{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T04:28:28Z","timestamp":1777782508973,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2019,6,6]],"date-time":"2019-06-06T00:00:00Z","timestamp":1559779200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Evaluate the relative contribution of cognitive test performance to post-acute care (PAC) length of stay (LOS) and rehospitalization while controlling for key demographic, medical, and functional outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective medical record review of 160 older Veterans, including cognitive test performance (Addenbrooke\u2019s Cognitive Examination\u2013Revised [ACE-R]), on admission to a Veterans Administration Hospital Community Living Center (CLC) PAC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Individuals with impaired scores on the ACE-R had a longer LOS (10 median days longer; U = 2,547.00, p = .028). Of those rehospitalized, 71.4% ( n = 20) screened positive for cognitive impairment. Key medical factors explained the largest amount of variance in CLC-PAC LOS (29.8%), followed by admission ADL (activities of daily living) dependency (4.6%) and ACE-R total score (3.30%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Cognitive screening should be considered on PAC admission, with impairment on ACE-R predicting geriatric rehabilitation outcomes such as risk of increased LOS and rehospitalization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0733464819853989","type":"journal-article","created":{"date-parts":[[2019,6,6]],"date-time":"2019-06-06T05:35:01Z","timestamp":1559799301000},"page":"609-617","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Influence of Cognition on Length of Stay and Rehospitalization in Older Veterans Admitted for Post-Acute Care"],"prefix":"10.1177","volume":"39","author":[{"given":"Julija","family":"Stelmokas","sequence":"first","affiliation":[{"name":"Veterans Affairs Ann Arbor Healthcare System Mental Health Service, MI, USA"},{"name":"Veterans Affairs Ann Arbor Geriatric Research Education and Clinical Center, MI, USA"},{"name":"University of Michigan, Ann Arbor, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4058-2570","authenticated-orcid":false,"given":"Amber D.","family":"Rochette","sequence":"additional","affiliation":[{"name":"Veterans Affairs Ann Arbor Healthcare System Mental Health Service, MI, USA"},{"name":"Kent State University, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Hogikyan","sequence":"additional","affiliation":[{"name":"Veterans Affairs Ann Arbor Geriatric Research Education and Clinical Center, MI, USA"},{"name":"University of Michigan, Ann Arbor, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine A.","family":"Kitchen Andren","sequence":"additional","affiliation":[{"name":"University of Utah School of Medicine, Salt Lake City, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaclyn","family":"Reckow","sequence":"additional","affiliation":[{"name":"Mercy Health Physician Partners, Grand Rapids, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra","family":"Sciaky","sequence":"additional","affiliation":[{"name":"Veterans Affairs Ann Arbor Healthcare System Mental Health Service, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linas","family":"Bieliauskas","sequence":"additional","affiliation":[{"name":"University of Michigan, Ann Arbor, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil B.","family":"Alexander","sequence":"additional","affiliation":[{"name":"Veterans Affairs Ann Arbor Geriatric Research Education and Clinical Center, MI, USA"},{"name":"Kent State University, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,6,6]]},"reference":[{"key":"bibr1-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1591-3"},{"key":"bibr2-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2414"},{"key":"bibr3-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13317"},{"key":"bibr4-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1016\/S0885-3924(96)00316-8"},{"key":"bibr5-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.6383"},{"key":"bibr6-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2015.11.005"},{"key":"bibr7-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afh036"},{"key":"bibr8-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52301.x"},{"key":"bibr9-0733464819853989","doi-asserted-by":"publisher","DOI":"10.11124\/jbisrir-2016-2296"},{"key":"bibr10-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1159\/000098414"},{"key":"bibr11-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"bibr12-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-8343(02)00236-0"},{"key":"bibr13-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1080\/02699050802132461"},{"key":"bibr14-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.24.12.1794"},{"key":"bibr15-0733464819853989","doi-asserted-by":"publisher","DOI":"10.3109\/13651501.2015.1062522"},{"key":"bibr16-0733464819853989","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjd.2015.09.002"},{"key":"bibr17-0733464819853989","first-page":"137","volume-title":"Rehabilitation outcomes: Analysis and measurement","author":"Hamilton B. 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