Reasons for Hospitalization while Receiving Dementia Care Coordination through Maximizing Independence at Home.
Yoon Jae Lee, Deirdre M Johnston, Melissa Reuland and 3 others
PMID 35150611WHAT IT FOUND
In older adults with dementia receiving home care coordination, infection and falls were the top causes of hospitalization.
Severely impaired patients were hospitalized most often for infection, while mildly impaired patients fell most often.
Key findings
01Infection was the most common reason for hospitalization overall, followed by falls.
02Patients with severe functional impairment were hospitalized most often for infection, whereas those with mild impairment were hospitalized most often for falls.
03Urinary tract infection accounted for nearly half of all infections leading to hospitalization.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPsWhat it means for RNs
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What it does not show
The study relied on caregiver reports rather than medical records to determine the reason for hospitalization, which may lead to inaccuracies. The findings apply only to patients who have a caregiver and are already receiving care coordination services, so they may not represent the broader dementia population. The study did not compare these patients to a control group not receiving the intervention, so it cannot determine if the care coordination program itself changed hospitalization rates.
Declared interests
Funded by NIH and US Government non-PHS grants. No specific commercial conflicts of interest were reported in the provided text.
The easy way to misread this
Do not assume this study proves that care coordination reduces hospitalizations. It only describes why hospitalized patients were admitted; it did not compare these patients to a group without the intervention.