Association of Dementia Severity and Caregiver Support With Early Discharge From Home Health.

IF 2.7 4区医学 Q2 CLINICAL NEUROLOGY

American Journal of Alzheimers Disease and Other Dementias Pub Date : 2022-01-01 DOI:10.1177/15333175221129384

Sara Knox, Allen Haas, Brian Downer, Kenneth J Ottenbacher

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引用次数: 0

Abstract

Introduction: The objective of this study was to examine the relationship between dementia severity and early discharge from home health.

Methods: This was a retrospective study of 100% national Medicare home health da ta files (2016-2017). Multilevel logistic regression was used to study the relationship of dementia severity, caregiver support, and medication assistance with early discharge from home health.

Results: The final cohort consisted of 91 302 Medicare beneficiaries with an ADRD diagnosis. A pattern of early discharge rates across dementia severity levels was not demonstrated. The relative risk for early discharge was lower for individuals who needed assistance with medication and for those with unmet caregiver needs.

Discussion: The findings of this study do not support the hypothesis that dementia severity contributes to early discharge from home health. Further research is needed to fully understand key factors contributing to early discharge from home health.

查看原文本刊更多论文

痴呆症严重程度和护理人员的支持与提前脱离家庭医疗服务的关系。

简介本研究旨在探讨痴呆症严重程度与提前从家庭医疗机构出院之间的关系：这是一项对全国 100%的医疗保险居家医疗达人档案（2016-2017 年）进行的回顾性研究。采用多层次逻辑回归法研究痴呆症严重程度、护理人员支持和药物协助与提前从家庭医疗机构出院之间的关系：最终队列由 91 302 名诊断为 ADRD 的医疗保险受益人组成。不同痴呆症严重程度的提前出院率并不一致。需要药物治疗协助的患者和照顾者需求未得到满足的患者提前出院的相对风险较低：讨论：本研究的结果并不支持痴呆症严重程度会导致提前退出家庭医疗服务的假设。还需要进一步研究，以充分了解导致提早离开居家医疗服务的关键因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Alzheimers Disease and Other Dementias GERIATRICS & GERONTOLOGY-CLINICAL NEUROLOGY

CiteScore

5.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： American Journal of Alzheimer''s Disease and other Dementias® (AJADD) is for professionals on the frontlines of Alzheimer''s care, dementia, and clinical depression--especially physicians, nurses, psychiatrists, administrators, and other healthcare specialists who manage patients with dementias and their families. This journal is a member of the Committee on Publication Ethics (COPE).