{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T13:59:52Z","timestamp":1781618392508,"version":"3.54.5"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T00:00:00Z","timestamp":1724284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","award":["R01BR011042"],"award-info":[{"award-number":["R01BR011042"]}],"id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K24AG035075"],"award-info":[{"award-number":["K24AG035075"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG030618"],"award-info":[{"award-number":["R01AG030618"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R21AG057979"],"award-info":[{"award-number":["R21AG057979"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R24AG054259"],"award-info":[{"award-number":["R24AG054259"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R33AG057979"],"award-info":[{"award-number":["R33AG057979"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Whether cognitive and functional recovery in skilled nursing facilities (SNF) following hospitalization differs by delirium and Alzheimer's disease related dementias (ADRD) has not been examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare change in cognition and function among short\u2010stay SNF patients with delirium, ADRD, or both.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study using claims data from 2011 to 2013.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Centers for Medicare and Medicaid certified SNFs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 740,838 older adults newly admitted to a short\u2010stay SNF without prevalent ADRD who had at least two assessments of cognition and function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Incident delirium was measured by the Minimum Data Set (MDS) Confusion Assessment Method and ICD\u20109 codes, and incident ADRD by ICD\u20109 codes and MDS diagnoses. Cognitive improvement was a better or maximum score on the MDS Brief Interview for Mental Status, and functional recovery was a better or maximum score on the MDS Activities of Daily Living Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Within 30\u2009days of SNF admission, the rate of cognitive improvement in patients with both delirium\/ADRD was half that of patients with neither delirium\/ADRD (HR\u2009=\u20090.45, 95% CI:0.43, 0.46). The ADRD\u2010only and delirium\u2010only groups also were 43% less likely to have improved cognition or function compared to those with neither delirium\/ADRD (HR\u2009=\u20090.57, 95% CI:0.56, 0.58 and HR\u2009=\u20090.57, 95% CI:0.55, 0.60, respectively). Functional improvement was less likely in patients with both delirium\/ADRD, as well (HR\u2009=\u20090.85, 95% CI:0.83, 0.87). The ADRD only and delirium only groups were also less likely to improve in function (HR\u2009=\u20090.93, 95% CI:0.92, 0.94 and HR\u2009=\u20090.92, 95% CI:0.90, 0.93, respectively) compared to those with neither delirium\/ADRD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among older adults without dementia admitted to SNF for post\u2010acute care following hospitalization, a positive screen for delirium and a new diagnosis of ADRD, within 7\u2009days of SNF admission, were both significantly associated with worse cognitive and functional recovery. Patients with both delirium and new ADRD had the worst cognitive and functional recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19112","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T15:47:48Z","timestamp":1724341668000},"page":"3501-3509","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Cognitive and functional change in skilled nursing facilities: Differences by delirium and Alzheimer's disease and related dementias"],"prefix":"10.1111","volume":"72","author":[{"given":"Jane S.","family":"Saczynski","sequence":"first","affiliation":[{"name":"Bouv\u00e9 College of Health Sciences, School of Pharmacy Northeastern University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Koethe","sequence":"additional","affiliation":[{"name":"Bouv\u00e9 College of Health Sciences, School of Pharmacy Northeastern University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6777-1913","authenticated-orcid":false,"given":"Donna Marie","family":"Fick","sequence":"additional","affiliation":[{"name":"Center of Geriatric Nursing Excellence Penn State College of Nursing  University Park Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1462-6525","authenticated-orcid":false,"given":"Quynh T.","family":"Vo","sequence":"additional","affiliation":[{"name":"Department of Public Health and Health Sciences, Bouv\u00e9 College of Health Sciences Northeastern University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1751-9012","authenticated-orcid":false,"given":"John W.","family":"Devlin","sequence":"additional","affiliation":[{"name":"Bouv\u00e9 College of Health Sciences, School of 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