{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:32:55Z","timestamp":1760661175545,"version":"build-2065373602"},"reference-count":28,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,6,7]],"date-time":"2015-06-07T00:00:00Z","timestamp":1433635200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"An intramural grant from New York Medical College"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>The impact of dementia on hospitalization discharge dispositions (HDDs) in the United States has not been quantified, and dementia prevalence in various hospitalization categories has not been detailed in recent years.<\/jats:p><\/jats:sec><jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To characterize hospitalizations prevalent with dementia, and to examine the relationship between dementia and HDDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>DESIGN<\/jats:title><jats:p>A retrospective cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>SETTING<\/jats:title><jats:p>2000 to 2012 National Inpatient Sample databases.<\/jats:p><\/jats:sec><jats:sec><jats:title>PATIENTS<\/jats:title><jats:p>Hospitalizations in persons \u226565 years old assigned to 1 of 12 Diagnosis Related Groups (DRGs) with a high number of dementia patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>INTERVENTION<\/jats:title><jats:p>None.<\/jats:p><\/jats:sec><jats:sec><jats:title>MEASUREMENTS<\/jats:title><jats:p>The databases were queried for 12 DRGs (versions 18\/24). Predictor effects for dementia on HDD categories were modeled adjusting for other defined comorbidities\/covariates using logistic regression. Adjusted predictor effects of dementia on HDD in the DRG groupings were determined. Dementia prevalence and trends were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Increasing proportions of dementia were noted in 4 DRGs studied. Dementia was strongly associated with being discharged to a nonhome setting. The most marked dementia effects were noted in DRGs 174 (gastrointestinal hemorrhage), 88 (chronic obstructive pulmonary disease), 182 (esophagitis\/gastroenteritis), 138 (cardiac arrhythmias), 127 (congestive heart failure), and 89 (simple pneumonia and pleurisy), where there was at least a 76% reduction in the adjusted odds ratio (0.18\u20130.24) for home discharge. In contrast, DRGs 14 (stroke), 79 (respiratory infections\/ inflammations), and 320 (kidney\/urinary infections) had a smaller reduction in dementia\u2010associated adjusted odds ratio (0.41\u20130.46) for home discharge. DRGs 79 and 320 had the highest proportions of dementia (&gt;10%).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Dementia proportions in many hospitalization categories have increased. The variable effect of dementia on home discharge suggests that dementia has a differential influence on hospital discharge disposition depending on the DRG. These findings have implications for healthcare allocation and long\u2010term care planning. <jats:italic>Journal of Hospital Medicine<\/jats:italic> 2015;10:586\u2013591. \u00a9 2015 Society of Hospital Medicine<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhm.2402","type":"journal-article","created":{"date-parts":[[2015,6,10]],"date-time":"2015-06-10T17:57:56Z","timestamp":1433959076000},"page":"586-591","source":"Crossref","is-referenced-by-count":10,"title":["Disproportionate effects of dementia on hospital discharge disposition in common hospitalization categories"],"prefix":"10.1002","volume":"10","author":[{"given":"Robert Y.","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Medicine Weill\u2013Cornell Medical College New York Presbyterian\/Lower Manhattan Hospital New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian C.","family":"Scanlan","sequence":"additional","affiliation":[{"name":"Department of Medicine Weill\u2013Cornell Medical College New York Presbyterian\/Lower Manhattan Hospital New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Liao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Truc Phuong Thanh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Family Medicine Residency Program, Gwinnett Medical Center Lawrenceville Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6,7]]},"reference":[{"volume-title":"Older Americans 2012: key indicators of well\u2010being (older Americans 2012)","year":"2012","author":"Federal Interagency Forum on Aging\u2010Related Statistics","key":"e_1_2_6_2_1"},{"key":"e_1_2_6_3_1","unstructured":"Alzheimer's Organization.Risk factors. 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