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痴呆严重程度和照料者支持与家庭医疗提前出院的关联。

Association of Dementia Severity and Caregiver Support With Early Discharge From Home Health.

机构信息

2345Medical University of South Carolina, Charleston, SC, USA.

12338University of Texas Medical Branch, Galveston, TX, USA.

出版信息

Am J Alzheimers Dis Other Demen. 2022 Jan-Dec;37:15333175221129384. doi: 10.1177/15333175221129384.

DOI:10.1177/15333175221129384
PMID:36242532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10581099/
Abstract

INTRODUCTION: The objective of this study was to examine the relationship between dementia severity and early discharge from home health. METHODS: This was a retrospective study of 100% national Medicare home health da ta files (2016-2017). Multilevel logistic regression was used to study the relationship of dementia severity, caregiver support, and medication assistance with early discharge from home health. RESULTS: The final cohort consisted of 91 302 Medicare beneficiaries with an ADRD diagnosis. A pattern of early discharge rates across dementia severity levels was not demonstrated. The relative risk for early discharge was lower for individuals who needed assistance with medication and for those with unmet caregiver needs. DISCUSSION: The findings of this study do not support the hypothesis that dementia severity contributes to early discharge from home health. Further research is needed to fully understand key factors contributing to early discharge from home health.

摘要

简介：本研究旨在探讨痴呆严重程度与家庭保健提前出院之间的关系。 方法：这是一项对全国医疗保险家庭保健数据文件（2016-2017 年）的回顾性研究。采用多水平逻辑回归分析了痴呆严重程度、护理人员支持和药物辅助治疗与家庭保健提前出院之间的关系。 结果：最终队列包括 91302 名患有 ADRD 诊断的医疗保险受益人。在痴呆严重程度水平上，并没有表现出提前出院率的模式。需要药物辅助治疗和护理人员需求未得到满足的个体提前出院的相对风险较低。 讨论：本研究结果不支持痴呆严重程度导致家庭保健提前出院的假设。需要进一步研究，以充分了解导致家庭保健提前出院的关键因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b0c/10581099/ecfb3d18283f/10.1177_15333175221129384-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b0c/10581099/ecfb3d18283f/10.1177_15333175221129384-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b0c/10581099/ecfb3d18283f/10.1177_15333175221129384-fig1.jpg

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Association of Dementia Severity and Caregiver Support With Early Discharge From Home Health.

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引用本文的文献

[1]
Skilled home healthcare utilization and outcomes for older adults with dementia: A scoping review.

J Am Geriatr Soc. 2025-2

[2]
Validation of Claims-Based Frailty Index for Identifying Moderate-to-Severe Dementia in Medicare Beneficiaries.

J Am Med Dir Assoc. 2024-10

[3]
Differences in Home Health Services and Outcomes Between Traditional Medicare and Medicare Advantage.

JAMA Health Forum. 2024-3-1

[4]
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Int J Med Inform. 2023-9

本文引用的文献

[1]
A framework for rehabilitation for older adults living with dementia.

Arch Physiother. 2022-4-1

[2]
Physical Therapist and Physical Therapist Student Knowledge, Confidence, Attitudes, and Beliefs About Providing Care for People With Dementia: A Mixed-Methods Systematic Review.

Phys Ther. 2022-5-5

[3]
Neuropsychiatric symptoms and subsyndromes in patients with different stages of dementia in primary care follow-up (NeDEM project): a cross-sectional study.

BMC Geriatr. 2022-1-22

[4]
Patients' and caregivers' perspectives in determining discharge readiness from home health.

Geriatr Nurs. 2021

[5]
Rehabilitation for people with dementia: a multi-method study examining knowledge and attitudes.

BMC Geriatr. 2020-12-9

[6]
The Impact of Home Health Physical Therapy on Medicare Beneficiaries With a Primary Diagnosis of Dementia.

J Am Geriatr Soc. 2020-4

[7]
Association Between Home Health Services and Facility Admission in Older Adults With and Without Alzheimer's Disease.

J Am Med Dir Assoc. 2020-5

[8]
Dementia Severity Associated With Increased Risk of Potentially Preventable Readmissions During Home Health Care.

J Am Med Dir Assoc. 2020-4

[9]
Health Professional Perspectives on Rehabilitation for People With Dementia.

Gerontologist. 2020-4-2

[10]
'Mrs Smith has no rehab potential': does rehabilitation have a role in the management of people with dementia?

Age Ageing. 2019-1-1

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