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:5/3/2016)... , ... May 03, 2016 , ... Elizabeth Murray has ... parrots to join her with one on her shoulder and one on her arm. ... parking lot because of years of mitral valve prolapse. , The valves of the ...
(Date:5/3/2016)... ... May 03, 2016 , ... Excessive panting in the ... pet anxiety. "Pet owners often think anxiety only manifests itself as trembling or ... other ways, and there’s things that be done about it,” says Dr. Jim Lowe, ...
(Date:5/3/2016)... ... 03, 2016 , ... Diagnotes, a leader in digital healthcare ... hospital system in South Carolina, to provide its secure mobile communication platform. , ... communication, drives workflow efficiencies and improves provider and patient satisfaction,” said Dr. Todd ...
(Date:5/3/2016)... ... May 03, 2016 , ... Boston Children’s Hospital today announced ... medical situations or practice tricky or rare procedures in an environment that looks and ... Center is also available to inventors and “hackers” to develop and test new devices ...
(Date:5/3/2016)... ... May 03, 2016 , ... Each year, about 800,000 ... of death across the United States and account for one death every four minutes. ... or are permanently disabled. HCR ManorCare is launching a video series called “Your Brain,” ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... , April 28, 2016  Marking its ... accessible breast and ovarian cancer risk test, ... analyzing 30 genes that highly impact the most ... Available today, the Color Test analyzes hereditary cancer ... stomach, and uterine cancers. The Color Test is ...
(Date:4/28/2016)... 28, 2016  The blood testing market in ... to Kalorama Information and The Freedonia Group in a ... acid testing.  The healthcare research firm said that ... blood collection stations and in improving testing at the ... report, Blood Testing Market in China ...
(Date:4/28/2016)... 28, 2016 , Net Sales of $1.90 ... over the prior year period, and an increase of 1.2% ... Diluted EPS for the first quarter were $0.52 reported, a ... adjusted, an increase of 29.9% over the prior year period ... earnings guidance for 2016 Zimmer Biomet Holdings, Inc. ...
Breaking Medicine Technology: