Navigation Links
RI Hospital: Medicare patients with dementia 20 percent more likely to be readmitted
Date:4/29/2014

PROVIDENCE, R.I. A review of more than 25,000 admissions of Medicare beneficiaries to Rhode Island hospitals has found that patients with a documented diagnosis of dementia are nearly 20 percent more likely to be readmitted within 30 days than those without dementia. The study by Rhode Island Hospital researchers is published online in advance of print in the journal Archives of Gerontology and Geriatrics.

"Persons with dementia may have difficulties comprehending and following important discharge instructions, (e.g. medication changes, decision making, self care)," said principal investigator Lori Daiello, PharmD, of the Alzheimer's Disease and Memory Disorders Center at Rhode Island Hospital. "In addition, many patients with dementia have multiple medical conditions, so it's not surprising that this group of vulnerable older adults might be at a higher risk of being readmitted to the hospital shortly after discharge."

Daillo added, "Because dementia often goes undiagnosed, or is not documented in a patient's medical record, we believe that the current findings may underestimate readmission rates and risks in this population."

Dementia is often co-morbid with conditions such as pneumonia, heart failure, chronic obstructive pulmonary disease (COPD), and urinary tract infections, which have been associated with preventable hospitalizations. Preventable readmissions have been recognized as an indicator of hospital quality, a source of increased cost, and are now tied to Medicare reimbursements.

In 2010, the Patient Protection and Affordable Care Act imposed penalties related to hospital readmission rates. The initial phase went into effect in October 2012 and reduces Medicare payments for readmissions within 30 days of discharge related to three common hospital discharge diagnoses: acute myocardial infarction (heart attack), pneumonia, and congestive heart failure. Penalties will increase and the list of conditions will expand in fiscal year 2015.

"Our results indicate that a diagnosis of dementia may be a marker of vulnerability for rapid rehospitalization and may suggest a role for specialized initiatives aimed at lowering readmission rates," Daiello said. "Developing effective interventions to prevent unnecessary readmissions is critically important because hospitalizations are often destabilizing events for persons with dementia and consequently place undue burden on our patients, their families and caregivers, and ultimately on our healthcare systems due to financial penalties and reduced Medicare reimbursements."

Successful transitions from hospital to home frequently require that patients be involved in complex decision-making, altering medication regimens, and adjusting familiar routines. Negotiating this path is challenging, even for cognitively intact adults. Patients with dementia may be unable to accomplish some or all of these tasks successfully, yet little is known about the impact of dementia on transitions from hospital to home.

"Our results suggest that a better understanding of the peridischarge period for patients with dementia may inform initiatives aimed at decreasing readmissions for hospitalized elderly patients," Daiello said.


'/>"/>

Contact: Ellen Slingsby
eslingsby@lifespan.org
401-444-6421
Lifespan
Source:Eurekalert

Related medicine news :

1. Inhaled Steroids Lead to Big Drop in Asthma Deaths at Texas Hospital: Study
2. Many Test Results Left Unread as Patients Leave Hospital: Study
3. RI Hospital: Near-complete blood flow restoration critical for best outcomes in stroke
4. RI Hospital: Standardized road test results differ from older adults natural driving
5. RI Hospital: Radiation can be reduced while maintaining high quality in CT colonography
6. RI Hospital: Traumatic brain injury worsens outcomes for those with nonepileptic seizures
7. RI Hospital: Co-infections not associated with worse outcomes during H1N1 pandemic
8. RI Hospital: Nearly half of older women diagnosed with UTI not confirmed in urine culture
9. Bringing New Leadership and Technology to Healdsburg District Hospital: Schmid New CEO, Campbell New Board Member
10. RI Hospital: Caregivers of those with dementia may benefit from tailored interventions
11. News Update From Texas Children's Hospital: Baby Born With Heart Outside Body Celebrates First Birthday
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... On June 10-11, 2016, A Forever ... Cereal Festival and World’s Longest Breakfast Table in Battle Creek, MI, where the rehabilitation ... as home to some of the world’s leading providers of cereal and other breakfast ...
(Date:6/26/2016)... Michigan (PRWEB) , ... June 26, 2016 , ... ... to fertility once they have been diagnosed with endometriosis. These women need a ... they also require a comprehensive approach that can help for preservation of fertility ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture ... said Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package ... Final Cut Pro X . Simply select a ProHand generator and drag it ...
(Date:6/25/2016)... , ... June 25, 2016 , ... On Friday, June ... a Bronze Wellness at Work award to iHire in recognition of their exemplary accomplishments ... of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI Marriott ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is World Sickle ... chronic pain and the benefits of holistic treatments, Serenity Recovery Center of ... Sickle Cell Disease. , Sickle Cell Disease (SCD) is a disorder of the red ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... , June 27, 2016  VMS Rehab Systems, Inc. ... will take whatever measures required to build a strong ... which is currently listed on the OTC Markets-pink current ... Chairman and CEO, "We are seeing an anomaly in ... understand, not only by the Company, but shareholders and ...
(Date:6/24/2016)... June 24, 2016  Consumers have taken a ... have placed more emphasis on patient outcomes. ... programs in the pharmaceutical industry have evolved beyond ... pharmaceutical companies are focusing on becoming more patient-oriented ... products and services that improve health. ...
(Date:6/24/2016)... SAN FRANCISCO, Calif. , June 24, 2016 ... GBT ), a biopharmaceutical company developing novel therapeutics ... significant unmet needs, today announced the closing of ... shares of common stock, at the public offering ... shares in the offering were offered by GBT. ...
Breaking Medicine Technology: