Sex-based disparities and in-hospital outcomes of patients hospitalized with atrial fibrillation with and without dementia

Baral, Nirmal; Mitchell, Joshua D.; Aggarwal, Neelum T.; Paul, Timir K.; Seri, Amith Reddy; Arida, Abdul; Sud, Parul; Kunadi, Arvind; Bashyal, Krishna; Baral, Nisha; Adhikari, G.; Tracy, Melissa; Volgman, Annabelle Santos

doi:10.1016/j.ahjo.2023.100266

Cited by 2 publications

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a study by Ijaz et al, patients with dementia admitted for heart failure or acute myocardial infarction were found to have significantly higher inpatient mortality and longer hospital lengths of stay (LOS) [6]. Similarly, Baral et al found that patients with atrial fibrillation and dementia had greater risk of inhospital mortality while also lower likelihood of undergoing cardiac procedures [7]. With regard to discharge disposition, patients with dementia also appear to fare worse.…”

Section: Introductionmentioning

confidence: 99%

Colonoscopy Utilization in Elderly Patients with Dementia: Characteristics, Complications, and Charges in a National Matched-Cohort Analysis

Shweikeh,

Hong,

Rogers

et al. 2024

Dig Dis Sci

View full text Add to dashboard Cite

Background It is projected that the elderly population will continue to increase. Many will develop chronic conditions such as dementia. Aims Our aims are to describe the utilization of colonoscopy among patients with dementia and compare outcomes in those with and without dementia. Methods This population-based analysis utilized the National Inpatient Sample (NIS) during 2019. Patients with dementia over the age of 60 years receiving colonoscopy were identified utilizing ICD-10 codes. Logistic regression was used for propensity score matching between the comparison groups. A Greedy one-to-one matching algorithm was utilized along with standardized mean differences to assess balance. Mcnemar test, signed rank sum, and paired t-test were used to compare the outcomes. Results Initially, 50,692 patients without dementia were compared with 4323 patients with dementia. Patients with dementia were more likely to be female, older, less likely White, had lower income, and more likely to be on Medicare. In the matched comparison (4176 in each group), complication analysis showed that patients with dementia did not have higher colonoscopyrelated complications. They did have higher rates of other complications including renal/AKI (p = 0.0042), pulmonary/ pneumonia (p = 0.003), cerebrovascular accidents (p = 0.0063), and sepsis (< 0.0001). Patients with dementia were also less likely to have routine discharges (< 0.0001), had longer hospital stays (< 0.0001), and higher hospital costs (< 0.0001). Conclusions Elderly patients with dementia have similar colonoscopy-related complications as patients without dementia. However, they do have higher complications in general. The decision whether to perform colonoscopy in this patient population is multifactorial. A careful assessment of a dementia patient's history can help with this decision.

show abstract

Section: Introductionmentioning

confidence: 99%

Colonoscopy Utilization in Elderly Patients with Dementia: Characteristics, Complications, and Charges in a National Matched-Cohort Analysis

Shweikeh,

Hong,

Rogers

et al. 2024

Dig Dis Sci

View full text Add to dashboard Cite

show abstract

“…In a study by Ijaz et al, dementia patients admitted for heart failure or acute myocardial infarction were found to have signi cantly higher inpatient mortality and longer hospital lengths of stay (LOS) [6]. Similarly, Baral et al found that patients with atrial brillation and dementia had greater risk of in-hospital mortality while also lower likelihood of undergoing cardiac procedures [7]. In regard to discharge disposition, patients with dementia also appear to fare worse.…”

Section: Introductionmentioning

confidence: 99%

Colonoscopy Utilization in Elderly Dementia Patients: Characteristics, Complications, and Charges in a National Matched-Cohort Analysis

Shweikeh,

Hong,

Rogers

et al. 2024

Preprint

View full text Add to dashboard Cite

Background It is projected that the elderly population will continue to increase. Many will develop chronic conditions such as dementia. Aims Our aims are to describe the utilization of colonoscopy among dementia patients and compare outcomes in those with and without dementia. Methods This population-based analysis utilized the National Inpatient Sample (NIS) during 2019. Patients with dementia over the age of 60 years receiving colonoscopy were identified utilizing the Elixhauser comorbidity measure and ICD-10 codes. Propensity score matching was used to correct for effects of uneven features of the clinical outcomes. Multivariate regression analysis was used to assess the effect of patient factors. Results Initially, 50,692 patients without dementia were compared with 4,323 patients with dementia. Dementia patients were more likely to be female, older, less likely white, had lower income, and more likely to be on Medicare. In the matched comparison (4,176 in each group), complications analysis showed dementia patients did not have higher colonoscopy-related complications. They did have higher rates of other complications including renal/AKI (p = 0.0042), pulmonary/pneumonia (p = 0.003), cerebrovascular accidents (p = 0.0063), and sepsis (< 0.0001). Dementia patients were also less likely to have routine discharges (< 0.0001), had longer hospital stays (< 0.0001), and higher hospital costs (< 0.0001). Conclusions Elderly dementia patients have similar colonoscopy-related complications as patients without dementia. However, they do have higher complications in general. The decision whether to perform colonoscopy in this patient population is multifactorial. A careful assessment of a dementia patient’s history can help with this decision.

show abstract

Sex-based disparities and in-hospital outcomes of patients hospitalized with atrial fibrillation with and without dementia

Cited by 2 publications

References 11 publications

Colonoscopy Utilization in Elderly Patients with Dementia: Characteristics, Complications, and Charges in a National Matched-Cohort Analysis

Colonoscopy Utilization in Elderly Patients with Dementia: Characteristics, Complications, and Charges in a National Matched-Cohort Analysis

Colonoscopy Utilization in Elderly Dementia Patients: Characteristics, Complications, and Charges in a National Matched-Cohort Analysis

Contact Info

Product

Resources

About