Association of Positive Delirium Screening with Incident Dementia in Skilled Nursing Facilities.

ABSTRACT:

Background and objective

Early detection of delirium in skilled nursing facilities (SNFs) is a priority. The extent to which delirium screening leads to a potentially inappropriate diagnosis of Alzheimer's disease and related dementia (ADRD) is unknown.

Design

Nationwide retrospective cohort study from 2011 to 2013.

Setting

An SNF.

Participants

A total of 1,175,550 Medicare enrollees who entered the SNF from a hospital and had no prior diagnosis of dementia.

Exposure

A positive screen for delirium using the validated Confusion Assessment Method (CAM), performed as part of the federally mandated Minimum Data Set (MDS) assessment.

Measurements

Incident all-cause dementia, ascertained through International Classification of Diseases, Ninth Revision (

SUBMITTER: Briesacher BA 

PROVIDER: S-EPMC8114416 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature