scholarly journals Does Postacute Care Site Matter? A Longitudinal Study Assessing Functional Recovery After a Stroke

2013 ◽  
Vol 94 (4) ◽  
pp. 622-629 ◽  
Author(s):  
Leighton Chan ◽  
M. Elizabeth Sandel ◽  
Alan M. Jette ◽  
Jed Appelman ◽  
Diane E. Brandt ◽  
...  
10.5772/38458 ◽  
2012 ◽  
Author(s):  
Astrid Horstman ◽  
Arnold De ◽  
Manin Konijnenbelt ◽  
Thomas Janssen ◽  
Karin Gerrits

2019 ◽  
Vol 82 (5) ◽  
pp. 424-427 ◽  
Author(s):  
Hui-Chi Huang ◽  
Jui-Yao Tsai ◽  
Tzu-Ching Liu ◽  
Wen-Yung Sheng ◽  
Tzu-Chun Lin ◽  
...  

2018 ◽  
Vol 45 (1-2) ◽  
pp. 121-129 ◽  
Author(s):  
Neus Gual ◽  
Alessandro Morandi ◽  
Laura Monica Pérez ◽  
Laura Brítez ◽  
Pamela Burbano ◽  
...  

Background: Delirium research is poorly studied in postacute care, a growing setting due to aging populations, as well as in dementia, a critical risk factor for delirium and particularly prevalent in postacute care. We investigated risk factors for delirium and its outcomes in older adults with and without dementia admitted to a subacute care unit (SCU) after exacerbated chronic conditions. Methods: This is a prospective cohort study including patients ≥65 years old admitted to an SCU for 12 months. We collected demographics, comprehensive geriatric assessments, and presence of dementia and delirium at admission. Outcomes included discharge to previous living situation, mortality, and functional evolution. Due to the high prevalence of dementia, a subgroup analysis was performed to investigate specific risk factors for delirium and related outcomes. Results: Of 909 patients (mean age [±SD] 85.8 ± 6.7; 60% women, 47.5% with dementia), 352 (38.7%) developed delirium. The main risk factor for delirium was dementia (HR [95% CI] 5.2 [3.5–7.7]); age, functional status, and urinary tract infections were also independently associated with delirium. In dementia patients, only age (HR [95% CI] 1.0 [1.004–1.1]) and being male (HR [95% CI] 1.7 [1.04–2.6]) were associated with delirium. Delirium was associated with greater mortality (10.8 vs. 3.9%; p < 0.001) and greater functional decline in the entire sample (–12.3 vs. –6.4 Barthel index points; p < 0.001). In the dementia subgroup, patients with delirium experienced greater functional loss (p = 0.013) and less functional recovery (p = 0.025). Conclusions: In older patients admitted to postacute care, dementia is the main risk factor for delirium, and delirium carries worse clinical and functional outcomes. In patients with dementia, delirium is also relevant, since it entails a functional loss at admission and lower functional recovery.


2009 ◽  
Vol 41 (13) ◽  
pp. 1041-1048 ◽  
Author(s):  
M van der Schaaf ◽  
A Beelen ◽  
DA Dongelmans ◽  
MB Vroom ◽  
F Nollet

1998 ◽  
Vol 39 (5) ◽  
pp. 669-685 ◽  
Author(s):  
Barbara Maughan ◽  
Stephan Collishaw ◽  
Andrew Pickles

2015 ◽  
Vol 20 (1) ◽  
pp. 22-33
Author(s):  
Angel Ball ◽  
Jean Neils-Strunjas ◽  
Kate Krival

This study is a posthumous longitudinal study of consecutive letters written by an elderly woman from age 89 to 93. Findings reveal a consistent linguistic performance during the first 3 years, supporting “normal” status for late elderly writing. She produced clearly written cursive form, intact semantic content, and minimal spelling and stroke errors. A decline in writing was observed in the last 6–9 months of the study and an analysis revealed production of clausal fragmentation, decreasing semantic clarity, and a higher frequency of spelling, semantic, and stroke errors. Analysis of writing samples can be a valuable tool in documenting a change in cognitive status differentiated from normal late aging.


Sign in / Sign up

Export Citation Format

Share Document