ICU sedation, delirium & recovery
Survival, Function, and Cognition After Hospitalization in Long-Term Acute Care Hospitals
Authors' conclusion
In this cohort study, 4 of 5 middle-aged and older adults died or survived with severe impairment within 2.5 years of LTCH hospitalization. Better preadmission survival prognosis and functional and cognitive status were associated with lower risk of an adverse outcome
Study context
- Population
- Adults aged ≥50 years in the Health and Retirement Study with an LTCH admission, 2003–2016, and Health and Retirement Study (HRS) interviews before admissionmedian age 75 years
- Participants
- 396 adults
- Outcome
- Death or severe impairment (dependencies in ≥2 ADLs or dementia)
- Follow-up
- 2.5 years after LTCH hospitalization
Methodological detailslinked Medicare claims, Data analyzed between November 1, 2021, and June 30, 2023
- Linked Medicare claims
- Data analyzed between November 1, 2021, and June 30, 2023
Main finding
As reported in the abstract
Death or severe impairment · 2.5 years
Died or survived with severe impairment (functional, cognitive, or both)
318
80%
Lee index score, per 5-point increase: AOR
3.2
95% CI 1.7 to 6.0
Severe vs no baseline impairment: AOR
4.5
95% CI 1.3 to 15.4
Observational data: associations, not effects.
Further findings
Severe impairment at baseline
- Severe impairment
- 125 (28%)
Original publication
Survival, Function, and Cognition After Hospitalization in Long-Term Acute Care Hospitals. JAMA Netw Open. Published 1 May 2024. doi:10.
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