The combined effects of physical frailty and cognitive impairment on emergency department- versus direct-admission hospitalizations.

ABSTRACT:

Background

We aimed to study whether physical frailty and cognitive impairment (CI) increase the risk of recurrent hospitalizations in older adults, independent of comorbidity, and disability.

Methods

Two thousand five hundred forty-nine community-dwelling participants from the National Health and Aging Trends Study (NHATS) with 3 + years of continuous Medicare coverage from linked claims data were included. We used the marginal means/rates recurrent events model to investigate the association of baseline CI (mild CI or dementia) and physical frailty, separately and synergistically, with the number of all-source vs. Emergency Department (ED)-admission vs. direct admission hospitalizations over 2 years.

Results

17.8% of participants had at least one ED-admission hospit

SUBMITTER: Buta B 

PROVIDER: S-EPMC9429704 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature