Chronic Obstructive Pulmonary Disease: Prevalence, Characteristics, and Pharmacologic Treatment in Nursing Home Residents with Cognitive Impairment

Zarowitz, Barbara J.; O’Shea, Terrence

doi:10.18553/jmcp.2012.18.8.598

Cited by 31 publications

(21 citation statements)

References 15 publications

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“…Although our current analysis does not include data to assess functional capacity, more than 60% of nursing home residents who have COPD require extensive assistance, or are totally dependent for activities of daily living in other studies. 5 In addition, many patients are unable to be liberated from mechanical ventilation 1 and many of the 26.8% of patients we identified as being discharged to nursing home within 30 days may have remained on mechanical ventilation. Understanding the likelihood of nursing home admission after mechanical ventilation for COPD exacerbation, described in our study, may be valuable for patients’ decision making.…”

Section: Discussionmentioning

confidence: 98%

What happens to patients with COPD with long-term oxygen treatment who receive mechanical ventilation for COPD exacerbation? A 1-year retrospective follow-up study

Hajizadeh

Goldfeld

Crothers

2014

Thorax

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We performed a retrospective cohort study of patients with chronic obstructive lung disease (COPD) on long-term oxygen treatment (LTOT) who received invasive mechanical ventilation for COPD exacerbation. Of the 4791 patients, 23% died in the hospital, and 45% died in the subsequent 12 months. 67% of patients were readmitted at least once in the subsequent 12 months, and 26.8% were discharged to a nursing home or skilled nursing facility within 30 days. We conclude that these patients have high mortality rates, both in-hospital and in the 12 months postdischarge. If patients survive, many will be readmitted to the hospital and discharged to nursing home. These potential outcomes may support informed critical care decision making and more preference congruent care.

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Section: Discussionmentioning

confidence: 98%

What happens to patients with COPD with long-term oxygen treatment who receive mechanical ventilation for COPD exacerbation? A 1-year retrospective follow-up study

Hajizadeh

Goldfeld

Crothers

2014

Thorax

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“…Additionally, our sample consisted of community-dwelling adults; adults with COPD or ICML who reside in institutional settings (who may have more severe COPD or ICML) are not represented. In a study that included 27,106 people with COPD in US nursing homes from 2009 through 2010, 61.9% had short-term memory problems and 43.3% had moderately or severely impaired cognitive skills ( 30 ). Finally, although the association of ICML and age by COPD status may be confounded by psychological distress, the inverse association of ICML with age among people with COPD may signify a healthy survivor effect.…”

Section: Discussionmentioning

confidence: 99%

Association of Chronic Obstructive Pulmonary Disease With Increased Confusion or Memory Loss and Functional Limitations Among Adults in 21 States, 2011 Behavioral Risk Factor Surveillance System

Greenlund¹,

Liu²,

Deokar³

et al. 2016

Prev. Chronic Dis.

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IntroductionChronic obstructive pulmonary disease (COPD) is associated with cognitive impairment, but consequences of this association on a person’s functional limitations are unclear. We examined the association between COPD and increased confusion and memory loss (ICML) and functional limitations among adults with COPD. MethodsWe studied adults aged 45 years or older in 21 states who participated in the 2011 Behavioral Risk Factor Surveillance System (n = 102,739). Presence of COPD was based on self-reported physician diagnosis. ICML was based on self-report that confusion or memory loss occurred more often or worsened during the prior year. ICML-associated difficulties were defined as giving up household chores and former activities, decreased ability to work or engage in social activities, or needing help from family or friends during the prior year due to ICML. General limitations were defined as needing special equipment as a result of a health condition, having had activity limitations for 2 weeks or more in the prior month, or being unable to work. Multivariable models were adjusted for demographics, health behaviors or conditions, and frequent mental distress.ResultsCOPD was reported by 9.3% of adults. ICML was greater among those with COPD than among those without COPD (25.8% vs 11%; adjusted prevalence ratio [aPR], 1.48; 95% confidence interval [CI], 1.32%–1.66%). People with COPD, either with or without ICML, were more likely than those without COPD to report general functional limitations. Among people reporting ICML, those with COPD were more likely to report interference with work or social activities than those without COPD (aPR, 1.17; 95% CI, 1.01%–1.36%).ConclusionFunctional limitations were greater among those with COPD than among those without, and ICML may further affect these limitations. Results from our study can inform future studies of self- management and functional limitations for people with COPD.

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“…7 These conditions are commonplace in the long-term care environment, where rates of heart disease exceed 30% and chronic obstructive pulmonary disease exceeds 20%. 8,9 Further, extreme functional impairment within long-term care facilities makes close contact between health care workers and residents inevitable. Additionally, cognitive impairment among residents may make contact precautions and isolation a practical impossibility.…”

Section: Why Long-term Care Preparedness For Covid-19 Is Importantmentioning

confidence: 99%

Long-Term Care Facilities and the Coronavirus Epidemic: Practical Guidelines for a Population at Highest Risk

Dosa

Jump

LaPlante

et al. 2020

Journal of the American Medical Directors Association

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Chronic Obstructive Pulmonary Disease: Prevalence, Characteristics, and Pharmacologic Treatment in Nursing Home Residents with Cognitive Impairment

Cited by 31 publications

References 15 publications

What happens to patients with COPD with long-term oxygen treatment who receive mechanical ventilation for COPD exacerbation? A 1-year retrospective follow-up study

What happens to patients with COPD with long-term oxygen treatment who receive mechanical ventilation for COPD exacerbation? A 1-year retrospective follow-up study

Association of Chronic Obstructive Pulmonary Disease With Increased Confusion or Memory Loss and Functional Limitations Among Adults in 21 States, 2011 Behavioral Risk Factor Surveillance System

Long-Term Care Facilities and the Coronavirus Epidemic: Practical Guidelines for a Population at Highest Risk

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