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

阐明谵妄与阿尔茨海默病及其相关疾病之间的关系

基本信息

批准号：
10207927
负责人：
BECKY A BRIESACHER
金额：
$ 45.53万
依托单位：
NORTHEASTERN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-30 至 2022-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10207927
关键词：
Acute Address Admission activity Adult Alzheimer&apos s Disease Alzheimer&apos s disease diagnosis Alzheimer&apos s disease related dementia American Antipsychotic Agents Assessment tool Back Benzodiazepines Brain Caring Cessation of life Clinical Cognition Cognitive Communities Data Data Set Delirium Detection Diagnosis Diagnostic Drug Prescriptions Elderly Family Funding Goals Home Nursing Care Home environment Hospitalization Hospitals Impaired cognition Incidence Interview Lead Link Longitudinal Studies Longitudinal cohort Medical Medicare Medicare claim Neuropsychological Tests Nursing Homes Outcome Outpatients Patients Persons Pharmaceutical Preparations Pharmacy facility Play Prevalence Recording of previous events Recovery Research Research Project Grants Risk Role Safety Structural Models Symptoms Time United States National Institutes of Health acute care cohort confusion assessment method dementia care experience insight mental state novel prevent programs rehabilitation service treatment planning

项目摘要

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.

项目摘要每年有100多万美国老年人在急性住院后需要养老院护理。虽然短期住院是一个共同的目标，但许多患者无法康复，需要长期的治疗放置。精神错乱，一种大脑功能的急性变化，可导致永久性认知损害，是一种重要的、可预防的情况，可能会阻碍完全恢复并导致长期的在养老院的学期安置。这项研究的目的是描述当前的景观使用有效的和联邦授权的精神错乱评估工具在疗养院环境中评估精神错乱。这项研究的一个独特方面是检查精神错乱可能导致不适当诊断的程度。阿尔茨海默氏症和精神药物处方。为了完成这些目标，本研究该项目将分析全国范围内和当代养老院居民护理计划的数据集链接到Medicare计划数据和处方配药数据。该项目将能够独一无二地向联邦医疗保险计划、政策制定者、临床医生和患者/家庭通报养老院环境中的精神错乱。