Go To The Infirmary Larn Dementia
Hospitalization increases the adventure of dementia. What events during a hospitalization are associated amongst a subsequent dementia diagnosis inwards the elderly?
Baca Juga
The report constitute that infection or severe sepsis, neurological dysfunction, such equally delirium, or acuate dialysis are all independently associated amongst an increased adventure of a subsequent diagnosis of dementia.
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H5N1 cohort report of a random 5% sample of Medicare beneficiaries who received intensive help inwards 2005 together with survived to infirmary discharge, amongst 3 years of follow-up (through 2008) was conducted using Medicare claims files.
The researchers defined dementia using the International Classification of Diseases, ninth edition, clinical alteration (ICD-9-CM) codes together with excluded patients amongst whatsoever prior diagnosis of dementia or cognitive harm inwards the twelvemonth prior to admission.
They used an extended Cox model to attempt out the association betwixt diagnoses together with events associated amongst the critical affliction together with a subsequent diagnosis of dementia, adjusting for known adventure factors for dementia.
Results
Over the 3 years of follow-up, dementia was newly diagnosed inwards 4,519 (17.8%) of 25,368 patients who received intensive help together with survived to infirmary discharge.
After accounting for known adventure factors, having an infection (adjusted risk ratio (AHR) =1.25; 95% CI, 1.17 to 1.35), or a diagnosis of severe sepsis (AHR=1.40; 95% CI, 1.28 to 1.53), acuate neurologic dysfunction (AHR= 2.06; 95% CI, 1.72 to 2.46), together with acuate dialysis (AHR=1.70; 95% CI, 1.30 to 2.23) were all independently associated amongst a subsequent diagnosis of dementia.
No other measured ICU factors, such equally postulate for mechanical ventilation, were independently associated.
Conclusions
Among ICU events, infection or severe sepsis, neurologic dysfunction, together with acuate dialysis were independently associated amongst a subsequent diagnosis of dementia.
Patient prognostication, also equally futurity query into post-ICU cognitive decline, should focus on these higher-risk subgroups.
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