1 University of Michigan-Flint, USA.
2 Texas State University, San Marcos, USA.
J Aging Health. 2019 Jul;31(6):967-988. doi: 10.1177/0898264317747078. Epub 2017 Dec 14.
This study aims to examine the relationship between different levels of cognitive impairment (CI) and the frequency of hospital admission (HA). Data from the National Health and Aging Trend Study, Round 1 (2011), with 8,245 respondents from Medicare beneficiaries were used. The data account for the number of hospital admissions for one year before the data collection. Clock Drawing Test and delayed word recall were employed to measure CI. The severity of CI is one of the factors significantly associated with HA. Controlling for the level of function, the likelihood of HA increased among respondents with moderate, mild-to-moderate, and mild CI. Counterintuitively, HA was reduced when CI is severe. 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.
本研究旨在探讨不同程度的认知障碍（CI）与住院频率（HA）之间的关系。使用了来自 Medicare 受益人的 8245 名受访者的国家健康与老龄化趋势研究第一轮（2011 年）的数据。这些数据反映了在数据收集前一年的住院人数。采用画钟测验和延迟单词回忆来衡量 CI。CI 的严重程度是与 HA 显著相关的因素之一。在控制功能水平的情况下，中度、轻度至中度和轻度 CI 的受访者发生 HA 的可能性增加。出人意料的是，当 CI 严重时，HA 减少。有 CI 的人更有可能经常住院，而且损伤的严重程度会增加这种风险。在入院时进行 CI 筛查可以为干预措施提供可能性，从而减少住院期间和之后的并发症。
