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Using Standardized Cognitive Tools with General Medicine Populations and Impact on Hospital Readmission.
Hannah Oldenburg1, Tamra Trenary2, William Harmsen3
1Department of Occupational Therapy, University of Minnesota, Minneapolis, MN, USA.
Occupational Therapy in Health Care
|February 18, 2026
Summary
Occupational therapy practitioners in acute care use various cognitive assessment tools. Cognitive evaluations showed a trend toward reducing 30-day hospital readmissions, warranting further study.
Area of Science:
- Occupational Therapy
- Cognitive Rehabilitation
- Healthcare Management
Background:
- Cognitive functioning is crucial for daily activities and independence.
- Occupational therapy (OT) practitioners support cognitive abilities through interventions and assessments.
- Understanding cognitive assessment use in acute care OT is limited.
Purpose of the Study:
- To describe acute care OT service delivery, focusing on cognitive evaluation tools.
- To examine the relationship between cognitive evaluation and 30-day hospital readmission.
Main Methods:
- Cross-sectional, retrospective study at an academic medical center.
- Included 3,334 adult patients on general medicine units receiving OT services.
- Analyzed types and frequency of cognitive assessment tools used.
Main Results:
- 84.5% of patients received a standardized cognitive assessment.
- Cognitive evaluation showed a trend towards association with reduced 30-day readmission (p=0.0537).
- Diverse cognitive screening and performance-based tools are used across various conditions and acuity levels.
Conclusions:
- Acute care OT practitioners utilize a range of cognitive assessment tools.
- Further research is needed on factors influencing hospital readmissions, such as social support and prior function.
