Cognitive Impairment and Length of Stay in Acute Care Hospitals: A Scoping Review of the Literature

Jonathan Plante; Karine Latulippe; Edeltraut Kröger; Dominique Giroux; Martine Marcotte; Sacha Nadeau; Elizabeth Doyle; Kenneth Rockwood

doi:10.1017/S0714980820000355

Cognitive Impairment and Length of Stay in Acute Care Hospitals: A Scoping Review of the Literature

Jonathan Plante, Karine Latulippe, Edeltraut Kröger, Dominique Giroux, Martine Marcotte, Sacha Nadeau, Elizabeth Doyle, Kenneth Rockwood

Producción científica: Contribución a una revista › Artículo de revisión › revisión exhaustiva

8 Citas (Scopus)

Resumen

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.

Idioma original	English
Páginas (desde-hasta)	405-423
Número de páginas	19
Publicación	Canadian Journal on Aging
Volumen	40
N.º	3
DOI	https://doi.org/10.1017/S0714980820000355
Estado	Published - sep. 2021

Nota bibliográfica

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

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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.",

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AU - Giroux, Dominique

AU - Marcotte, Martine

AU - Nadeau, Sacha

AU - Doyle, Elizabeth

AU - Rockwood, Kenneth

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N2 - 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.

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Cognitive Impairment and Length of Stay in Acute Care Hospitals: A Scoping Review of the Literature

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ASJC Scopus Subject Areas

PubMed: MeSH publication types

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