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Factors Associated With Hospital Utilization in the Elderly: From the Cardiovascular Health Study.
Tuesday,2012-11-06 12:05 America/Los_Angeles — eenright
| Title | Factors Associated With Hospital Utilization in the Elderly: From the Cardiovascular Health Study. |
| Publication Type | Journal Article |
| Year of Publication | 1998 |
| Authors | Robbins, JA, Yanez, D, Powe, NR, Savage, PJ, Ives, DG, Gardin, JM, Lyles, M |
| Journal | Am J Geriatr Cardiol |
| Volume | 7 |
| Issue | 3 |
| Pagination | 27-35 |
| Date Published | 1998 May |
| ISSN | 1751-715X |
| Abstract | <p>OBJECTIVE: Analyze clinical, accepted biochemical, physiologic, and socioeconomic risk factors and correlate them with hospital utilization in an elderly population. DESIGN: Prospective, observational study in a defined, randomly recruited population. PARTICIPANTS: 5201 Medicare participants enrolled in the Cardiovascular Health Study (CHS). METHODS: Medicare recipients were randomly assigned to participate in an observational study. Baseline data were compared to hospital admissions and days of hospitalization over four years. DATA ANALYSIS: Data were grouped by type of risk factor and analyzed by Tobit analysis and logistic regression. RESULTS: Baseline variables associated with hospital use (p is less than 0.0001) were history of CHF, stroke, angina, hypertension, ln (timed walk), ln (blocks walked/week), age, gender, and clinic site. Factors not entering the model (p is greater than 0.05) were income, education, smoking, diabetes, weight, dietary fat, marital status, depression, and measures of mental function. CONCLUSIONS: In the elderly, existing health status is the major determinant of hospitalization and overwhelms many classic "risk factors" for morbidity.</p> |
| Alternate Journal | Am J Geriatr Cardiol |
| PubMed ID | 11416456 |