Implementation of intervention programs specifically tailored for patients with cognitive impairment as comorbidity in early rehabilitation during acute hospitalization: An umbrella and scoping review

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-03-29 DOI:10.1016/j.gerinurse.2025.03.009

Phoebe Ullrich PhD , Ilona Dutzi PhD , Theresa Buchner MSc , Christian Werner PhD , Martin Bongartz PhD , Jürgen M. Bauer MD , Klaus Hauer PhD

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引用次数: 0

Abstract

Introduction

Cognitive impairment (CI) is common among older hospitalized patients, posing risks for adverse events. However, the extent to which early rehabilitation interventions address CI needs is unclear. This umbrella and scoping review evaluates CI consideration in such interventions during acute hospitalization.

Material and Methods

Systematic reviews on early rehabilitation interventions for older patients were screened. Inclusion criteria encompassed CI mention in titles/objectives, patient assessment/description, inclusion of CI patients, (sub-) analyses by cognitive status, and tailored interventions.

Results

Of 199 studies, only 3% addressed CI in titles/objectives, 68% assessed cognitive status, and 42% lacked CI patient information. Only 4% targeted CI patients, 55% included mixed populations. In 12% of studies, CI patient results were reported, 8% adjusted analyses for CI. Only 5% tailored interventions for CI.

Discussion

Despite high prevalence, CI patients are largely overlooked in early rehabilitation. Future studies should consider CI in assessment, description, analysis, and intervention design.

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.