Factors Associated with 30-day Hospital Readmissions Among Older Adults with Dementia

2019 ◽  
Author(s):  
Lynell Lemon
Keyword(s):  
Older Adults ◽  
Hospital Readmissions ◽  
Day Hospital ◽  
Factors Associated

scholarly journals Factors Associated With Extended Length of Stay and 90-Day Readmission Rates Following ACDF

2019 ◽  
Vol 10 (3) ◽  
pp. 252-260 ◽  
Author(s):  
Brian L. Dial ◽  
Valentine R. Esposito ◽  
Richard Danilkowicz ◽  
Jeffrey O’Donnell ◽  
Barrie Sugarman ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Hospital Readmission ◽  
Hospital Readmissions ◽  
Multivariable Logistic Regression Analysis ◽  
Day Hospital ◽  
Readmission Rates ◽  
Factors Associated ◽  
Asa Score ◽  
Surgery Patient ◽  
Extended Length

Study Design: Retrospective. Objective: Identify patient risk factors for extended length of stay (LOS) and 90-day hospital readmissions following elective anterior cervical discectomy and fusion (ACDF). Methods: Included ACDF patients from 2013 to 2017 at a single institution. Eligible patients were subset into LOS <2 and LOS ≥2 days, and no 90-day hospital readmission and yes 90-day hospital readmission. Patient and surgical factors were compared between the LOS and readmission groups. Multivariable logistic regression analysis was utilized to determine the association of independent factors with LOS and 90-day readmission rates. Results: Our sample included 1896 patients; 265 (14%) had LOS ≥2 days, and 121 (6.4%) had a readmission within 90 days of surgery. Patient and surgical factors associated with LOS included patient age ≥65 years (odds ratio [OR] 1.72, 95% confidence interval [CI] 1.15-2.56), marriage (OR 0.57, 95% CI 0.43-0.79), private health insurance (OR 0.28, 95% CI 0.15-0.50), American Society of Anesthesiologists (ASA) score (OR 1.52, 95% CI 1.12-1.86), African American race (OR 1.95, 95% CI 1.38-2.72), and harvesting iliac crest autograft (OR 4.94, 95% CI 2.31-10.8). Patient and surgical factors associated with 90-day hospital readmission included ASA score (OR 1.81, 95% CI 1.32-2.49), length of surgery (OR 1.002, 95% CI 1.001-1.004), and radiculopathy as indication for surgery (OR 0.60, 95% CI 0.39-0.96). Conclusions: Extended LOS and 90-day hospital readmissions may lead to poorer patient outcomes and increased episode of care costs. Our study identified patient and surgical factors associated with extended LOS and 90-day readmission rates. In general, preoperative patient factors affected these outcomes more than surgical factors.

Prevalence of Cognitive Impairment Among Elderly Patients Upon Hospital Admission Using Mini-Cog™ Assessments Performed by Advanced Pharmacy Practice Experience Students

2018 ◽  
Vol 33 (1) ◽  
pp. 21-29 ◽  
Author(s):  
Nghi (Andy) Bui ◽  
Mobolaji Adeola ◽  
Rejena Azad ◽  
Joshua T. Swan ◽  
Kathryn S. Agarwal ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Hospital Admission ◽  
Patient Outcomes ◽  
Hospital Readmission ◽  
Hospital Readmissions ◽  
Pharmacy Practice ◽  
Pharmacy Students ◽  
Day Hospital ◽  
Practice Experience

Background: Older adults with cognitive impairment may have difficulty understanding and complying with medical or medication instructions provided during hospitalization which may adversely impact patient outcomes. Objective: To evaluate the prevalence of cognitive impairment among patients aged 65 years and older within 24 hours of hospital admission using Mini-Cog™ assessments performed by advanced pharmacy practice experience (APPE) students. Methods: Students on APPE rotations were trained to perform Mini-Cog™ assessments during routine medication education sessions from February 2017 to April 2017. The primary end point was the prevalence of cognitive impairment indicated by a Mini-Cog™ score of ≤3. Secondary end points were the average number of observed Mini-Cog™ practice assessments required for APPE students to meet competency requirements, caregiver identification, and 30-day hospital readmissions. Results: Twelve APPE students completed the training program after an average of 4.4 (standard deviation [SD] = 1.0) graded Mini-Cog™ assessments. Of the 1159 admissions screened, 273 were included in the analysis. The prevalence of cognitive impairment was 55% (n = 149, 95% confidence interval [CI]: 48%-61%). A caregiver was identified for 41% (n = 113, 95% CI: 35%-47%) of patients, and 79 patients had a caregiver present at bedside during the visit. Hospital readmission within 30 days of discharge was 15% (n = 41, 95% CI: 11%-20%). Conclusion: Cognitive impairment could substantially impair a patient’s ability to comprehend education provided during hospitalization. Pharmacy students can feasibly perform Mini-Cog™ assessments to evaluate cognitive function, thereby allowing them to tailor education content and involve caregivers when necessary.

Thirty‐Day Hospital Readmissions in a Care Transitions Program for High‐Risk Older Adults

2020 ◽  
Vol 68 (6) ◽  
pp. 1307-1312
Author(s):  
Joseph G. Ouslander ◽  
Bernardo Reyes ◽  
Sanya Diaz ◽  
Gabriella Engstrom
Keyword(s):  
Older Adults ◽  
High Risk ◽  
Hospital Readmissions ◽  
Care Transitions ◽  
Day Hospital

scholarly journals Care setting and 30-day hospital readmissions among older adults: a population-based cohort study

2018 ◽  
Vol 190 (38) ◽  
pp. E1124-E1133 ◽  
Author(s):  
Andrea Gruneir ◽  
Kinwah Fung ◽  
Hadas D. Fischer ◽  
Susan E. Bronskill ◽  
Dilzayn Panjwani ◽  
...  
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
Care Setting ◽  
Hospital Readmissions ◽  
Population Based ◽  
Day Hospital

Factors associated with depressive and anxiety symptoms in older adults during the COVID-19 pandemic: a Brazilian study

2021 ◽  
pp. 1-8
Author(s):  
Nathália de Oliveira Andrade ◽  
Humberta Correia Silva Azambuja ◽  
Tatiana Carvalho Reis Martins ◽  
Rosimeire Aparecida Manoel Seixas ◽  
Bruna Moretti Luchesi
Keyword(s):  
Older Adults ◽  
Anxiety Symptoms ◽  
Factors Associated

scholarly journals Factors associated with fear of falling among frail older adults

2021 ◽  
Vol 42 (5) ◽  
pp. 1035-1041
Author(s):  
Francisco M. Martínez-Arnau ◽  
Lucía Prieto-Contreras ◽  
Pilar Pérez-Ros
Keyword(s):  
Older Adults ◽  
Fear Of Falling ◽  
Frail Older Adults ◽  
Factors Associated

scholarly journals Factors associated with sarcopenia screened by finger-circle test among middle-aged and older adults: a population-based multisite cross-sectional survey in Japan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daiki Watanabe ◽  
Tsukasa Yoshida ◽  
Takashi Nakagata ◽  
Naomi Sawada ◽  
Yosuke Yamada ◽  
...  
Keyword(s):  
Older Adults ◽  
Smoking Status ◽  
Multiple Logistic Regression Analysis ◽  
Population Based ◽  
Middle Aged ◽  
Cross Sectional ◽  
Factors Associated ◽  
Mail Surveys ◽  
Osaka Prefecture ◽  
Middle Aged Adults

AbstractBackgroundPrevious epidemiological studies have demonstrated the prevalence and relationship of various factors associated with sarcopenia in older adults; however, few have examined the status of sarcopenia in middle-aged adults. In this study, we aimed to, 1) evaluate the validity of the finger-circle test, which is potentially a useful screening tool for sarcopenia, and 2) determine the prevalence and factors associated with sarcopenia in middle-aged and older adults.MethodsWe conducted face-to-face surveys of 525 adults, who were aged 40–91 years and resided in Settsu City, Osaka Prefecture, Japan to evaluate the validity of finger-circle test. The finger-circle test evaluated calf circumference by referring to an illustration printed on the survey form. The area under the receiver operating characteristic curves (AUROC) was plotted to evaluate the validity of the finger-circle test for screening sarcopenia and compared to that evaluated by skeletal muscle mass index (SMI) measured using bioimpedance. We also conducted multisite population-based cross-sectional anonymous mail surveys of 9337 adults, who were aged 40–97 years and resided in Settsu and Hannan Cities, Osaka Prefecture, Japan. Participants were selected through stratified random sampling by sex and age in the elementary school zones of their respective cities. We performed multiple logistic regression analysis to explore associations between characteristics and prevalence of sarcopenia.ResultsSarcopenia, defined by SMI, was moderately predicted by a finger-circle test response showing that the subject’s calf was smaller than their finger-circle (AUROC: 0.729, < 65 years; 0.653, ≥65 years); such subjects were considered to have sarcopenia. In mail surveys, prevalence of sarcopenia screened by finger-circle test was higher in older subjects (approximately 16%) than in middle-aged subjects (approximately 8–9%). In a multiple regression model, the factors associated with sarcopenia were age, body mass index, smoking status, self-reported health, and number of meals in all the participants.ConclusionsSarcopenia, screened by the finger-circle test, was present not only among older adults but also among middle-aged adults. These results may provide useful indications for developing public health programs, not only for the prevention, but especially for the management of sarcopenia.Trial registrationUMIN000036880, registered prospectively May 29, 2019, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042027

A Systematic Review of Individual, Psychological and Sociocultural Factors Associated with Safe and Risky Sexual Behavior in Older Adults

2021 ◽  
pp. 1-20
Author(s):  
Dafne Astrid Gómez Melasio ◽  
Dora Julia Onofre Rodríguez ◽  
Raquel Alicia Benavides Torres ◽  
Pedro Enrique Trujillo Hernández
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Sexual Behavior ◽  
Risky Sexual Behavior ◽  
Sociocultural Factors ◽  
Factors Associated
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