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

Report highlights progress, challenges in health IT

14 hours ago

(HealthDay)—Progress has been made toward widespread adoption of electronic health records (EHRs), although there are still barriers to adoption of advanced use of EHRs, according to a report published ...

Training your brain to prefer healthy foods

14 hours ago

It may be possible to train the brain to prefer healthy low-calorie foods over unhealthy higher-calorie foods, according to new research by scientists at the Jean Mayer USDA Human Nutrition Research Center ...

Outdoor enthusiasts need a lightning plan

14 hours ago

(HealthDay)—Those partaking in outdoor sports and activities need to be aware of the threat posed by lightning and take appropriate safety measures, experts say.

User comments