{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T18:26:54Z","timestamp":1772821614274,"version":"3.50.1"},"reference-count":48,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:00:00Z","timestamp":1700611200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["18K10009"],"award-info":[{"award-number":["18K10009"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Few reports have quantitatively investigated the effect of dementia on medical outcomes and nurse workload. Therefore, we aimed to investigate whether cognitive decline can be identified from a nurse assessment and determined its effect on medical outcomes and nurse workload. This retrospective cohort study used electronic medical record data to investigate whether patients judged by nurses to have cognitive decline were as affected as those with a dementia diagnosis. Further, a model formula was created and validated to predict the probability of needing physical restraint, the nursing care workload, and the record volume. The subjects were 43,330 patients aged \u226540 years who were hospitalized at the study hospital during the four-year study period. Data were analyzed using the chi-square test, Welch\u2019s t-test, logistic regression analysis and linear regression analysis. The implementation of physical restraint and a discharge support conference was significantly higher in patients deemed by nurses to have cognitive decline. Nurse-deemed patients with cognitive decline were affected by the outcome and workload as much as those with dementia. The false discovery rate for the Probability model formula of physical restraint and discharge support conference were 0.198 and 0.266. The correlation coefficient of the model formula for predicting nursing care and recording volume was 0.5\u20130.6. Combining nurse assessment and patient attribute information in a model was useful for predicting nurse workload. These findings may serve as a foundational component for the Clinical Decision Support System, aiding in the evaluation of intervention methods from the early stages of hospital admission and improving care delivery.<\/jats:p>","DOI":"10.1371\/journal.pone.0293755","type":"journal-article","created":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T18:24:40Z","timestamp":1700677480000},"page":"e0293755","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of cognitive decline on medical outcomes and nursing workload: A retrospective cohort study"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9927-1967","authenticated-orcid":true,"given":"Takashi","family":"Iwaanakuchi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuma","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukari","family":"Fukuda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumiko","family":"Uto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,11,22]]},"reference":[{"key":"pone.0293755.ref001","year":"2017","journal-title":"Ministry of Health, Labour and Welfare."},{"key":"pone.0293755.ref002","article-title":"Research on the future estimates of the elderly population with dementia in Japan.","author":"Ministry of Health, Labour and Welfare","year":"2014","journal-title":"Retrieved from MHLW Scientific Research Database"},{"key":"pone.0293755.ref003","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1192\/bjp.195.5.461","article-title":"Dementia in the acute hospital.","volume":"195","author":"EB Mukaetova-Ladinska","year":"2009","journal-title":"Br J Psychiatry."},{"key":"pone.0293755.ref004","doi-asserted-by":"crossref","first-page":"e5521","DOI":"10.1371\/journal.pone.0005521","article-title":"Incidence and prediction of falls in dementia: a prospective study in older people.","volume":"4","author":"LM Allan","year":"2009","journal-title":"PLOS ONE."},{"key":"pone.0293755.ref005","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.archger.2018.05.006","article-title":"Hospital admissions 2000\u20132014: A retrospective analysis of 288 096 events in patients with dementia.","volume":"77","author":"C Bernardes","year":"2018","journal-title":"Arch Gerontol Geriatr"},{"key":"pone.0293755.ref006","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1192\/bjp.bp.108.055335","article-title":"Dementia in the acute hospital: prospective cohort study of prevalence and mortality.","volume":"195","author":"EL Sampson","year":"2009","journal-title":"Br J Psychiatry."},{"key":"pone.0293755.ref007","article-title":"Insight report.","author":"CHKS","year":"2013","journal-title":"An economic analysis of the excess costs for acute care for patients with dementia"},{"key":"pone.0293755.ref008","doi-asserted-by":"crossref","first-page":"2539","DOI":"10.1111\/j.1365-2702.2008.02685.x","article-title":"Hospital discharge planning for frail older people and their family. 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