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Influence of Cognition on Length of Stay and Rehospitalization in Older Veterans Admitted for Post-Acute Care
- Source :
- Journal of applied gerontology : the official journal of the Southern Gerontological Society. 39(6)
- Publication Year :
- 2019
-
Abstract
- Objectives: Evaluate the relative contribution of cognitive test performance to post-acute care (PAC) length of stay (LOS) and rehospitalization while controlling for key demographic, medical, and functional outcomes. Methods: Retrospective medical record review of 160 older Veterans, including cognitive test performance (Addenbrooke’s Cognitive Examination–Revised [ACE-R]), on admission to a Veterans Administration Hospital Community Living Center (CLC) PAC. Results: Individuals with impaired scores on the ACE-R had a longer LOS (10 median days longer; U = 2,547.00, p = .028). Of those rehospitalized, 71.4% ( n = 20) screened positive for cognitive impairment. Key medical factors explained the largest amount of variance in CLC-PAC LOS (29.8%), followed by admission ADL (activities of daily living) dependency (4.6%) and ACE-R total score (3.30%). Discussion: Cognitive screening should be considered on PAC admission, with impairment on ACE-R predicting geriatric rehabilitation outcomes such as risk of increased LOS and rehospitalization.
- Subjects :
- Gerontology
Male
business.industry
Cognition
Length of Stay
Middle Aged
Patient Readmission
Cognitive test
Post acute care
03 medical and health sciences
0302 clinical medicine
Medicine
Humans
Cognitive Dysfunction
Female
030212 general & internal medicine
Geriatrics and Gerontology
business
030217 neurology & neurosurgery
Subacute Care
Aged
Retrospective Studies
Veterans
Subjects
Details
- ISSN :
- 15524523
- Volume :
- 39
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of applied gerontology : the official journal of the Southern Gerontological Society
- Accession number :
- edsair.doi.dedup.....e24d9e5706da08f22be22272d7485351