Hospitalization outcomes among older adults living undiagnosed or unaware of dementia
Many persons with dementia are undiagnosed or unaware of dementia, which may affect hospitalization outcomes. We evaluated differences in length of stay, days not at home, discharge destination, and 30-day readmissions over 1 year in 6296 older adults in the National Health and Aging Trends Study wi...
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| Veröffentlicht in: | Alzheimer's & dementia : diagnosis, assessment & disease monitoring assessment & disease monitoring, 2025-01, Vol.17 (1), p.e70051 |
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| container_title | Alzheimer's & dementia : diagnosis, assessment & disease monitoring |
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| creator | Amjad, Halima Sekhon, Vishaldeep K Wolff, Jennifer L Samus, Quincy M Roth, David L |
| description | Many persons with dementia are undiagnosed or unaware of dementia, which may affect hospitalization outcomes.
We evaluated differences in length of stay, days not at home, discharge destination, and 30-day readmissions over 1 year in 6296 older adults in the National Health and Aging Trends Study with linked Medicare claims. Multivariable-adjusted models compared outcomes across no dementia, undiagnosed dementia, unaware but diagnosed with dementia, and aware and diagnosed with dementia.
Persons with undiagnosed dementia had longer length of stay and were more likely to be discharged to a facility (44.8% vs. 19.3%) compared to no dementia; differences persisted in multivariable models. Persons undiagnosed or unaware experienced outcomes similar to persons aware and diagnosed except for more 30-day readmissions in the undiagnosed (adjusted odds ratio [95% confidence interval] 2.05 [1.01, 4.16]).
Persons undiagnosed or unaware of dementia experience worse hospitalization outcomes, suggesting potential clinically significant implications of unrecognized dementia.
Persons with undiagnosed versus no dementia have worse hospitalization outcomes.Persons with undiagnosed dementia have more 30-day readmissions compared to persons diagnosed.Lack of clinician or family recognition of dementia may adversely affect hospitalization outcomes. |
| doi_str_mv | 10.1002/dad2.70051 |
| format | Article |
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We evaluated differences in length of stay, days not at home, discharge destination, and 30-day readmissions over 1 year in 6296 older adults in the National Health and Aging Trends Study with linked Medicare claims. Multivariable-adjusted models compared outcomes across no dementia, undiagnosed dementia, unaware but diagnosed with dementia, and aware and diagnosed with dementia.
Persons with undiagnosed dementia had longer length of stay and were more likely to be discharged to a facility (44.8% vs. 19.3%) compared to no dementia; differences persisted in multivariable models. Persons undiagnosed or unaware experienced outcomes similar to persons aware and diagnosed except for more 30-day readmissions in the undiagnosed (adjusted odds ratio [95% confidence interval] 2.05 [1.01, 4.16]).
Persons undiagnosed or unaware of dementia experience worse hospitalization outcomes, suggesting potential clinically significant implications of unrecognized dementia.
Persons with undiagnosed versus no dementia have worse hospitalization outcomes.Persons with undiagnosed dementia have more 30-day readmissions compared to persons diagnosed.Lack of clinician or family recognition of dementia may adversely affect hospitalization outcomes.</description><identifier>ISSN: 2352-8729</identifier><identifier>EISSN: 2352-8729</identifier><identifier>DOI: 10.1002/dad2.70051</identifier><identifier>PMID: 39822288</identifier><language>eng</language><publisher>United States: John Wiley and Sons Inc</publisher><ispartof>Alzheimer's & dementia : diagnosis, assessment & disease monitoring, 2025-01, Vol.17 (1), p.e70051</ispartof><rights>2025 The Author(s). Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring published by Wiley Periodicals, LLC on behalf of Alzheimer's Association.</rights><rights>2025 The Author(s). published by Wiley Periodicals, LLC on behalf of Alzheimer's Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2191-a9bdfdcd14d061a8400accfe2af431a37777d1a07b7673bff63d476bdfe7c8fe3</cites><orcidid>0000-0002-0642-6956</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736704/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736704/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39822288$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amjad, Halima</creatorcontrib><creatorcontrib>Sekhon, Vishaldeep K</creatorcontrib><creatorcontrib>Wolff, Jennifer L</creatorcontrib><creatorcontrib>Samus, Quincy M</creatorcontrib><creatorcontrib>Roth, David L</creatorcontrib><title>Hospitalization outcomes among older adults living undiagnosed or unaware of dementia</title><title>Alzheimer's & dementia : diagnosis, assessment & disease monitoring</title><addtitle>Alzheimers Dement (Amst)</addtitle><description>Many persons with dementia are undiagnosed or unaware of dementia, which may affect hospitalization outcomes.
We evaluated differences in length of stay, days not at home, discharge destination, and 30-day readmissions over 1 year in 6296 older adults in the National Health and Aging Trends Study with linked Medicare claims. Multivariable-adjusted models compared outcomes across no dementia, undiagnosed dementia, unaware but diagnosed with dementia, and aware and diagnosed with dementia.
Persons with undiagnosed dementia had longer length of stay and were more likely to be discharged to a facility (44.8% vs. 19.3%) compared to no dementia; differences persisted in multivariable models. Persons undiagnosed or unaware experienced outcomes similar to persons aware and diagnosed except for more 30-day readmissions in the undiagnosed (adjusted odds ratio [95% confidence interval] 2.05 [1.01, 4.16]).
Persons undiagnosed or unaware of dementia experience worse hospitalization outcomes, suggesting potential clinically significant implications of unrecognized dementia.
Persons with undiagnosed versus no dementia have worse hospitalization outcomes.Persons with undiagnosed dementia have more 30-day readmissions compared to persons diagnosed.Lack of clinician or family recognition of dementia may adversely affect hospitalization outcomes.</description><issn>2352-8729</issn><issn>2352-8729</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><recordid>eNpVUUtLw0AQXkSxpfbiD5AcRUjdV7PJSaSoFQpe7HmZ7KOuJNm6m1T015vaWupc5vXNN8N8CF0SPCEY01sNmk4ExlNygoaUTWmaC1qcHsUDNI7xHWNMeEE5wedowIqcUprnQ7Sc-7h2LVTuG1rnm8R3rfK1iQnUvlklvtImJKC7qo1J5Taur3WNdrBqfDQ68aFP4ROCSbxNtKlN0zq4QGcWqmjGez9Cy8eH19k8Xbw8Pc_uF6mipCApFKW2WmnCNc4I5BxjUMoaCpYzAkz0pglgUYpMsNLajGkusn7ICJVbw0bobse77sraaNUvD1DJdXA1hC_pwcn_nca9yZXfSEIEywTmPcP1niH4j87EVtYuKlNV0BjfRclIhgtKcr6F3uygKvgYg7GHPQTLrRZyq4X81aIHXx1fdoD-fZ79AB1Lh4Y</recordid><startdate>20250101</startdate><enddate>20250101</enddate><creator>Amjad, Halima</creator><creator>Sekhon, Vishaldeep K</creator><creator>Wolff, Jennifer L</creator><creator>Samus, Quincy M</creator><creator>Roth, David L</creator><general>John Wiley and Sons Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0642-6956</orcidid></search><sort><creationdate>20250101</creationdate><title>Hospitalization outcomes among older adults living undiagnosed or unaware of dementia</title><author>Amjad, Halima ; Sekhon, Vishaldeep K ; Wolff, Jennifer L ; Samus, Quincy M ; Roth, David L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2191-a9bdfdcd14d061a8400accfe2af431a37777d1a07b7673bff63d476bdfe7c8fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amjad, Halima</creatorcontrib><creatorcontrib>Sekhon, Vishaldeep K</creatorcontrib><creatorcontrib>Wolff, Jennifer L</creatorcontrib><creatorcontrib>Samus, Quincy M</creatorcontrib><creatorcontrib>Roth, David L</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Alzheimer's & dementia : diagnosis, assessment & disease monitoring</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amjad, Halima</au><au>Sekhon, Vishaldeep K</au><au>Wolff, Jennifer L</au><au>Samus, Quincy M</au><au>Roth, David L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hospitalization outcomes among older adults living undiagnosed or unaware of dementia</atitle><jtitle>Alzheimer's & dementia : diagnosis, assessment & disease monitoring</jtitle><addtitle>Alzheimers Dement (Amst)</addtitle><date>2025-01-01</date><risdate>2025</risdate><volume>17</volume><issue>1</issue><spage>e70051</spage><pages>e70051-</pages><issn>2352-8729</issn><eissn>2352-8729</eissn><abstract>Many persons with dementia are undiagnosed or unaware of dementia, which may affect hospitalization outcomes.
We evaluated differences in length of stay, days not at home, discharge destination, and 30-day readmissions over 1 year in 6296 older adults in the National Health and Aging Trends Study with linked Medicare claims. Multivariable-adjusted models compared outcomes across no dementia, undiagnosed dementia, unaware but diagnosed with dementia, and aware and diagnosed with dementia.
Persons with undiagnosed dementia had longer length of stay and were more likely to be discharged to a facility (44.8% vs. 19.3%) compared to no dementia; differences persisted in multivariable models. Persons undiagnosed or unaware experienced outcomes similar to persons aware and diagnosed except for more 30-day readmissions in the undiagnosed (adjusted odds ratio [95% confidence interval] 2.05 [1.01, 4.16]).
Persons undiagnosed or unaware of dementia experience worse hospitalization outcomes, suggesting potential clinically significant implications of unrecognized dementia.
Persons with undiagnosed versus no dementia have worse hospitalization outcomes.Persons with undiagnosed dementia have more 30-day readmissions compared to persons diagnosed.Lack of clinician or family recognition of dementia may adversely affect hospitalization outcomes.</abstract><cop>United States</cop><pub>John Wiley and Sons Inc</pub><pmid>39822288</pmid><doi>10.1002/dad2.70051</doi><orcidid>https://orcid.org/0000-0002-0642-6956</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley-Blackwell Open Access Titles; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| title | Hospitalization outcomes among older adults living undiagnosed or unaware of dementia |
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