Abstract
Older persons experiencing a longer length of stay (LOS) or delayed discharge (DD) may see a decline in their health and well-being, generating significant costs. This review aimed to identify evidence on the impact of cognitive impairment (CI) on acute care hospital LOS/DD. A scoping review of studies examining the association between CI and LOS/DD was performed. We searched six databases; two reviewers independently screened references until November 2019. A narrative synthesis was used to answer the research question; 58 studies were included of which 33 found a positive association between CI and LOS or DD, 8 studies had mixed results, 3 found an inverse relationship, and 14 showed an indirect link between CI-related syndromes and LOS/DD. Thus, cognitive impairment seemed to be frequently associated with increased LOS/DD. Future research should consider CI together with other risks for LOS/DD and also focus on explaining the association between the two.
| Original language | English |
|---|---|
| Pages (from-to) | 405-423 |
| Number of pages | 19 |
| Journal | Canadian Journal on Aging |
| Volume | 40 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Sept 2021 |
Bibliographical note
Funding Information:This project was funded by the Canadian Consortium on Neurodegeneration in Aging (CCNA) which is supported by a grant from the Canadian Institutes of Health Research with funding from several partners. It also received logistical support from the Quebec City Center of Excellence on Aging of the CIUSSS de la Capitale Nationale. The authors thank Mr. Louis-Philippe Racine for help with the initial research strategy and screening.
Publisher Copyright:
© 2021 Cambridge University Press. All rights reserved.
ASJC Scopus Subject Areas
- Health(social science)
- Gerontology
- Community and Home Care
- Geriatrics and Gerontology
PubMed: MeSH publication types
- Journal Article
- Research Support, Non-U.S. Gov't
- Review