Neuropsychiatric Disorders and Potentially Preventable Hospitalizations in a Prospective Cohort Study of Older Americans

Davydow, Dimitry S.; Zivin, Kara; Katon, Wayne; Pontone, Gregory M.; Chwastiak, Lydia; Langa, Kenneth M.; Iwashyna, Theodore J.

doi:10.1007/s11606-014-2916-8

Cited by 44 publications

(48 citation statements)

References 49 publications

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“…Our findings of variables predicting an association with cognitive impairment build upon previous work among older adults (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29). In this study, self-reported hypertension was not a significant predictor of cognitive impairment.…”

Section: Discussionsupporting

confidence: 84%

“…Cognitive impairment and dementia have been associated with rural dwellers (16), increased rates of hospitalization (17,18), increased risk for falls (19,20), increased prevalence of fear of falling (21,22), diabetes mellitus (23,24), depression (17,25), and dependence in activities of daily living [ADL] (26). There are conflicting studies on the association of gender and hypertension with cognitive impairment (27)(28)(29).…”

Section: Introductionmentioning

confidence: 99%

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The Prevalence of Cognitive Impairment among Older Adults in Jamaica

Waldron¹,

Laws²,

James³

et al. 2015

WIMJ Open

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

The Prevalence of Cognitive Impairment among Older Adults in Jamaica

Waldron¹,

Laws²,

James³

et al. 2015

WIMJ Open

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“…14 Similarly, previous research has found that increasing age and severity of comorbid health conditions were associated with increased rehospitalization. 15,16 In addition, history of seizures prior to injury or during acute care or rehabilitation and a history of previous brain injuries also increased the likelihood of rehospitalization. 9 Being injured in a motor vehicular crash and high motor functioning at discharge were associated with reduced rehospitalization.…”

mentioning

confidence: 99%

Rehospitalization Over 10 Years Among Survivors of TBI: A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study

Dams-O’Connor¹,

Mellick²,

Dreer³

et al. 2017

Journal of Head Trauma Rehabilitation

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Objective To describe the rates and causes for rehospitalization over 10 years following moderate-severe traumatic brain injury (TBI), and to characterize longitudinal trajectories of the probability of rehospitalization using Generalized Linear Mixed Models (GLMM) and Individual Growth Curve (IGC) models conditioned on factors that help explain individual variability in rehospitalization risk over time. Design Secondary analysis of data from a multicenter longitudinal cohort study. Setting Acute inpatient rehabilitation facilities and community follow-up. Participants Individuals aged 16 years and older with a primary diagnosis of TBI. Main Outcome Measures Rehospitalization (and reason for rehospitalization) as reported by participants or proxy during follow-up telephone interviews at 1, 2, 5, and 10 years post-injury. Results The greatest number of rehospitalizations occurred in the first year post-injury (27.8% of the sample), and the rates of rehospitalization remained largely stable (22.1–23.4%) at 2, 5 and 10 years. Reasons for rehospitalization varied over time: Orthopedic and reconstructive surgery rehospitalizations were most common in Year 1, while General Health Maintenance was most common by Year 2 with rates increasing at each follow-up. Longitudinal models indicate multiple demographic and injury-related factors are associated with the probability of rehospitalization over time. Conclusion These findings can inform the content and timing of interventions to improve health and longevity after TBI.

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“…Repeated hospital admissions also add to the difficulty in ensuring stable glycaemia due to disruption in regular feeding habits and nutritional intake. 18,19 Medications specifically dealing with confusion and agitation in dementia tend to include antipsychotic agents such as olanzapine or risperidone. These medications are well known for their effects on worsening glycaemic control and pose another problem in such patients, with clozapine and olanzapine most frequently reported to affect glycaemia.…”

Section: Effect Of Dementia On Diabetes Managementmentioning

confidence: 99%

Management of diabetes and dementia

Puttanna

Padinjakara

2017

Br J Diabetes

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Continued advances in medicine have contributed to an ageing population in most countries, with a resultant increased prevalence of dementia as well as type 2 diabetes. Consequently, the combined co-morbidity of diabetes and dementia is on the increase. While there is a wealth of therapeutic options for diabetes in general, we need to adapt these medications and strategies to suit those with dementia. The intricacies of managing diabetes in patients with cognitive dysfunction are multiple and require a sound understanding of the patient, living environment and available therapeutic options. With the exception of metformin, dipeptidyl peptidase-4 inhibitors and to some extent insulin secretagogues, non-insulin therapy has a limited role. Insulin therapy, if initiated with a specified goal in mind and concentration on avoidance of hypoglycaemic episodes with relatively lax glycaemic targets, is the most straightforward way of managing glycaemia. Therapy should be individualised with involvement of the patient's care team and clear instructions to define roles, goals of therapy and need for regular review. In this article we discuss the effect of dementia on diabetes management and vice versa, glycaemic goals based on available evidence and recommendations including drug and regimen selection to safely achieve this. Br J Diabetes 2017;17:93-99

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Neuropsychiatric Disorders and Potentially Preventable Hospitalizations in a Prospective Cohort Study of Older Americans

Cited by 44 publications

References 49 publications

The Prevalence of Cognitive Impairment among Older Adults in Jamaica

The Prevalence of Cognitive Impairment among Older Adults in Jamaica

Rehospitalization Over 10 Years Among Survivors of TBI: A National Institute on Disability, Independent Living, and Rehabilitation Research Traumatic Brain Injury Model Systems Study

Management of diabetes and dementia

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