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Study: Odds of rehospitalization of cognitively impaired varies by discharge destination
Date:11/19/2013

INDIANAPOLIS -- Cognitively impaired older adults released from the hospital are less likely to be rehospitalized within 30 days if they go to a nursing home than if they return to their own home or the home of a family member, according to an Indiana University and Regenstrief Institute study.

Discharge destination following hospitalization and cognitive status are co-dependent factors, according to the study, which followed 976 men and women, age 65 and older.

The study findings are reported in "Interaction Between Cognitive Impairment and Discharge Destination and Its Impact on Rehospitalizations," published in the November issue of the Journal of the American Geriatrics Society.

"Why do nursing home residents who are cognitively impaired get readmitted to hospitals less often than those released to a community setting? There may be several explanations," said study first author Arif Nazir, M.D., an assistant clinical professor of medicine at the IU School of Medicine who is on the Board of the American Medical Directors Association. "The nursing home ensures medication adherence, which can be very difficult for cognitively impaired residents who reside at home, even sometimes with support from their families.

"And at home, the physical problems of the cognitively impaired may not be recognized. These are health issues which, if known, would send them back to the hospital."

In additional to being less likely to be readmitted to the hospital than their counterparts who are discharged to the community, the study found that cognitively impaired nursing home residents are also less likely than nursing home residents with healthy brains to be readmitted to a hospital within 30 days of discharge. But the reverse is true if older adults are sent home rather than to an institution. Cognitively impaired individuals released from a hospital to a community setting are more likely to be readmitted to the hospital t
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Contact: Cindy Fox Aisen
caisen@iupui.edu
317-843-2276
Indiana University
Source:Eurekalert

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