The Level of Cognitive Impairment and Likelihood of Frequent Hospital Admissions

Amini, Reza; Chee, Kyong Hee; Swan, James H.; Mendieta, Maximiliano; Williams, TimMarie

doi:10.1177/0898264317747078

Cited by 10 publications

(7 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…26 Nevertheless, the finding is slightly different from our previous cross-sectional study, which indicated that cognitive impairment could independently increase the risk of HAs among older adults. 9 One of the differences between the previous report and the current study, besides using the longitudinal data, is that the current study focused on people living in the community. Nevertheless, the interactions between cognitive impairment and health problems vary in EF and memory.…”

Section: Discussionmentioning

confidence: 86%

“…In addition, participants diagnosed with dementia were excluded from the regression models. Considering that rehospitalization is more common among older adults with cognitive impairment who live in the community, 9 this study included only community-dwelling older adults in all eight waves (n = 9800, 1225 per wave).…”

Section: Methodsmentioning

confidence: 99%

“…The more severe the cognitive impairment, the more frequent HAs will be. 9 In addition, their survival time after discharge from hospital is approximately half of people without neurocognitive disorders. 10 People with neurocognitive disorders are more susceptible to be hospitalized due to trauma, infections, neurologic, psychiatric, orthopedic and respiratory health problems.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Impact of the interaction between mild and mild‐to‐moderate cognitive impairment with chronic health problems on hospital admission among community‐dwelling older adults

Amini

Kawser

2020

Geriatrics Gerontology Int

Self Cite

View full text Add to dashboard Cite

Aim This study aims to examine the effect of concurrent mild and mild‐to‐moderate cognitive impairment with chronic diseases on hospital admission (HA) among community‐dwelling older adults. Method The National Health and Aging Trends Study (2011–2018), with 1225 respondents (each wave), were used. The number of HAs within 1 year was the outcome. Clock drawing test, delayed word recall test, self‐reported chronic diseases and their interactions were the independent variables. Results The effect of cognitive impairment on the frequency of HAs varies for executive function and memory impairment. Executive function impairment concurrent with the history of heart attack or diabetes mellitus (DM) can increase the risk of HAs. Memory impairment concurrent with hypertension, DM or stroke can increase the chance of HAs. Conclusion Screening to identify mild and mild‐to‐moderate cognitive impairment at the time of admission can help to reduce the risk of rehospitalization, particularly for patients with DM, hypertension, stroke and heart attack. Geriatr Gerontol Int 2020; 20: 1213–1220.

show abstract

Section: Discussionmentioning

confidence: 86%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of the interaction between mild and mild‐to‐moderate cognitive impairment with chronic health problems on hospital admission among community‐dwelling older adults

Amini

Kawser

2020

Geriatrics Gerontology Int

Self Cite

View full text Add to dashboard Cite

show abstract

“…The cut‐off for the 10‐word list was six or above being considered as normal and less than three as impaired . Using the combination of the immediate 10‐word recall test and the CDT, cognitive function was categorized into five levels: normal, mild, mild‐to‐moderate, moderate and severe cognitive function …”

Section: Methodsmentioning

confidence: 99%

Online engagement and cognitive function among older adults

Amini

Chee

Mendieta

et al. 2019

Geriatrics Gerontology Int

Self Cite

View full text Add to dashboard Cite

Aim: Social engagement is known to serve an important role in cognitive health, but there has been limited information on the role of online engagement. The present study aimed to identify the benefits of different online activities for the cognitive function of older adults.Methods: Data came from the National Health and Aging Trend Study, Round I-V (2011)(2012)(2013)(2014)(2015), with >8000 respondents from Medicare beneficiaries. Cognitive function was measured by the Clock Drawing Test and immediate 10-word recall. The respondents were also asked if they carried out any of the online activities listed.Results: Some online activities, such as email, texting and seeking medical information, can reduce the risk of cognitive decline. Whereas contacting a medical provider using online can increase the risk of cognitive decline.Conclusions: Given the findings, the development of new technologies for online social engagement needs to be one of the priorities for researchers and policymakers in the field of aging and dementia. Geriatr Gerontol Int 2019; 19: 918-923.the USA. The secondary sample units were selected based on the ZIP codes, and respondents in each ZIP code were selected upon considering the proportion of the race/ethnicity (non-Hispanic Black, Hispanic, White and other) and age in the population of the same ZIP code. 14 ‡ Native American, Asian, Native Hawaiian, Pacific Islander, other non-Hispanic.

show abstract

“…Of those with MCI, 10-15% progress to dementia at a rate of 7.1% per year[ 3 , 4 ]. This increasing trend of MCI cases will increase both direct medical costs, such as hospitalization, physician visits, and long-term care[ 5 ], and indirect costs, such as caregiver support[ 6 ]. Considering the growing number of people with MCI, especially those remaining undiagnosed for a long time, it is critical to identify these cases in the early stages to prevent the progression of diseases and possible consequences, such as falling and repeated hospital admission[ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Balance performance and grip strength as predictors of cognitive function among community-dwelling older adults in the USA

Blackwood¹,

Amini²,

Conti³

et al. 2023

JFSF

View full text Add to dashboard Cite

Objectives: To investigate how balance and grip strength predicts the probability of cognitive function impairment (i.e., executive function: mild and mild-to-moderate impairment, and delayed recall) over eight years in community-dwelling older adults in the US, controlling for sex and race/ethnicity. Methods: The National Health and Aging Trends Study dataset (2011 – 2018) was employed. Dependent variables included the Clock Drawing Test (Executive Function) and Delayed Word Recall Test. Longitudinal ordered logistic regression examined the association between cognitive function and predictors (i.e., balance and grip strength) over eight waves (n=9800, 1,225 per wave). Results: Those who could complete side-by-side standing and semi-tandem tasks were 33% and 38% less likely to have mild or mild-to-moderate executive function impairment, respectively, relative to those who could not complete these tests. One score decrease in grip strength increased the executive function impairment risk by 13% (Odds Ratio: 0.87, CI: 0.79-0.95). Those who completed the side-by-side tasks were 35% (Odds Ratio: 0.65, CI: 0.44-0.95) less likely to experience delayed recall impairments than those who could not complete this test. With one score decrease in grip strength, the risk of delayed recall impairment was increased by 11% (OR: 0.89, CI: 0.80-1.00). Conclusions: A combination of these two simple tests (i.e., semi-tandem stance and grip strength) can screen for cognitive impairment among community-dwelling older adults to identify people with mild and mild-to-moderate cognitive impairment in clinical settings.

show abstract

The Level of Cognitive Impairment and Likelihood of Frequent Hospital Admissions

Abstract: People with CI are at more risk of frequent HA and the severity of impairment can increase this risk subsequently. Screening for CI at admission can open up the possibility of interventions, hence reducing complications during and after hospitalization.

Cited by 10 publications

References 34 publications

Impact of the interaction between mild and mild‐to‐moderate cognitive impairment with chronic health problems on hospital admission among community‐dwelling older adults

Impact of the interaction between mild and mild‐to‐moderate cognitive impairment with chronic health problems on hospital admission among community‐dwelling older adults

Online engagement and cognitive function among older adults

Balance performance and grip strength as predictors of cognitive function among community-dwelling older adults in the USA

Contact Info

Product

Resources

About