Cognitive Function and Acute Care Utilization

Walsh, Edith; Wu, Bei; Mitchell, Janet B.; Berkmann, Lisa F

doi:10.1093/geronb/58.1.s38

Cited by 49 publications

(52 citation statements)

References 23 publications

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“…On the one hand, subclinical status in lower body function may serve as an access barrier for physician visits, and less frequent physician use may reduce the risk of hospitalization. On the other hand, the onset of (or increases in) difficulties with ADLs (especially those that are more cognitively demanding) initially increases the demand for health services (reflecting diagnostic and evaluation activity), followed by a triage and selection process (associated with forgoing subsequent treatment) after recovery is deemed unlikely (24)(25)(26)(27)(28)(29)(30). In this study of middle-aged adults, it is unlikely that the initial increase in service demand has given way to the triage and selection processes.…”

Section: Discussionmentioning

confidence: 99%

Effect of Subclinical Status in Functional Limitation and Disability on Adverse Health Outcomes 3 Years Later

Wolinsky¹,

Miller²,

Andresen³

et al. 2007

The Journals of Gerontology Series A: Biological Sciences and M

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Section: Discussionmentioning

confidence: 99%

Effect of Subclinical Status in Functional Limitation and Disability on Adverse Health Outcomes 3 Years Later

Wolinsky¹,

Miller²,

Andresen³

et al. 2007

The Journals of Gerontology Series A: Biological Sciences and M

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“…Instead, previous studies have been restricted to the relationship between cognitive function and acute care utilization [13][14][15] , or medications and outpatient services [16] . Cognitive impairment was associated with increased hospital and emergency room use, and lower cognitive functioning reduced the use of medication and outpatient services.…”

mentioning

confidence: 99%

Distal and Proximal Resource Influences on Economic Dependency among the Oldest Old

et al. 2010

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tenarians were not more dependent than octogenarians. Cognitive ability had the strongest effects for medical care and caregiving services. 'Extraversion', 'ideas', 'neuroticism', and 'competence' personality factors had significant effects for caregiving types and total hours of care received. Conclusion: Monitoring and intervention to maintain cognitive ability are critical practices for autonomy and reduced economic dependency among the oldest old. Psychological resources are more important influences on social support than functional health and other proximal economic resources. Copyright © 2010 S. Karger AG, Basel Population trends associated with increased longevity world-wide include rapid growth in the oldest-old segment and the emergence of more centenarians as exceptional survivors [1] . Caring for the extreme survivors among the oldest old may create a substantial new burden on family and public support systems, so maintaining Key WordsOldest old ؒ Economic dependency ؒ Cognition ؒ Personality Abstract Background: As exceptional survivors, centenarians may have characteristics that reduce their dependency on family and community support systems despite the expectation that their extreme age creates a burden on those systems. The Georgia Centenarian Study obtained information about assistance for income, medical care, and caregiving of all types for a sample of centenarians and octogenarians. Previous studies have not established which characteristics may contribute to economic dependency among the oldest old. Objective: To identify distal and proximal resource influences on economic dependency, considering past lifestyle, proximal health, economic resources, personality, and coping behavior. Methods: Analysis sample sizes ranged from 109 to 138 octogenarians and centenarians. Blockwise multiple regressions predicted whether they received income assistance, number of medical care events, number of caregiving types, and total caregiving hours. Results: Past life style, gender, ethnicity, socioeconomic status, functional health, and coping were not related to economic dependency. With the exception of the number of types of care, cen-

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“…Previous studies have found that income and social support are associated with health service use [16,17], especially in patients with dementia [18]. However, to the authors' knowledge, no studies have evaluated the effect of financial problems and social network on MCD individuals' use of GP services.…”

Section: Introductionmentioning

confidence: 99%

“…Other research has found no association between cognitive decline and contact with a GP [5,19,21]. Finally, there is research which shows that cognitive impairment is associated with fewer visits to GPs [17]. …”

Section: Introductionmentioning

confidence: 99%

A Longitudinal Analysis of General Practitioner Service Use by Patients with Mild Cognitive Disorders in Australia

Butterworth¹,

Anstey²

2016

Dement Geriatr Cogn Disord

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Background: The aim of this study was to ascertain if participants diagnosed with any mild cognitive disorder (MCD) visited a general practitioner (GP) more than those without MCD and the effect of either depression or arthritis on GP use longitudinally. Methods: 2,551 participants aged 60-64 years at baseline completed the Personality and Total Health Through Life (PATH) study in Canberra. Follow-up data were collected after 4 and 8 years. A cognitive screening battery was used to screen participants into a substudy of MCD. Results: Participants with any MCD had greater GP use than cognitively healthy participants across all three waves (wave 1, M = 7.35 vs. 5.59; wave 2, M = 7.77 vs. 5.86; wave 3, M = 9.01 vs. 6.81). After adjusting for demographic and health factors, MCD was a significant predictor of GP use at all three waves (p < 0.05, CI 0.84-0.99). Conclusion: This study has shown that MCD is associated with a higher use of GP visits, especially if the patient has a comorbid condition.

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Cognitive Function and Acute Care Utilization

Abstract: Lower cognitive function may be a barrier to outpatient care, but these analyses should be repeated using administrative use and cost data.

Cited by 49 publications

References 23 publications

Effect of Subclinical Status in Functional Limitation and Disability on Adverse Health Outcomes 3 Years Later

Effect of Subclinical Status in Functional Limitation and Disability on Adverse Health Outcomes 3 Years Later

Distal and Proximal Resource Influences on Economic Dependency among the Oldest Old

A Longitudinal Analysis of General Practitioner Service Use by Patients with Mild Cognitive Disorders in Australia

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