Over 1 million US older adults each year require nursing home care after acute hospitalization. While a short-term stay is a common goal, many patients fail to recover and require long-term placement. Delirium, an acute change in brain-functioning that can lead to permanent cognitive impairment, is an important, preventable condition that may prevent full recovery and lead to long- term placement in nursing homes. The objectives of this study are to describe the current landscape of delirium in the nursing home setting using valid and federally-mandated delirium assessment tools. A unique aspect of this study is to examine the extent delirium may lead to an inappropriate diagnosis of Alzheimer's disease and psychoactive prescribing. To complete these objectives, this research project will analyze a nationwide and contemporary dataset of nursing home resident care plans linked to Medicare program data and prescription dispensing data. The project will be able to uniquely inform the Medicare program, policymakers, clinicians and patients/families about the experience of delirium in nursing home setting.

Public Health Relevance

Delirium is common in older hospitalized adults admitted to nursing homes to recover, and is associated with negative complications including potentially misdiagnosed Alzheimer's disease, psychoactive prescribing and permanent placement. This nationwide and longitudinal study will provide a novel and robust exploration of the critical role that appropriate nursing home care plays in downstream consequence of delirium.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21AG057979-01A1
Application #
9600758
Study Section
Neuroscience of Aging Review Committee (NIA)
Program Officer
Roberts, Luci
Project Start
2018-08-15
Project End
2020-07-31
Budget Start
2018-08-15
Budget End
2019-07-31
Support Year
1
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Northeastern University
Department
Pharmacology
Type
Schools of Pharmacy
DUNS #
001423631
City
Boston
State
MA
Country
United States
Zip Code