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Associations between cognitive function, hospitalizations and costs in nursing homes : A cross-sectional study
Gnanamanickam, Emmanuel Sumithran Dyer, Suzanne Marie Harrison, Stephanie Lucy Liu, Enwu Whitehead, Craig Crotty, Maria
Gnanamanickam, Emmanuel Sumithran
Dyer, Suzanne Marie
Harrison, Stephanie Lucy
Liu, Enwu
Whitehead, Craig
Crotty, Maria
Abstract
In an Australian nursing home population, associations between cognitive function and 12-month hospitalizations and costs were examined. Participants with dementia had 57% fewer hospitalizations compared to those without dementia, with 41% lower mean hospitalization costs; poorer cognition scores were also associated with fewer hospitalizations. The cost per admission for those with dementia was 33% greater due to longer hospital stays (5.5 days versus 3.1 days for no dementia, p = .05). People with dementia were most frequently hospitalized for fractures. These findings have policy implications for increasing investment in accurate and timely diagnosis of dementia and fall and fracture prevention strategies to further reduce associated hospitalization costs.
Keywords
dementia, cognitive impairment, hospitalizations, costs, nursing homes
Date
2022
Type
Journal article
Journal
Journal of Aging and Social Policy
Book
Volume
34
Issue
4
Page Range
552-567
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled