Association of Cognitive Impairments and Alzheimer's Disease and Related Dementias With Hospital and Skilled Nursing Facility Utilization Among Community-Dwelling Older Adults.

IF 2.2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2025-04-10 DOI:10.1177/07334648251333496

Meiling Ying, Zijing Cheng, Richard A Hirth, Karen E Joynt Maddox, Yue Li

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Abstract

This observational cohort study examined the association between Alzheimer's disease and related dementias (ADRD) and hospital and skilled nursing facility (SNF) utilization among community-dwelling older adults aged 65 and older. Using four waves of longitudinal survey data from the 2016-2022 Health and Retirement Study conducted by the University of Michigan and multivariate, individual-level regressions, we found that the cognitive impairment but no dementia (CIND) and ADRD groups exhibited similar patterns in hospitalizations, hospital visits, and total hospital days compared to the normal cognition group. However, CIND was significantly associated with increased odds of SNF stays (odds ratio [OR], 1.22) and a higher number of SNF visits (incidence rate ratio [IRR], 1.45) than the normal cognition group. Higher odds of any SNF stay (OR, 1.26) and number of SNF visits (IRR, 1.45) were also observed for ADRD compared to normal cognition. These findings suggest that CIND or ADRD was not associated with hospital use but was significantly associated with increased SNF use.

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社区居住老年人认知障碍、阿尔茨海默病和相关痴呆与医院和熟练护理机构利用的关系

本观察性队列研究调查了65岁及以上社区居住老年人阿尔茨海默病和相关痴呆（ADRD）与医院和熟练护理设施（SNF）利用之间的关系。利用密歇根大学进行的2016-2022年健康与退休研究的四波纵向调查数据和多变量个人水平回归，我们发现与正常认知组相比，认知障碍但无痴呆（CIND）和ADRD组在住院、医院就诊和总住院天数方面表现出相似的模式。然而，与正常认知组相比，CIND与SNF停留几率增加（优势比[OR]， 1.22）和SNF就诊次数增加（发病率比[IRR]， 1.45）显著相关。与正常认知相比，ADRD的SNF停留几率（OR, 1.26）和SNF就诊次数（IRR, 1.45）也更高。这些发现表明CIND或ADRD与医院使用无关，但与SNF使用增加显著相关。

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来源期刊

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.