Mortality and Discharge Location of Intensive Care Patients With Alzheimer Disease and Related Dementia.
Background: Intensive care unit (ICU) utilization has increased among patients with Alzheimer disease and related dementia (ADRD), although outcomes are poor. Objectives: To compare ICU discharge location and subsequent mortality between patients with and patients without ADRD enrolled in Medicare A...
| Publicado en: | American Journal of Critical Care Vol. 32; no. 4; pp. 249 - 256 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Association of Critical-Care Nurses
Jul2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164662535&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164662535 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10623264 44L jtl: American Journal of Critical Care issn: 10623264 maglogo: N pubinfo: dt: Jul2023 vid: 32 iid: 4 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 164662535 164662535 164662535 10.4037/ajcc2023328 164662535 ppf: 249 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Mortality and Discharge Location of Intensive Care Patients With Alzheimer Disease and Related Dementia. aug: au: Davis-Ajami, Mary Lynn Chang, Chiang-Hua Gupta, Sumedha Khan, Babar Ali Solid, Craig A. El Sharu, Husam Boustani, Malaz Yates, Brandon A. Simon, Kosali affil: Mary Lynn Davis-Ajami is chair and professor, Department of Nursing, Merrimack College, North Andover, Massachusetts sug: subj: Mortality Evaluation Patient Discharge Evaluation Critically Ill Patients Alzheimer's Disease Intensive Care Units Dementia Human Male Female Nonexperimental Studies Aged Aged, 80 and Over Medicare Insurance Coverage Descriptive Statistics Comparative Studies Odds Ratio Confidence Intervals Life Expectancy Aged: 65+ years Aged, 80 & over Male Female ab: Background: Intensive care unit (ICU) utilization has increased among patients with Alzheimer disease and related dementia (ADRD), although outcomes are poor. Objectives: To compare ICU discharge location and subsequent mortality between patients with and patients without ADRD enrolled in Medicare Advantage. Methods: This observational study used Optum's Clinformatics Data Mart Database from years 2016 to 2019 and included adults aged >67 years with continuous Medicare Advantage coverage and a first ICU admission in 2018. Alzheimer disease and related dementia and comorbid conditions were identified from claims. Outcomes included discharge location (home vs other facilities) and mortality (within the same calendar month of discharge and within 12 months after discharge). Results: A total of 145 342 adults met inclusion criteria; 10.5% had ADRD and were likely to be older, female, and have more comorbid conditions. Only 37.6% of patients with ADRD were discharged home versus 68.6% of patients who did not have ADRD (odds ratio [OR], 0.40; 95% CI, 0.38-0.41). Both death in the same month as discharge (19.9% vs 10.3%; OR, 1.54; 95% CI, 1.47-1.62) and death in the 12 months after discharge (50.8% vs 26.2%; OR, 1.95; 95% CI, 1.88-2.02) were twice as common among patients with ADRD. Conclusions: Patients with ADRD have lower home discharge rates and greater mortality after an ICU stay than patients without ADRD. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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