Clinical and Demographic Profiles of Home Care Patients With Alzheimer's Disease and Related Dementias: Implications for Information Transfer Across Care Settings.
Clinical and Demographic Profiles of Home Care Patients With Alzheimer's Disease and Related Dementias: Implications for Information Transfer Across Care Settings.
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DOI：
10.1177/0733464821999225
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Merrill J
中科院分区：
文献类型：
--
作者：
Ryvicker M;Barrón Y;Shah S;Moore SM;Noble JM;Bowles KH;Merrill J
Home health care (HHC) clinicians serving individuals with Alzheimer’s Disease and Related Dementias (ADRD) do not always have information about the person’s ADRD diagnosis, which may be used to improve the HHC plan of care. This retrospective cohort study examined characteristics of 56,652 HHC patients with varied documentation of ADRD diagnoses. Data included clinical assessments and Medicare claims for a 6-month look-back period and 4-year follow-up. Nearly half the sample had an ADRD diagnosis observed in the claims either prior to or following the HHC admission. Among those with a prior diagnosis, 63% did not have it documented on the HHC assessment; the diagnosis may not have been known to the HHC team or incorporated into the care plan. Patients with ADRD had heightened risk for adverse outcomes (e.g. urinary tract infection, aspiration pneumonia). Interoperable data across healthcare settings should include ADRD-specific elements about diagnoses, symptoms, and risk factors.
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影响因子：
2.1
作者：
Naylor MD;Hirschman KB;Hanlon AL;Bowles KH;Bradway C;McCauley KM;Pauly MV
通讯作者：
Pauly MV
DOI：
10.1177/0733464820952995
发表时间：
2021-11
期刊：
Journal of applied gerontology : the official journal of the Southern Gerontological Society
影响因子：
--
作者：
Reckrey JM;Bollens-Lund E;Ornstein KA
通讯作者：
Ornstein KA
影响因子：
6.3
作者：
Gitlin, Laura N.;Arthur, Paul;Mann, William C.
通讯作者：
Mann, William C.
影响因子：
3.6
作者：
Jorgensen, Sarah;Zurayk, Mira;Wong-Beringer, Annie
通讯作者：
Wong-Beringer, Annie
影响因子：
14
作者：
Lin, Pei-Jung;Fillit, Howard M.;Neumann, Peter J.
通讯作者：
Neumann, Peter J.