COVID-19 Hospitalization Outcomes for Long-Term Care Facility Residents With Dementia: Mediation by Pre-existing Health Conditions.

Autor: Yin C; University of North Texas, Denton, USA., Mpofu E; University of North Texas, Denton, USA.; University of Sydney, NSW, Australia.; University of Johannesburg, South Africa., Brock K; University of North Texas, Denton, USA.; University of Sydney, NSW, Australia., Ingman S; University of North Texas, Denton, USA.
Jazyk: angličtina
Zdroj: Gerontology & geriatric medicine [Gerontol Geriatr Med] 2024 Sep 24; Vol. 10, pp. 23337214241284035. Date of Electronic Publication: 2024 Sep 24 (Print Publication: 2024).
DOI: 10.1177/23337214241284035
Abstrakt: Background: This study explores COVID-19 emergency admission and length of hospital stay hospitalization outcomes for Long-Term Care Facility (LTCF) residents with dementia. Methods: Utilizing a cross-sectional case control design, we employed logistic regression to analyze Texas Inpatient Public Use Data File (PUDF) for 1,413 dementia patients and 1,674 non-dementia patients (>60 years) to predict emergency admission and length of hospital stay with mediation by pre-existing conditions. Results: LTCF residents with dementia have a higher likelihood of COVID-19 emergency admission and shorter hospital stays. Adjusting for confounders of demographics, health insurance, and lifestyle, dementia diagnosis remained significantly associated with emergency admission and shorter hospital stays with preexisting conditions. Conclusion: Findings underscore the heightened risk for adverse COVID-19 hospitalization care disparities with dementia. Targeted health support programs for LTCF residents with dementia should aim to improve their COVID19 hospitalization outcomes, treating pre-existing health conditions and reducing their risk for excess mortality.
Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2024.)
Databáze: MEDLINE