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:3/22/2017)... ... 22, 2017 , ... Soriant recognizes that identifying savings opportunities ... Healthcare facilities across the country are always forced to focus on costs and ... the country, an efficient and quick way to estimate savings potential within specific ...
(Date:3/22/2017)... ... March 22, 2017 , ... Influence ... its digital marketing solutions have enabled Children’s Hospital of The King’s Daughters (CHKD) ... , Recognizing the value of a digital marketing approach, the 206-bed pediatric teaching ...
(Date:3/22/2017)... Providence, RI (PRWEB) , ... March 22, 2017 ... ... Dr. Gwynne Bragdon to its Department of Orthopedic Surgery, Division of Hand, Upper ... extremity and orthopedic surgery. She is board-certified in both Orthopedics and Hand ...
(Date:3/22/2017)... ... 22, 2017 , ... The Carballo Agency, a comprehensive insurance ... York metropolitan region, is embarking on a cooperative charity drive with Family Promise ... more than two and a half million children in the United States are ...
(Date:3/22/2017)... ... March 22, 2017 , ... ... planning services to regional families and business owners, is joining the Teen Recovery ... people in the area. , A growing number of Oklahoma teens and adolescents ...
Breaking Medicine News(10 mins):
(Date:3/22/2017)... 22, 2017 Research and Markets has announced ... Trends - Industry Forecast to 2025" report to their offering. ... The Global ... around 7.1% over the next decade to reach approximately $129.81 billion ... and forecasts for all the given segments on global as well ...
(Date:3/22/2017)... N.Y. , March 22, 2017 ... R-D™ Rapid Disinfector™ is the proven ultraviolet-C (UV-C) ... cause healthcare-associated infections (HAIs). Published ... Journal of Infection Control , the peer-reviewed study ... and experiences of Vancouver General Hospital and Rochester ...
(Date:3/22/2017)... YORK , March 22, 2017 ... (EP) market is growing rapidly due to the significant ... report published by Allied Market Research, the global electrophysiology ... expected to reach $8.271 billion by 2022, with a ... and is used to diagnose abnormal heartbeats or arrhythmia. ...
Breaking Medicine Technology: