Supporting Older People with Cognitive Impairment During and After Hospital Stays
Background
The shift from hospital to primary care can negatively affect older adults with cognitive impairment.
Objective
This study aimed to evaluate if intersectoral care management could reduce hospital readmissions and improve daily functioning in these individuals.
Study Design
This was a longitudinal study conducted across three hospitals in Germany, involving 401 participants aged 70 and older with cognitive impairment. They were split into two groups: one receiving normal care and the other receiving intersectoral care management.
Methods
The study assessed hospital admissions and daily functioning after 3 and 12 months post-discharge. It also looked at quality of life, depressive symptoms, cognitive status, and frailty.
Results
- No significant differences were found in hospital admissions or daily functioning after 3 months.
- After 12 months, fewer participants in the intervention group were readmitted to the hospital.
- Improvements in quality of life were noted at both 3 and 12 months.
- Depressive symptoms were less common in the intervention group after 3 months.
- No significant changes in cognitive function or frailty were observed.
Conclusion
Intersectoral care management aids individuals with cognitive impairment during their transition from hospital to home. Although it did not significantly impact daily functioning or institutionalization, the improvements in quality of life and mental health are promising indicators of better overall well-being.
Trial Registration
ClinicalTrials.gov, NCT03359408; View Study.
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