Association Between Cognitive Status and Falls With and Without Injury During a Skilled Nursing Facility Short Stay

Tzeng, Huey‐Ming; Downer, Brian; Haas, Allen; Ottenbacher, Kenneth J.

doi:10.1016/j.jamda.2021.06.017

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…MCI may cause disruptions to the central integration of neural networks that are essential for the control of postural sway and leaning 37. And worse balance capacity shows difficulty in perceiving the environment, shifting attention and gait variability, which could increase the risk of falls among older adults 32…”

Section: Discussionmentioning

confidence: 99%

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Association between mild cognitive impairment and falls among Chinese older adults: the mediating roles of balance capacity and depressive symptoms

et al. 2022

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BackgroundThis study aimed to examine the association between mild cognitive impairment (MCI) and the follow-up risk of falls among Chinese older adults, exploring the mediating roles of balance capacity and depressive symptoms in the association between MCI and falls.MethodsA total of 5482 adults aged 60 years and above from waves 2015 and 2018 of the China Health and Retirement Longitudinal Study were included for analysis. Cognition was assessed by a global cognition score, which included three tests: episodic memory, figure drawing and Telephone Interview of Cognitive Status. Depressive symptoms were assessed with the Centre for Epidemiological Studies Depression Scale. Logistic regression models were used to estimate the association between MCI and falls. Mediation analysis was employed to explore the potential mediating roles of balance capacity and depressive symptoms in the association between MCI and falls.ResultsMCI was significantly associated with the risk of falls (OR 1.259, 95% CI 1.080 to 1.467). Balance capacity and depressive symptoms played parallel mediating roles in the association between MCI and falls, and the mediating effects were 0.004 (95% CI 0.003 to 0.024) and 0.010 (95% CI 0.004 to 0.016), respectively.ConclusionsIt is necessary to screen for and recognise MCI in order to prevent falls among older adults. More efforts should be made to improve balance capacity and relieve depressive symptoms to reduce the risk of falls among older adults with MCI.

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Section: Discussionmentioning

confidence: 99%

“…Covariates included sociodemographic characteristics, health-related behaviours, and physical health, which have been described in the previous literature 29 32. Sociodemographic characteristics included age, gender, marital status, education level, residence, medical insurance and pension insurance.…”

Section: Methodsmentioning

confidence: 99%

Association between mild cognitive impairment and falls among Chinese older adults: the mediating roles of balance capacity and depressive symptoms

et al. 2022

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Post-Acute Care Rehabilitation for Persons Living With Dementia: A Systematic Review

Semelka,

Freeman,

Williamson

et al. 2024

Journal of the American Medical Directors Association

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Association Between Cognitive Impairment and Repeat Fractures in Medicare Beneficiaries Recently Hospitalized for Hip Fracture

Tzeng

Downer

et al. 2023

The Journals of Gerontology: Series A

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Background Repeat fractures contribute substantially to fracture incidents in older adults. We examined the association between cognitive impairment and re-fractures during the first 90 days after older adults with hip fractures were discharged home from a skilled nursing facility rehabilitation short stay. Methods Multilevel binary logistic regression was used to analyze 100% of US national post-acute-care fee-for-service Medicare beneficiaries who: had a hospital admission for hip fracture from 2018/01/01 to 2018/07/31; were admitted for a skilled nursing facility stay within 30 days of hospital discharge; and were discharged to the community after a short stay. Our primary outcome was rehospitalization for any re-fractures within 90 days of skilled nursing facility discharge. Cognitive status assessed at skilled nursing facility admission or before discharge was classified as either intact or having mild or moderate/severe impairment. Results In 29,558 beneficiaries with hip fracture, odds of any re-fracture were higher in those with minor (odds ratio: 1.48; 95% confidence interval: 1.19 to 1.85; p<.01) and moderate/major cognitive impairment (odds ratio: 1.42; 95% confidence interval: 1.07 to 1.89; p=.0149) than in those classified as intact. Conclusions Beneficiaries with cognitive impairment were more likely than their counterparts with no cognitive impairment to experience re-fractures. Community-dwelling older adults with minor cognitive impairment may experience a higher likelihood of experiencing a repeat fracture leading to rehospitalization.

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Association Between Cognitive Status and Falls With and Without Injury During a Skilled Nursing Facility Short Stay

Cited by 3 publications

References 33 publications

Association between mild cognitive impairment and falls among Chinese older adults: the mediating roles of balance capacity and depressive symptoms

Association between mild cognitive impairment and falls among Chinese older adults: the mediating roles of balance capacity and depressive symptoms

Post-Acute Care Rehabilitation for Persons Living With Dementia: A Systematic Review

Association Between Cognitive Impairment and Repeat Fractures in Medicare Beneficiaries Recently Hospitalized for Hip Fracture

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