Hospitalization, depression and dementia in community-dwelling older Americans: findings from the National Health and Aging Trends Study

Hospitalization, depression and dementia in community-dwelling older Americans: findings from the... 1 Introduction</h5> As the population ages and the burdens of chronic illnesses such as coronary artery disease and diabetes increase [1,2] , hospitalizations among older adults are of growing concern to health care providers and health care systems. Hospitalizations among older adults are costly to the American health care system [3] , and the Centers for Medicare and Medicaid Services are actively incentivizing efforts to reduce rehospitalizations among older adults in order to reduce costs and improve quality of care [4] .</P>In addition to financial strain on the health care system, an emerging body of literature has identified that hospitalizations for a wide range of medical illnesses among older adults may increase the risks of dementia and depression [5–8] . The potential for these outcomes following hospitalizations for older adults is an important public health problem since both dementia and depression are substantial contributors to disability and are both independently associated with increased health care costs and early mortality [9–14] .</P>Despite the adverse outcomes associated with dementia and depression among older adults, these disorders remain underrecognized [15,16] . In addition, recent prevalence estimates of dementia and depression in older Americans have included residents of skilled nursing and assisted-living http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png General Hospital Psychiatry Elsevier

Hospitalization, depression and dementia in community-dwelling older Americans: findings from the National Health and Aging Trends Study

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Publisher
Elsevier
Copyright
Copyright © 2014 Elsevier Inc.
ISSN
0163-8343
D.O.I.
10.1016/j.genhosppsych.2013.11.008
Publisher site
See Article on Publisher Site

Abstract

1 Introduction</h5> As the population ages and the burdens of chronic illnesses such as coronary artery disease and diabetes increase [1,2] , hospitalizations among older adults are of growing concern to health care providers and health care systems. Hospitalizations among older adults are costly to the American health care system [3] , and the Centers for Medicare and Medicaid Services are actively incentivizing efforts to reduce rehospitalizations among older adults in order to reduce costs and improve quality of care [4] .</P>In addition to financial strain on the health care system, an emerging body of literature has identified that hospitalizations for a wide range of medical illnesses among older adults may increase the risks of dementia and depression [5–8] . The potential for these outcomes following hospitalizations for older adults is an important public health problem since both dementia and depression are substantial contributors to disability and are both independently associated with increased health care costs and early mortality [9–14] .</P>Despite the adverse outcomes associated with dementia and depression among older adults, these disorders remain underrecognized [15,16] . In addition, recent prevalence estimates of dementia and depression in older Americans have included residents of skilled nursing and assisted-living

Journal

General Hospital PsychiatryElsevier

Published: Mar 1, 2014

References

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