The Prevalence of Cognitive Impairment on Admission to Nursing Home among Residents with and without Stroke: A Cross–Sectional Survey of Nursing Homes in Ireland
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design, Setting and Population
2.2. Power Calculation and Sample Size
2.3. Data Collection and Measures
2.4. Ethical Approval
2.5. Statistical Analysis
3. Results
4. Discussion
Strengths and Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
Availability of data and materials
Abbreviations
ADL | Activities of Daily Living |
CIND | Cognitive Impairment No Dementia |
DON | Directors of Nursing |
DSM–5 | Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition |
HIQA | Health Information and Quality Authority |
HSE | Health Service Executive |
NHI | Nursing Homes Ireland |
PSCI | Post–Stroke Cognitive Impairment |
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Age and Sex Distribution of Residents % (N) | |||
Age Groups | Male | Female | Total |
<55 years of age | 4.6 (11) | 1.7 (7) | 2.8 (18) |
55–64 years of age | 7.9 (19) | 1.2 (5) | 3.7 (24) |
65–74 years of age | 21.6 (52) | 8.2 (33) | 13.2 (85) |
75–84 years of age | 35.3 (85) | 36.3 (146) | 35.9 (231) |
85+ years of age | 30.7 (74) | 52.5 (211) | 44.3 (285) |
Total | 37.5 (241) | 62.5 (402) | 100.0 (643) |
Experienced stroke prior to admission | |||
% Aged < 75 (95% CIs; N) | % Aged 75 + (95% CIs; N) | Total % (95% CIs; N) | |
3.9 (2.4–5.4; 25) | 13.4 (10.7–16.0; 86) | 17.3 (14.3–20.2; 111) | |
Prevalence of stroke and functional impairment on admission | |||
% Aged < 75 (95% CIs; N) | % Aged 75 + (95% CIs; N) | Total % (95% CIs; N) | |
18.0 (10.9–25.2; 20) | 69.4 (60.8–77.9; 77) | 87.4 (81.2–93.6; 97) |
Stroke % (95% CIs; N) | No Stroke % (95% CIs; N) | Total % (95% CIs; N) | |
---|---|---|---|
CIND * | 17.1 (10.1–24.1; 19) | 6.8 (4.6–8.9; 36) | 8.6 (6.4–10.7; 55) |
Dementia | 66.7 (57.9–75.4; 74) | 49.8 (45.6–54.1; 265) | 52.7 (48.9–56.6; 339) |
Cognitive Impairment Total | 83.8 (76.9–90.6; 93) | 56.6 (52.4–60.8; 301) | 61.3 (57.5–65.0; 394) |
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Donnelly, N.-A.; Sexton, E.; Merriman, N.A.; Bennett, K.E.; Williams, D.J.; Horgan, F.; Gillespie, P.; Hickey, A.; Wren, M.-A. The Prevalence of Cognitive Impairment on Admission to Nursing Home among Residents with and without Stroke: A Cross–Sectional Survey of Nursing Homes in Ireland. Int. J. Environ. Res. Public Health 2020, 17, 7203. https://doi.org/10.3390/ijerph17197203
Donnelly N-A, Sexton E, Merriman NA, Bennett KE, Williams DJ, Horgan F, Gillespie P, Hickey A, Wren M-A. The Prevalence of Cognitive Impairment on Admission to Nursing Home among Residents with and without Stroke: A Cross–Sectional Survey of Nursing Homes in Ireland. International Journal of Environmental Research and Public Health. 2020; 17(19):7203. https://doi.org/10.3390/ijerph17197203
Chicago/Turabian StyleDonnelly, Nora-Ann, Eithne Sexton, Niamh A. Merriman, Kathleen E. Bennett, David J Williams, Frances Horgan, Paddy Gillespie, Anne Hickey, and Maev-Ann Wren. 2020. "The Prevalence of Cognitive Impairment on Admission to Nursing Home among Residents with and without Stroke: A Cross–Sectional Survey of Nursing Homes in Ireland" International Journal of Environmental Research and Public Health 17, no. 19: 7203. https://doi.org/10.3390/ijerph17197203