{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T17:58:56Z","timestamp":1758045536846,"version":"3.44.0"},"reference-count":55,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,11,1]],"date-time":"2022-11-01T00:00:00Z","timestamp":1667260800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["T0BHP30003"],"award-info":[{"award-number":["T0BHP30003"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["amjmedsci.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of the Medical Sciences"],"published-print":{"date-parts":[[2022,11]]},"DOI":"10.1016\/j.amjms.2022.06.022","type":"journal-article","created":{"date-parts":[[2022,7,3]],"date-time":"2022-07-03T09:37:26Z","timestamp":1656841046000},"page":"554-564","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Association of delirium screening on hospitalized adults and postacute care utilization: A retrospective cohort study"],"prefix":"10.1016","volume":"364","author":[{"given":"Jennifer D.","family":"Dulin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingwen","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Marsden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick D.","family":"Mauldin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William P.","family":"Moran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin C.","family":"Kalivas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.amjms.2022.06.022_bib0001","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2012-001772","article-title":"Delirium in an adult acute hospital population: predictors, prevalence and detection","volume":"3","author":"Ryan","year":"2013","journal-title":"BMJ Open"},{"issue":"4","key":"10.1016\/j.amjms.2022.06.022_bib0002","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1093\/ageing\/afl005","article-title":"Occurrence and outcome of delirium in medical in-patients: a systematic literature review","volume":"35","author":"Siddiqi","year":"2006","journal-title":"Age Ageing"},{"issue":"9920","key":"10.1016\/j.amjms.2022.06.022_bib0003","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1016\/S0140-6736(13)60688-1","article-title":"Delirium in elderly people","volume":"383","author":"Inouye","year":"2014","journal-title":"Lancet"},{"issue":"4","key":"10.1016\/j.amjms.2022.06.022_bib0004","doi-asserted-by":"crossref","first-page":"201","DOI":"10.12788\/jhm.3130","article-title":"Association between inpatient delirium and hospital readmission in patients \u2265 65 years of age: a retrospective cohort study","volume":"14","author":"LaHue","year":"2019","journal-title":"J Hosp Med"},{"issue":"8","key":"10.1016\/j.amjms.2022.06.022_bib0005","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1001\/jama.1990.03440080075027","article-title":"A prospective study of delirium in hospitalized elderly","volume":"263","author":"Francis","year":"1990","journal-title":"JAMA"},{"key":"10.1016\/j.amjms.2022.06.022_bib0006","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1001\/jama.1996.03530350034031","article-title":"Precipitating factors for delirium in hospitalized elderly persons. Predictive model and interrelationship with baseline vulnerability","volume":"275","author":"Inouye","year":"1996","journal-title":"JAMA"},{"issue":"3","key":"10.1016\/j.amjms.2022.06.022_bib0007","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.bpa.2012.07.003","article-title":"Epidemiology and risk factors for delirium across hospital settings","volume":"26","author":"Vasilevskis","year":"2012","journal-title":"Best Pract Res Clin Anaesthesiol"},{"issue":"2","key":"10.1016\/j.amjms.2022.06.022_bib0008","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1161\/CIRCULATIONAHA.108.795260","article-title":"Derivation and validation of a preoperative prediction rule for delirium after cardiac surgery","volume":"119","author":"Rudolph","year":"2009","journal-title":"Circulation"},{"issue":"4","key":"10.1016\/j.amjms.2022.06.022_bib0009","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1001\/jama.2010.1013","article-title":"Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis","volume":"304","author":"Witlox","year":"2010","journal-title":"JAMA"},{"issue":"5","key":"10.1016\/j.amjms.2022.06.022_bib0010","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1111\/jgs.14743","article-title":"Pathway from Delirium to death: potential in-hospital mediators of excess mortality","volume":"65","author":"Dharmarajan","year":"2017","journal-title":"J Am Geriatr Soc"},{"issue":"3","key":"10.1016\/j.amjms.2022.06.022_bib0011","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1093\/gerona\/glx214","article-title":"Frailty, and mortality: interactions in a prospective study of hospitalized older people","volume":"73","author":"Dani","year":"2018","journal-title":"J Gerontol A Biol Sci Med Sci"},{"issue":"3","key":"10.1016\/j.amjms.2022.06.022_bib0012","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.ccc.2017.03.013","article-title":"Acute brain failure: pathophysiology, diagnosis, management, and sequelae of delirium","volume":"33","author":"Maldonado","year":"2017","journal-title":"Crit Care Clin"},{"issue":"4","key":"10.1016\/j.amjms.2022.06.022_bib0013","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1046\/j.1525-1497.1998.00073.x","article-title":"Does delirium contribute to poor hospital outcomes? A three-site epidemiologic study","volume":"13","author":"Inouye","year":"1998","journal-title":"J Gen Intern Med"},{"issue":"6","key":"10.1016\/j.amjms.2022.06.022_bib0014","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1111\/j.1532-5415.1992.tb02111.x","article-title":"Prognosis after hospital discharge of older medical patients with delirium","volume":"40","author":"Francis","year":"1992","journal-title":"J Am Geriatr Soc"},{"issue":"6","key":"10.1016\/j.amjms.2022.06.022_bib0015","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1111\/j.1532-5415.2005.53305.x","article-title":"Outcomes of older people admitted to postacute facilities with delirium","volume":"53","author":"Marcantonio","year":"2005","journal-title":"J Am Geriatr Soc"},{"issue":"1","key":"10.1016\/j.amjms.2022.06.022_bib0016","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1001\/archinternmed.2007.4","article-title":"One-year health care costs associated with delirium in the elderly population","volume":"168","author":"Leslie","year":"2008","journal-title":"Arch Intern Med"},{"issue":"suppl 2","key":"10.1016\/j.amjms.2022.06.022_bib0017","first-page":"S241","article-title":"The importance of delirium: Economic and societal costs","volume":"59","author":"Leslie","year":"2011","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.amjms.2022.06.022_bib0018","unstructured":"Healthcare Cost and Utilization Project. Tian W. An all-payer view of hospital discharge to post-acute care, 2013.https:\/\/www.hcup-us.ahrq.gov\/reports\/statbriefs\/sb205-Hospital-Discharge-Postacute-Care.jsp. Accessed February 3, 2019."},{"key":"10.1016\/j.amjms.2022.06.022_bib0019","unstructured":"Medicare Payment Advisory Commission. A data book: health care spending and the Medicare program. http:\/\/www.medpac.gov\/docs\/default-source\/data-book\/july2020_databook_sec8_v2_sec.pdf?sfvrsn=0. Accessed September 1, 2020."},{"issue":"6","key":"10.1016\/j.amjms.2022.06.022_bib0020","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1111\/jgs.14760","volume":"65","author":"Middleton","year":"2017","journal-title":"J Am Geriatr Soc."},{"issue":"1","key":"10.1016\/j.amjms.2022.06.022_bib0021","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1111\/jgs.15131","article-title":"New institutionalization in long-term care after hospital discharge to skilled nursing facility","volume":"66","author":"Middleton","year":"2018","journal-title":"J Am Geriatr Soc"},{"issue":"4","key":"10.1016\/j.amjms.2022.06.022_bib0022","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1093\/ageing\/afx047","article-title":"Predicting discharge to institutional long-term care following acute hospitalisation: a systematic review and meta-analysis","volume":"46","author":"Harrison","year":"2017","journal-title":"Age Ageing"},{"issue":"1","key":"10.1016\/j.amjms.2022.06.022_bib0023","first-page":"32","article-title":"Delirium update for Postacute care and long-term care settings: a narrative review","volume":"117","author":"Forsberg","year":"2017","journal-title":"J Am Osteopath Assoc"},{"issue":"3","key":"10.1016\/j.amjms.2022.06.022_bib0024","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.jamda.2015.11.005","article-title":"Hospital readmission from post-acute care facilities: risk factors, timing, and outcomes","volume":"17","author":"Burke","year":"2016","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.amjms.2022.06.022_bib0025","unstructured":"Division of Value Incentives, Quality and Reporting Centers for Medicare & Medicaid Services Center for Clinical Standards and Quality. Skilled Nursing Facility 30-Day All-Cause Readmission Measure (SNFRM) NQF #2510: All-Cause Risk-Standardized Readmission Measure Technical Report Supplement\u20142019 Update. https:\/\/www.cms.gov\/Medicare\/Quality-Initiatives-Patient-Assessment-Instruments\/Value-Based-Programs\/SNF-VBP\/Downloads\/SNFRM-TechReportSupp-2019-.pdf. Accessed March 1, 2020."},{"issue":"8","key":"10.1016\/j.amjms.2022.06.022_bib0026","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1002\/pmrj.12304","article-title":"Inpatient rehabilitation delirium screening: impact on acute care transfers and functional outcomes","volume":"12","author":"Bushi","year":"2020","journal-title":"PM R"},{"key":"10.1016\/j.amjms.2022.06.022_bib0027","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/1471-2318-5-5","article-title":"Incomplete functional recovery after delirium in elderly people: a prospective cohort study","volume":"5","author":"Andrew","year":"2005","journal-title":"BMC Geriatr"},{"issue":"9","key":"10.1016\/j.amjms.2022.06.022_bib0028","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2014-007496","article-title":"Clinical deterioration in older adults with delirium during early hospitalisation: a prospective cohort study","volume":"5","author":"Hsieh","year":"2015","journal-title":"BMJ Open"},{"issue":"4","key":"10.1016\/j.amjms.2022.06.022_bib0029","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1056\/NEJMp1901896","article-title":"Postacute care - the piggy bank for savings in alternative payment models?","volume":"381","author":"Barnett","year":"2019","journal-title":"N Engl J Med"},{"key":"10.1016\/j.amjms.2022.06.022_bib0030","unstructured":"CMS Bundled Payments for Care Improvement initiative models 2\u20134: year 5 evaluation & monitoring annual reportFalls Church, VA: The Lewin Group, October 2018."},{"year":"2017","series-title":"Healthcare spending and utilization in public and private MedicareCambridge","author":"Curto","key":"10.1016\/j.amjms.2022.06.022_bib0031"},{"key":"10.1016\/j.amjms.2022.06.022_bib0032","unstructured":"CMS.GOV. 2020. 2018 Medicare Utilization And Payment. [online] Available at: <https:\/\/www.cms.gov\/research-statistics-data-systems\/cms-program-statistics\/2018-medicare-utilization-and-payment#MU2>[Accessed 28 April 2020]."},{"issue":"4","key":"10.1016\/j.amjms.2022.06.022_bib0033","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1001\/jamainternmed.2016.9115","article-title":"Changes in postacute care in the medicare shared savings program","volume":"177","author":"McWilliams","year":"2017","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.amjms.2022.06.022_bib0034","article-title":"Comparing Medicare advantage and fee-for-service medicare suggests opportunities for savings in hospitalization, postacute care","author":"Fuglesten Biniek","year":"2020","journal-title":"[Blog]Health Affairs Blog: Considering Health Spending"},{"key":"10.1016\/j.amjms.2022.06.022_bib0035","article-title":"Trends in postacute care spending growth during the medicare spending slowdown","author":"Keohane","year":"2018","journal-title":"Commonwealth Fund"},{"key":"10.1016\/j.amjms.2022.06.022_bib0036","unstructured":"CMS.gov, 2018. Medicare issues fiscal year 2019 payment & policy changes for skilled nursing facilities. [online] Available at: <https:\/\/www.cms.gov\/newsroom\/fact-sheets\/medicare-issues-fiscal-year-2019-payment-policy-changes-skilled-nursing-facilities>[Accessed 28 March 2020]."},{"issue":"3","key":"10.1016\/j.amjms.2022.06.022_bib0037","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1177\/089198879801100306","article-title":"Delirium phenomenology illuminates pathophysiology, management, and course","volume":"11","author":"Meagher","year":"1998","journal-title":"J Geriatr Psychiatry Neurol"},{"issue":"6","key":"10.1016\/j.amjms.2022.06.022_bib0038","article-title":"Etiologic and cognitive differences in hyperactive and hypoactive delirium","volume":"17","author":"Kumar","year":"2015","journal-title":"Prim Care Companion CNS Disord"},{"issue":"10","key":"10.1016\/j.amjms.2022.06.022_bib0039","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1002\/jhm.2247","article-title":"Association between combative behavior requiring intervention and delirium in hospitalized patients","volume":"9","author":"Uldall","year":"2014","journal-title":"J Hosp Med"},{"issue":"9","key":"10.1016\/j.amjms.2022.06.022_bib0040","doi-asserted-by":"crossref","first-page":"e825","DOI":"10.1097\/CCM.0000000000003299","article-title":"Clinical practice guidelines for the prevention and management of pain, agitation\/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU","volume":"46","author":"Devlin","year":"2018","journal-title":"Crit Care Med"},{"issue":"5","key":"10.1016\/j.amjms.2022.06.022_bib0041","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/j.annemergmed.2013.05.003","article-title":"Diagnosing delirium in older emergency department patients: validity and reliability of the delirium triage screen and the brief confusion assessment method","volume":"62","author":"Han","year":"2013","journal-title":"Annal Emerg Med"},{"issue":"6","key":"10.1016\/j.amjms.2022.06.022_bib0042","first-page":"832.837","article-title":"Evaluation of delirium screening tools in geriatric medical inpatients: a diagnostic test accuracy study","author":"Hendry","year":"2016","journal-title":"Age Ageing"},{"issue":"11","key":"10.1016\/j.amjms.2022.06.022_bib0043","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1111\/acem.13449","article-title":"Validation of the brief confusion assessment method for screening delirium in elderly medical patients in a German emergency department","volume":"25","author":"Baten","year":"2018","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.amjms.2022.06.022_bib0044","unstructured":"Vanderbilt University School of Medicine Department of Emergency Medicine Center for Quality Aging. Brief Confusion Assessment Method (bCAM) Instruction Manual v1 [Internet]. 2015. Available from: https:\/\/uploads-ssl.webflow.com\/5b0849daec50243a0a1e5e0c\/5bb3783be59e3422910fc5ba_bCAM-Training-Manual-Version-1-0-10-15-2015.pdf"},{"issue":"6","key":"10.1016\/j.amjms.2022.06.022_bib0045","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/0895-4356(92)90133-8","article-title":"Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases","volume":"45","author":"Deyo","year":"1992","journal-title":"J Clin Epidemiol"},{"issue":"1","key":"10.1016\/j.amjms.2022.06.022_bib0046","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.amjms.2016.04.020","article-title":"Identification of high utilization inpatients on internal medicine services","volume":"352","author":"Heincelman","year":"2016","journal-title":"Am J Med Sci"},{"issue":"5","key":"10.1016\/j.amjms.2022.06.022_bib0047","doi-asserted-by":"crossref","first-page":"M441","DOI":"10.1093\/gerona\/58.5.M441","article-title":"Delirium among newly admitted postacute facility patients: prevalence, symptoms, and severity","volume":"58","author":"Kiely","year":"2003","journal-title":"J Gerontol A Biol Sci Med Sci"},{"issue":"2-3","key":"10.1016\/j.amjms.2022.06.022_bib0048","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1159\/000082888","article-title":"Prognostic significance of delirium in frail older people","volume":"19","author":"Pitkala","year":"2005","journal-title":"Dement Geriatr Cogn Disord"},{"issue":"5","key":"10.1016\/j.amjms.2022.06.022_bib0049","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1377\/hlthaff.2012.1262","article-title":"Large increases in spending on postacute care in Medicare point to the potential for cost savings in these settings","volume":"32","author":"Chandra","year":"2013","journal-title":"Health Aff (Millwood)"},{"issue":"11","key":"10.1016\/j.amjms.2022.06.022_bib0050","doi-asserted-by":"crossref","first-page":"1899","DOI":"10.1007\/s11606-018-4591-7","article-title":"Prevalence and Costs of discharge diagnoses in inpatient general internal medicine: a multi-center cross-sectional study","volume":"33","author":"Verma","year":"2018","journal-title":"J Gen Intern Med"},{"issue":"4","key":"10.1016\/j.amjms.2022.06.022_bib0051","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1093\/ageing\/afaa053","article-title":"The association of delirium severity with patient and health system outcomes in hospitalised patients: a systematic review","volume":"49","author":"Rosgen","year":"2020","journal-title":"Age Ageing"},{"issue":"4","key":"10.1016\/j.amjms.2022.06.022_bib0052","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/j.ccc.2008.05.008","article-title":"Delirium in the acute care setting: characteristics, diagnosis and treatment","volume":"24","author":"Maldonado","year":"2008","journal-title":"Crit Care Clin"},{"key":"10.1016\/j.amjms.2022.06.022_bib0053","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1016\/j.jcrc.2017.08.011","article-title":"Delirium characteristics and outcomes in medical and surgical lnpatients: a subgroup analysis","volume":"43","author":"Kim","year":"2018","journal-title":"J Crit Care"},{"issue":"2","key":"10.1016\/j.amjms.2022.06.022_bib0054","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1213\/ANE.0b013e3182973650","article-title":"Outcomes of early delirium diagnosis after general anesthesia in the elderly","volume":"117","author":"Neufeld","year":"2013","journal-title":"Anesth Analg"},{"issue":"7","key":"10.1016\/j.amjms.2022.06.022_bib0055","first-page":"661","article-title":"Long-term prognostic value of delirium in elderly patients with acute cardiac diseases admitted to two cardiac intensive care units: a prospective study (DELIRIUM CORDIS)","volume":"7","author":"Falsini","year":"2018","journal-title":"Eur Heart J Acute Cardiovasc Care"}],"container-title":["The American Journal of the Medical Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002962922002981?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002962922002981?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:41:18Z","timestamp":1757702478000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002962922002981"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11]]},"references-count":55,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["S0002962922002981"],"URL":"https:\/\/doi.org\/10.1016\/j.amjms.2022.06.022","relation":{},"ISSN":["0002-9629"],"issn-type":[{"type":"print","value":"0002-9629"}],"subject":[],"published":{"date-parts":[[2022,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Association of delirium screening on hospitalized adults and postacute care utilization: A retrospective cohort study","name":"articletitle","label":"Article Title"},{"value":"The American Journal of the Medical Sciences","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjms.2022.06.022","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}