Nursing home use up with cognitive impairment category

October 1, 2017

(HealthDay)—Nursing home (NH) use increases with increasing cognitive impairment category, according to a study published online Sept. 11 in the Journal of the American Geriatrics Society.

Jane A. Emerson, from the Mayo Clinic in Rochester, Minnesota, and colleagues estimated NH use among 3,545 Mayo Clinic Study of Aging participants (aged 70 to 89 years), assessed as cognitively normal (CN), (MCI), previously unrecognized , or prevalent dementia.

The researchers found that the percentages who died in the year after cognition was assessed were 1, 2.6, 4.2, and 21 percent among those categorized as CN, MCI, previously unrecognized dementia, and prevalent dementia, respectively. The percentages with any NH use were 3.8, 8.7, 19, and 40 percent, respectively, with 27, 38, 120, and 305 median NH days and 7.8, 12, 33, and 100 percent median percentages of NH days/days of observation, respectively. A significantly higher proportion had any NH use for each increase in cognitive impairment category. Individuals with prevalent dementia and any NH use had especially high one-year mortality (30 percent versus 13 percent for those with no NH use). Among those with prevalent dementia, 58 percent of all deaths occurred while an NH resident.

"Reductions in NH use could result from quality alternatives to NH admission, both among persons with MCI and persons with dementia, together with suitable options for end-of-life care among persons with prevalent dementia," the authors write.

Several authors disclosed financial ties to pharmaceutical companies, including AbbVie, which partially funded the study.

Explore further: Inappropriate med use high in cognitively impaired seniors

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

Related Stories

Inappropriate med use high in cognitively impaired seniors

August 2, 2017
(HealthDay)—Many nursing home residents with cognitive impairment or dementia have potentially inappropriate medication (PIM) use, with PIM use more likely among frail individuals, according to a study published online ...

Low-dose aspirin no aid against cognitive decline

May 9, 2017
(HealthDay)—Low-dose aspirin does not protect against cognitive decline, according to a review published April 20 in the Journal of the American Geriatrics Society.

Personality changes don't precede clinical onset of Alzheimer's, study shows

September 21, 2017
For years, scientists and physicians have been debating whether personality and behavior changes might appear prior to the onset of Alzheimer's disease and related dementias.

Late-life depression associated with prevalent mild cognitive impairment, increased risk of dementia

December 31, 2012
Depression in a group of Medicare recipients ages 65 years and older appears to be associated with prevalent mild cognitive impairment and an increased risk of dementia, according to a report published Online First by Archives ...

Research finds increased risk of dementia in patients who experience delirium after surgery

July 28, 2017
Delirium is common in elderly hospitalized patients, affecting an estimated 14 - 56% of patients. It frequently manifests as a sudden change in behavior, with patients suffering acute confusion, inattention, disorganized ...

Review links albuminuria to cognitive impairment, dementia

February 13, 2017
(HealthDay)—Albuminuria is associated with cognitive impairment, dementia, and cognitive decline, according to a review published online Feb. 2 in the Journal of the American Geriatrics Society.

Recommended for you

Study clarifies ApoE4's role in dementia

September 20, 2018
ApoE4, a protein linked to both Alzheimer's disease and a form of dementia caused by damage of blood vessels in the brain, increases the risk of cognitive impairment by reducing the number and responsiveness of blood vessels ...

Machine learning IDs markers to help predict Alzheimer's

September 19, 2018
Nearly 50 million people worldwide have Alzheimer's disease or another form of dementia. These irreversible brain disorders slowly cause memory loss and destroy thinking skills, eventually to such an extent that self-care ...

Discovery could explain failed clinical trials for Alzheimer's, and provide a solution

September 19, 2018
Researchers at King's College London have discovered a vicious feedback loop underlying brain degeneration in Alzheimer's disease which may explain why so many drug trials have failed. The study also identifies a clinically ...

Air pollution may be linked to heightened dementia risk

September 18, 2018
Air pollution may be linked to a heightened risk of developing dementia, finds a London-based observational study, published in the online journal BMJ Open. The associations found couldn't be explained by factors known to ...

A new approach for finding Alzheimer's treatments

September 11, 2018
Considering what little progress has been made finding drugs to treat Alzheimer's disease, Maikel Rheinstädter decided to come at the problem from a totally different angle—perhaps the solution lay not with the peptide ...

Study prevents cognitive decline in older blacks with memory loss

September 10, 2018
With nearly twice the rate of dementia as whites, blacks are at a higher risk for developing diseases like Alzheimer's, but there has been little research on how to reduce this racial health disparity. A new study in black ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.