Association of cognitive impairment severity with potentially avoidable readmissions: A retrospective cohort study of 8897 older patients.
Association of cognitive impairment severity with potentially avoidable readmissions: A retrospective cohort study of 8897 older patients.
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DOI：
10.1002/dad2.12147
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Ito H
中科院分区：
文献类型：
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作者：
Mitsutake S;Ishizaki T;Tsuchiya-Ito R;Furuta K;Hatakeyama A;Sugiyama M;Toba K;Ito H
了解老年患者认知障碍严重程度与潜在可避免再入院（par）之间的关系可能有助于识别从再入院预防措施中受益的高危个体。本回顾性队列研究使用与日本东京一家普通急症医院常规收集的认知障碍评估结果相关的索赔数据进行。在2016年7月至2018年9月期间从所研究的医院出院的65岁或以上的患者。多变量logistic回归分析显示，中度和重度认知障碍患者在90天内到达目标医院的par几率分别是认知正常患者的1.418倍（95%可信区间：1.005‐2.002）和2.212倍（95%可信区间：1.206‐4.058）。老年住院晚期认知障碍患者可能是旨在减少再入院的过渡性护理计划的合适目标人群。
Understanding the association between cognitive impairment severity and potentially avoidable readmissions (PARs) in older patients may facilitate the identification of at‐risk individuals who would benefit from readmission prevention measures. This retrospective cohort study was conducted using claims data linked with routinely collected cognitive impairment assessment results from a general acute care hospital in Tokyo, Japan. Patients were 65 years or age or older who were discharged from the subject hospital to home or a facility between July 2016 and September 2018. A multivariable logistic regression analysis adjusted for covariates showed that the odds of PARs within 90 days to the subject hospital for patients with moderate and severe cognitive impairment were 1.418 times (95% confidence interval: 1.005‐2.002) and 2.212 times (95% confidence interval: 1.206‐4.058) higher, respectively, that for patients with normal cognition. Older inpatients with later‐stage cognitive impairment may represent a suitable target population for transitional care programs aimed at reducing readmissions.