Adeviye Aydın Rn, Berna Ersoy Özcan Rn, Yunus Kaya Rn
The Effect of an Emotion Recognition and Expression Program on the Alexithymia, Emotion Expression Skills and Positive and Negative Symptoms of Patients with Schizophrenia in a Community Mental Health Center
Issues in mental health nursing
70 000 medicare beneficiaries receive care longterm acute care hospitals ltchs annually prolonged acute illness however little known longterm functional cognitive outcomes middleaged older adults hospitalization ltch describe survival functional cognitive status ltch hospitalization identify factors associated adverse outcome retrospective cohort study included middleaged older adults enrolled health retirement study hrs linked feeforservice medicare claims included participants aged 50 years older ltch admission january 1 2003 december 31 2016 hrs interviews available admission data analyzed november 1 2021 june 30 2023 function cognition ascertained hrs interviews conducted every 2 years primary outcome death severe impairment 25 years ltch hospitalization defined dependencies 2 activities daily living adls dementia multivariable logistic regression performed evaluate associations priori selected risk factors including preltch survival prognosis lee index score preltch impairment status illness severity characterized receipt mechanical ventilation prolonged intensive care unit stay 3 days longer study included 396 participants median age 75 iqr 6882 years participants 201 51 women 125 28 severe impairment 318 80 died survived severe impairment functional cognitive within 25 years ltch hospitalization accounting acute illness characteristics prehospitalization survival prognosis determined lee index score severe baseline impairment functional cognitive associated increased likelihood death severe impairment 25 years ltch hospitalization adjusted odds ratio aor 32 95 ci 17 60 5point increase lee index score aor 45 95 ci 13 154 severe vs impairment cohort study 4 5 middleaged older adults died survived severe impairment within 25 years ltch hospitalization better preadmission survival prognosis functional cognitive status associated lower risk adverse outcome findings inform decisionmaking older adults prolonged acute illness