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Functional Decline Predicts Emergency Department Use in Veterans With Dementia.
MedLine Citation:
PMID:  24413540     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background:We examined emergency room (ER) utilization by persons with dementia (PWDs) using caregiver and patient characteristics as predictors.Methods:A secondary analysis of 296 veteran-caregiver dyads. Caregivers recorded PWD baseline characteristics and noted ER visits over the next year. Two sets of regression models analyzed categorical ER use and repeat ER use.Results:In the univariate analysis, categorical use of the ER was predicted by patients' functional status (P ≤ .008) and Veterans Affairs priority grouping (P ≤ .02). Repeat ER admissions were predicted by functional status (P ≤ .04), number of chronic conditions (P ≤ .01), and caregiver-reported relationship strain (P ≤ .04). In multivariate analysis, categorical ER use was predicted by functional status (P ≤ .02), priority grouping (P ≤ .03), and number of chronic conditions (P ≤ .06).Conclusions:Functional status most strongly predicted ER use, highlighting the promise of home-based interventions to improve activities of daily living. Number of chronic conditions and caregiver-reported relationship strain are potential targets of intervention during discharge process.
Authors:
Stephanie Ng; Robert O Morgan; Annette Walder; Jonmenjoy Biswas; David M Bass; Katherine S Judge; A Lynn Snow; Nancy Wilson; Mark E Kunik
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-1-9
Journal Detail:
Title:  American journal of Alzheimer's disease and other dementias     Volume:  -     ISSN:  1938-2731     ISO Abbreviation:  Am J Alzheimers Dis Other Demen     Publication Date:  2014 Jan 
Date Detail:
Created Date:  2014-1-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101082834     Medline TA:  Am J Alzheimers Dis Other Demen     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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