 2005, according to a report published by the American Medical Group Association (AMGA).

Obese or overweight teens more likely to become smokers

12 hours ago

A study examining whether overweight or obese teens are at higher risk for substance abuse finds both good and bad news: weight status has no correlation with alcohol or marijuana use but is linked to regular ...

Taking preventive health care into community spaces

13 hours ago

A church. A city park. An office. These are not the typical settings for a medical checkup. But a new nationwide study by the UCLA Center for Health Policy Research shows that providing health services in ...

User comments