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Low Cognitive Performance Increases The Risk Of Hospital-Associated Complications In Older Adults

Considering the limited evidence regarding the factors that contribute to long-term consequences after hospitalization of older people, we analysed the relationship between cognitive performance and hospital-associated complications (HAC). One thousand, three hundred Individuals aged 60 and older (m...

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Autores principales: Souza-Talarico, Juliana, Yamaguti, Siomara, Dutra, Adriana, Apolinario, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682567/
http://dx.doi.org/10.1093/geroni/igab046.3498
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author Souza-Talarico, Juliana
Yamaguti, Siomara
Dutra, Adriana
Apolinario, Daniel
author_facet Souza-Talarico, Juliana
Yamaguti, Siomara
Dutra, Adriana
Apolinario, Daniel
author_sort Souza-Talarico, Juliana
collection PubMed
description Considering the limited evidence regarding the factors that contribute to long-term consequences after hospitalization of older people, we analysed the relationship between cognitive performance and hospital-associated complications (HAC). One thousand, three hundred Individuals aged 60 and older (mean age 82.3, 53.3% female), not assigned to palliative care and admitted in medical and surgical wards from a private hospital, were followed up from admission to 30 days after discharge. HAS was evaluated using a multicomponent measure that combines 12 hospital-associated complications (delirium, functional decline, falls, pressure injuries, bronchoaspiration, non-planned ICU transfer, physical restraints, hospital stay > 30 days, death, long-term care transfer, and readmission). Cognitive performance was assessed using the "10-point cognitive screener (10-CS)", which combines temporal orientation, category fluency, and word recall evaluation. RESULTS: Overall, 464 (35.7%) participants had one or more HAC during their admission. Patients with HAC showed lower 10-CS scores than those with in HAC (p <0.001). Adjusting for sociodemographic data, medication, chronic diseases, delirium screening, functional performance, each 10-CS point decreased the HAC changes by 19.2% (odds ratio = 0.808; 95% CI = 0.660 – 0.990). CONCLUSION: These findings show that low cognitive performance was significantly associated with the risk of developing HAC during hospitalization and within 30 days after discharge. That evidence forms the critical foundation for the next steps towards validating the accuracy of these models in predicting vulnerability to HAC and developing screening tools to be used at the point of care.
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spelling pubmed-86825672021-12-20 Low Cognitive Performance Increases The Risk Of Hospital-Associated Complications In Older Adults Souza-Talarico, Juliana Yamaguti, Siomara Dutra, Adriana Apolinario, Daniel Innov Aging Abstracts Considering the limited evidence regarding the factors that contribute to long-term consequences after hospitalization of older people, we analysed the relationship between cognitive performance and hospital-associated complications (HAC). One thousand, three hundred Individuals aged 60 and older (mean age 82.3, 53.3% female), not assigned to palliative care and admitted in medical and surgical wards from a private hospital, were followed up from admission to 30 days after discharge. HAS was evaluated using a multicomponent measure that combines 12 hospital-associated complications (delirium, functional decline, falls, pressure injuries, bronchoaspiration, non-planned ICU transfer, physical restraints, hospital stay > 30 days, death, long-term care transfer, and readmission). Cognitive performance was assessed using the "10-point cognitive screener (10-CS)", which combines temporal orientation, category fluency, and word recall evaluation. RESULTS: Overall, 464 (35.7%) participants had one or more HAC during their admission. Patients with HAC showed lower 10-CS scores than those with in HAC (p <0.001). Adjusting for sociodemographic data, medication, chronic diseases, delirium screening, functional performance, each 10-CS point decreased the HAC changes by 19.2% (odds ratio = 0.808; 95% CI = 0.660 – 0.990). CONCLUSION: These findings show that low cognitive performance was significantly associated with the risk of developing HAC during hospitalization and within 30 days after discharge. That evidence forms the critical foundation for the next steps towards validating the accuracy of these models in predicting vulnerability to HAC and developing screening tools to be used at the point of care. Oxford University Press 2021-12-17 /pmc/articles/PMC8682567/ http://dx.doi.org/10.1093/geroni/igab046.3498 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Souza-Talarico, Juliana
Yamaguti, Siomara
Dutra, Adriana
Apolinario, Daniel
Low Cognitive Performance Increases The Risk Of Hospital-Associated Complications In Older Adults
title Low Cognitive Performance Increases The Risk Of Hospital-Associated Complications In Older Adults
title_full Low Cognitive Performance Increases The Risk Of Hospital-Associated Complications In Older Adults
title_fullStr Low Cognitive Performance Increases The Risk Of Hospital-Associated Complications In Older Adults
title_full_unstemmed Low Cognitive Performance Increases The Risk Of Hospital-Associated Complications In Older Adults
title_short Low Cognitive Performance Increases The Risk Of Hospital-Associated Complications In Older Adults
title_sort low cognitive performance increases the risk of hospital-associated complications in older adults
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682567/
http://dx.doi.org/10.1093/geroni/igab046.3498
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