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

Nora-Ann Donnelly, Eithne Sexton, Niamh A. Merriman, Kathleen E. Bennett, David J Williams, Frances Horgan, Paddy Gillespie, Anne Hickey and Maev-Ann Wren
Additional contact information
Nora-Ann Donnelly: Division of Population Health Sciences, Royal College of Surgeons in Ireland, D02 P796, Ireland
Eithne Sexton: Division of Population Health Sciences, Royal College of Surgeons in Ireland, D02 P796, Ireland
Niamh A. Merriman: Division of Population Health Sciences, Royal College of Surgeons in Ireland, D02 P796, Ireland
Kathleen E. Bennett: Division of Population Health Sciences, Royal College of Surgeons in Ireland, D02 P796, Ireland
David J Williams: Department of Geriatric and Stroke Medicine, Royal College of Surgeons in Ireland, D02 P796, Ireland
Frances Horgan: Department Physiotherapy, Royal College of Surgeons in Ireland, D02 P796, Ireland
Paddy Gillespie: Health Economics & Policy Analysis Centre (HEPAC), Department of Economics, NUI Galway, H91 TK33, Ireland
Anne Hickey: Division of Population Health Sciences, Royal College of Surgeons in Ireland, D02 P796, Ireland
Maev-Ann Wren: Social Research Division, Economic and Social Research Institute, D02 K138, Ireland

IJERPH, 2020, vol. 17, issue 19, 1-10

Abstract: Post–stroke cognitive impairment (PSCI) is a common consequence of stroke. Epidemiological evidence indicates that, with an ageing population, stroke and PSCI are likely to increase in the coming decades. This may have considerable implications for the demand for nursing home placement. As prevalence estimates of both cognitive impairment and dementia on admission to nursing home among residents with and without stroke have not yet been compared, they were estimated and compared in this study. We performed a cross–sectional survey to establish the admission characteristics of 643 residents in 13 randomly selected nursing homes in Ireland. The survey collected data on resident’s stroke and cognitive status at the time of nursing home admission. The survey found, among nursing home residents that experienced stroke prior to admission, prevalence estimates for cognitive impairment (83.8%; 95% CI = 76.9–90.6%) and dementia (66.7%; 95% CI = 57.9–75.4%) were significantly higher compared to residents that had not experienced stroke prior to admission (cognitive impairment: 56.6%; 95% CI = 52.4–60.8%; X 2 (1) = 28.64; p < 0.001; dementia: 49.8%; 95% CI = 45.6–54.1%; X 2 (1) = 10.47; p < 0.01). Since the prevalence of PSCI is likely to increase in the coming decades, the findings highlight an urgent need for health service planning for this increased demand for nursing home care to meet the care needs of these stroke survivors.

Keywords: stroke; cognitive impairment; nursing home residents (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/17/19/7203/pdf (application/pdf)
https://www.mdpi.com/1660-4601/17/19/7203/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:19:p:7203-:d:422766

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().