Clarifying the relationship between delirium and Alzheimer's Disease and related

项目概要 每年有超过 100 万美国老年人在急性住院后需要疗养院护理。 虽然短期住院是一个共同目标，但许多患者未能康复并需要长期住院 安置。谵妄，大脑功能的急剧变化，可能导致永久性认知障碍 损伤，是一种重要的、可预防的疾病，可能会妨碍完全康复并导致长期 定期安置在疗养院。本研究的目的是描述当前的情况 使用有效且联邦授权的谵妄评估工具来评估疗养院环境中的谵妄。 这项研究的一个独特之处是检查谵妄可能导致不正确诊断的程度 阿尔茨海默病和精神药物处方。为了完成这些目标，本研究 该项目将分析全国范围内的当代疗养院居民护理计划数据集 链接到医疗保险计划数据和处方配药数据。该项目将能够以独特的方式 向 Medicare 计划、政策制定者、临床医生和患者/家庭通报以下经历 在疗养院环境中出现谵妄。

Project Summary Over 1 million US older adults each year require nursing home care after acute hospitalization. While a short-term stay is a common goal, many patients fail to recover and require long-term placement. Delirium, an acute change in brain-functioning that can lead to permanent cognitive impairment, is an important, preventable condition that may prevent full recovery and lead to long- term placement in nursing homes. The objectives of this study are to describe the current landscape of delirium in the nursing home setting using valid and federally-mandated delirium assessment tools. A unique aspect of this study is to examine the extent delirium may lead to an inappropriate diagnosis of Alzheimer's disease and psychoactive prescribing. To complete these objectives, this research project will analyze a nationwide and contemporary dataset of nursing home resident care plans linked to Medicare program data and prescription dispensing data. The project will be able to uniquely inform the Medicare program, policymakers, clinicians and patients/families about the experience of delirium in nursing home setting.