Most Read Articles
Jackey Suen, 04 Jul 2018

The risk of stroke remains elevated 5 years after a transient ischaemic attack (TIA) or minor ischaemic stroke, with around half of the cardiovascular (CV) events occurring during years 2–5, data from the TIAregistry.org project have shown.

Pank Jit Sin, 12 Jun 2018

A reduction as small as 2 mm Hg can lower cardiovascular risks among patients with cardiovascular disease (CVD), says an expert.

04 Mar 2018
Less than 20 percent of elderly adults in immediate care facilities are discharged to their homes, a recent Japan study reports. Older age, need for greater care and the presence of several medical conditions are among the factors that appear to be significantly related to discharge to home.

Dementia ups risk of readmission in elderly

05 Mar 2018
The transition to the new nursing home can be very challenging for the elderly, especially for older adults with dementia or Alzheimer’s.

In elderly adults, the risk of hospital readmission associated with dementia appears to vary with the primary diagnosis, a recent study has shown.

Researchers performed a retrospective cohort study on 1,834,378 elderly adults who were discharged after receiving care for 30 of the most common diagnoses in Japan. The overall prevalence of dementia was 14.7 percent (n=269,951) and was highest in those with aspiration pneumonia (69.4 percent).

Those with dementia had significantly higher risks of hospital readmission than those without (8.3 percent vs 4.1 percent; adjusted risk ratio [aRR], 1.46; 95 percent CI, 1.44–1.49). The relationship between the two factors varied depending on the primary diagnosis, being significant in 17 of the 30 diagnostic categories.

For instance, dementia patients with a principal diagnosis of acute myocardial infarction (aRR, 1.19; 1.01–1.39), angina pectoris (aRR, 1.22; 1.09–1.36), aspiration pneumonia (aRR, 1.23; 1.16–1.30), bowel obstruction (aRR, 1.17; 1.06–1.30) and bradyarrhythmia (aRR, 1.30; 1.12–1.51) had significantly higher risks of readmission within 30 days.

Other primary diagnoses that significantly elevated the risk of 30-day readmissions included rectal cancer (aRR, 1.27; 1.07–1.51), lung cancer (aRR, 1.15; 1.06–1.26), type 2 diabetes (aRR, 1.25; 1.09–1.44), heart failure (aRR, 1.21; 1.15–1.27) and hip fractures (aRR, 1.46; 1.28–1.68).

“Healthcare providers could enforce interventions to minimize readmission by focusing on comorbid conditions in individuals with dementia and specific primary diagnoses that increase their risk of readmission,” said researchers.

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Most Read Articles
Jackey Suen, 04 Jul 2018

The risk of stroke remains elevated 5 years after a transient ischaemic attack (TIA) or minor ischaemic stroke, with around half of the cardiovascular (CV) events occurring during years 2–5, data from the TIAregistry.org project have shown.

Pank Jit Sin, 12 Jun 2018

A reduction as small as 2 mm Hg can lower cardiovascular risks among patients with cardiovascular disease (CVD), says an expert.

04 Mar 2018
Less than 20 percent of elderly adults in immediate care facilities are discharged to their homes, a recent Japan study reports. Older age, need for greater care and the presence of several medical conditions are among the factors that appear to be significantly related to discharge to home.