Dataset Information

Distress Associated with Dementia-Related Psychosis and Agitation in Relation to Healthcare Utilization and Costs.

ABSTRACT: OBJECTIVES:Explore the relationship between behavioral and psychological symptoms of dementia (BPSD; specifically, delusions, hallucinations, and agitation/aggression) and associated caregiver distress with emergency department (ED) utilization, inpatient hospitalization, and expenditures for direct medical care. DESIGN/SETTING/PARTICIPANTS:Retrospective cross-sectional cohort of participants with dementia (N?=?332) and informants from the Aging, Demographics, and Memory Study, a nationally representative survey of U.S. adults >70 years old. MEASUREMENTS:BPSD of interest and associated informant distress (trichotomized as none/low/high) were assessed using the Neuropsychiatric Inventory (NPI). Outcomes were determined from one year of Medicare claims and examined according to presence of BPSD and associated informant distress, adjusting for participant demographics, dementia severity, and comorbidity. RESULTS:Fifty-eight (15%) participants with dementia had clinically significant delusions, hallucinations, or agitation/aggression. ED visits, inpatient admissions, and costs were not significantly higher among the group with significant BPSD. In fully adjusted models, a high level of informant distress was associated with all outcomes: ED visit incident rate ratio (IRR) 3.03 (95% CI: 1.98-4.63; p?

SUBMITTER: Maust DT

PROVIDER: S-EPMC5600647 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

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Distress Associated with Dementia-Related Psychosis and Agitation in Relation to Healthcare Utilization and Costs.

Maust Donovan T DT Kales Helen C HC McCammon Ryan J RJ Blow Frederic C FC Leggett Amanda A Langa Kenneth M KM

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 20170525 10

<h4>Objectives</h4>Explore the relationship between behavioral and psychological symptoms of dementia (BPSD; specifically, delusions, hallucinations, and agitation/aggression) and associated caregiver distress with emergency department (ED) utilization, inpatient hospitalization, and expenditures for direct medical care.<h4>Design/setting/participants</h4>Retrospective cross-sectional cohort of participants with dementia (N = 332) and informants from the Aging, Demographics, and Memory Study, a ...[more]

PMID: 28754586

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Dataset Information

Distress Associated with Dementia-Related Psychosis and Agitation in Relation to Healthcare Utilization and Costs.

Publications

Distress Associated with Dementia-Related Psychosis and Agitation in Relation to Healthcare Utilization and Costs.

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