Incipient dementia and avoidable hospital admission in persons with osteoarthritis. Kiadaliri, A., Lohmander, L S., Dahlberg, L. E., & Englund, M. Osteoarthritis and Cartilage Open, 5(1):100341, March, 2023. Number: 1![Incipient dementia and avoidable hospital admission in persons with osteoarthritis [link]](https://bibbase.org/img/filetypes/link.svg "link")
Paper doi abstract bibtex Objective To investigate the associations between incipient dementia (ID) and hospitalization for ambulatory care sensitive conditions (ACSCs) among people with osteoarthritis (OA) of the peripheral joints. Methods Among individuals aged 51–99 years residing in Skåne, Sweden, in 2009, we identified those with a doctor-diagnosed OA and no dementia during 1998–2009 (n = 57,733). Treating ID as a time-varying exposure, we followed people from January 1, 2010 or their 60th birthday (whichever occurred last) until hospitalization for ACSCs, death, 100th birthday, relocation outside Skåne, or December 31, 2019 (whichever occurred first). Using age as time scale, we applied flexible parametric survival models, adjusted for confounders, to assess the associations between ID and hospitalization for ACSCs. Results There were 58 and 33 hospitalizations for ACSCs per 1000 person-years among OA people with and without ID, respectively. The association between ID and hospitalization for any ACSCs was age-dependent with higher risk in ages\textless86 years and lower risks in older ages. Between ages 60 and 100 years, persons with ID had, on average, 5.8 (95% CI 0.9, 10.7), 1.6 (−2.6, 5.9) and 3.1 (2.3, 4.0) fewer hospital-free years for any, chronic and acute ACSCs, respectively, compared with persons without ID. Conclusions Among persons with OA, while ID was associated with increased risks of hospitalization for ACSCs in younger ages, it was associated with decreased risk in oldest ages. These results suggest the need for improvement in quality of ambulatory care including the continuity of care for people with OA having dementia.
@article{kiadaliri_incipient_2023,
title = {Incipient dementia and avoidable hospital admission in persons with osteoarthritis},
volume = {5},
issn = {2665-9131},
url = {https://www.sciencedirect.com/science/article/pii/S2665913123000080},
doi = {10.1016/j.ocarto.2023.100341},
abstract = {Objective
To investigate the associations between incipient dementia (ID) and hospitalization for ambulatory care sensitive conditions (ACSCs) among people with osteoarthritis (OA) of the peripheral joints.
Methods
Among individuals aged 51–99 years residing in Skåne, Sweden, in 2009, we identified those with a doctor-diagnosed OA and no dementia during 1998–2009 (n = 57,733). Treating ID as a time-varying exposure, we followed people from January 1, 2010 or their 60th birthday (whichever occurred last) until hospitalization for ACSCs, death, 100th birthday, relocation outside Skåne, or December 31, 2019 (whichever occurred first). Using age as time scale, we applied flexible parametric survival models, adjusted for confounders, to assess the associations between ID and hospitalization for ACSCs.
Results
There were 58 and 33 hospitalizations for ACSCs per 1000 person-years among OA people with and without ID, respectively. The association between ID and hospitalization for any ACSCs was age-dependent with higher risk in ages{\textless}86 years and lower risks in older ages. Between ages 60 and 100 years, persons with ID had, on average, 5.8 (95\% CI 0.9, 10.7), 1.6 (−2.6, 5.9) and 3.1 (2.3, 4.0) fewer hospital-free years for any, chronic and acute ACSCs, respectively, compared with persons without ID.
Conclusions
Among persons with OA, while ID was associated with increased risks of hospitalization for ACSCs in younger ages, it was associated with decreased risk in oldest ages. These results suggest the need for improvement in quality of ambulatory care including the continuity of care for people with OA having dementia.},
language = {en},
number = {1},
urldate = {2023-03-06},
journal = {Osteoarthritis and Cartilage Open},
author = {Kiadaliri, Ali and Lohmander, L Stefan and Dahlberg, Leif E. and Englund, Martin},
month = mar,
year = {2023},
note = {Number: 1},
keywords = {Ambulatory-care sensitive conditions, Avoidable hospitalization, Incipient dementia, Osteoarthritis, Register-based study, Sweden},
pages = {100341},
}
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Treating ID as a time-varying exposure, we followed people from January 1, 2010 or their 60th birthday (whichever occurred last) until hospitalization for ACSCs, death, 100th birthday, relocation outside Skåne, or December 31, 2019 (whichever occurred first). Using age as time scale, we applied flexible parametric survival models, adjusted for confounders, to assess the associations between ID and hospitalization for ACSCs. Results There were 58 and 33 hospitalizations for ACSCs per 1000 person-years among OA people with and without ID, respectively. The association between ID and hospitalization for any ACSCs was age-dependent with higher risk in ages\\textless86 years and lower risks in older ages. Between ages 60 and 100 years, persons with ID had, on average, 5.8 (95% CI 0.9, 10.7), 1.6 (−2.6, 5.9) and 3.1 (2.3, 4.0) fewer hospital-free years for any, chronic and acute ACSCs, respectively, compared with persons without ID. Conclusions Among persons with OA, while ID was associated with increased risks of hospitalization for ACSCs in younger ages, it was associated with decreased risk in oldest ages. These results suggest the need for improvement in quality of ambulatory care including the continuity of care for people with OA having dementia.","language":"en","number":"1","urldate":"2023-03-06","journal":"Osteoarthritis and Cartilage Open","author":[{"propositions":[],"lastnames":["Kiadaliri"],"firstnames":["Ali"],"suffixes":[]},{"propositions":[],"lastnames":["Lohmander"],"firstnames":["L","Stefan"],"suffixes":[]},{"propositions":[],"lastnames":["Dahlberg"],"firstnames":["Leif","E."],"suffixes":[]},{"propositions":[],"lastnames":["Englund"],"firstnames":["Martin"],"suffixes":[]}],"month":"March","year":"2023","note":"Number: 1","keywords":"Ambulatory-care sensitive conditions, Avoidable hospitalization, Incipient dementia, Osteoarthritis, Register-based study, Sweden","pages":"100341","bibtex":"@article{kiadaliri_incipient_2023,\n\ttitle = {Incipient dementia and avoidable hospital admission in persons with osteoarthritis},\n\tvolume = {5},\n\tissn = {2665-9131},\n\turl = {https://www.sciencedirect.com/science/article/pii/S2665913123000080},\n\tdoi = {10.1016/j.ocarto.2023.100341},\n\tabstract = {Objective\nTo investigate the associations between incipient dementia (ID) and hospitalization for ambulatory care sensitive conditions (ACSCs) among people with osteoarthritis (OA) of the peripheral joints.\nMethods\nAmong individuals aged 51–99 years residing in Skåne, Sweden, in 2009, we identified those with a doctor-diagnosed OA and no dementia during 1998–2009 (n = 57,733). Treating ID as a time-varying exposure, we followed people from January 1, 2010 or their 60th birthday (whichever occurred last) until hospitalization for ACSCs, death, 100th birthday, relocation outside Skåne, or December 31, 2019 (whichever occurred first). Using age as time scale, we applied flexible parametric survival models, adjusted for confounders, to assess the associations between ID and hospitalization for ACSCs.\nResults\nThere were 58 and 33 hospitalizations for ACSCs per 1000 person-years among OA people with and without ID, respectively. The association between ID and hospitalization for any ACSCs was age-dependent with higher risk in ages{\\textless}86 years and lower risks in older ages. Between ages 60 and 100 years, persons with ID had, on average, 5.8 (95\\% CI 0.9, 10.7), 1.6 (−2.6, 5.9) and 3.1 (2.3, 4.0) fewer hospital-free years for any, chronic and acute ACSCs, respectively, compared with persons without ID.\nConclusions\nAmong persons with OA, while ID was associated with increased risks of hospitalization for ACSCs in younger ages, it was associated with decreased risk in oldest ages. 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