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. 2024 Sep 24:10:23337214241284035.
doi: 10.1177/23337214241284035. eCollection 2024 Jan-Dec.

COVID-19 Hospitalization Outcomes for Long-Term Care Facility Residents With Dementia: Mediation by Pre-existing Health Conditions

Cheng Yin  1 , Elias Mpofu  1   2   3 , Kaye Brock  1   2 , Stan Ingman  1
Affiliations

COVID-19 Hospitalization Outcomes for Long-Term Care Facility Residents With Dementia: Mediation by Pre-existing Health Conditions

Cheng Yin et al. Gerontol Geriatr Med. .

Abstract

Background: This study explores COVID-19 emergency admission and length of hospital stay hospitalization outcomes for Long-Term Care Facility (LTCF) residents with dementia. Methods: Utilizing a cross-sectional case control design, we employed logistic regression to analyze Texas Inpatient Public Use Data File (PUDF) for 1,413 dementia patients and 1,674 non-dementia patients (>60 years) to predict emergency admission and length of hospital stay with mediation by pre-existing conditions. Results: LTCF residents with dementia have a higher likelihood of COVID-19 emergency admission and shorter hospital stays. Adjusting for confounders of demographics, health insurance, and lifestyle, dementia diagnosis remained significantly associated with emergency admission and shorter hospital stays with preexisting conditions. Conclusion: Findings underscore the heightened risk for adverse COVID-19 hospitalization care disparities with dementia. Targeted health support programs for LTCF residents with dementia should aim to improve their COVID19 hospitalization outcomes, treating pre-existing health conditions and reducing their risk for excess mortality.

Keywords: COVID-19; dementia; elderly; hospitalization; long-term care facility.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
A conceptual framework.
Figure 2.
Figure 2.
Relationship between dementia and demographic factors and admission status: (A) and longer hospital stays, (B); between dementia and health conditions and admission status, (C) and longer hospital stays, and (D) among COVID-19 infected LTCF patients in Texas between January 2020 and October 2022.
See this image and copyright information in PMC

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