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Association of positive delirium screening with incident dementia in skilled nursing facilities

Journal of the American Geriatrics Society Sep 26, 2020

Briesacher BA, Koethe B, Olivieri‐Mui B, et al. - Considering that early detection of delirium in skilled nursing facilities (SNFs) is a priority, researchers conducted this nationwide retrospective cohort study to analyze the extent to which delirium screening leads to a potentially inappropriate diagnosis of Alzheimer disease and related dementia (ADRD). In total, 1,175,550 Medicare enrollees who entered the SNF from a hospital and had no prior diagnosis of dementia. Data reported that the overall incidence of ADRD was 6.3% (n = 73,542). In older adults not previously diagnosed with dementia, positive delirium screening was significantly associated with an increased risk of diagnosis of ADRD following SNF admission. This risk was greatest for patients in the first days of their stay and with the least cognitive impairment, indicating that the diagnosis of ADRD was potentially inappropriate.

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