دورية أكاديمية
Determinants of death in the hospital among older adults.
| العنوان: | Determinants of death in the hospital among older adults. |
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| المؤلفون: | Kelley AS; Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine, New York, New York, USA. amy.kelley@mssm.edu, Ettner SL, Wenger NS, Sarkisian CA |
| المصدر: | Journal of the American Geriatrics Society [J Am Geriatr Soc] 2011 Dec; Vol. 59 (12), pp. 2321-5. Date of Electronic Publication: 2011 Nov 08. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Science Country of Publication: United States NLM ID: 7503062 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-5415 (Electronic) Linking ISSN: 00028614 NLM ISO Abbreviation: J Am Geriatr Soc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Malden, MA : Blackwell Science Original Publication: New York [etc.] |
| مواضيع طبية MeSH: | Hospital Mortality/*trends, Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Multivariate Analysis ; Risk Factors ; Socioeconomic Factors |
| مستخلص: | Objectives: To investigate patient-level determinants of in-hospital death, adjusting for patient and regional characteristics. Design: Using multivariable regression, the relationship between in-hospital death and participants' social, functional, and health characteristics was investigated, controlling for regional Hospital Care Intensity Index (HCI) from the Dartmouth Atlas of Health Care. Setting: The Health and Retirement Study, a longitudinal nationally representative cohort of older adults. Participants: People aged 67 and older who died between 2,000 and 2,006 (N = 3,539) were sampled. Measurements: In-hospital death. Results: Thirty-nine percent (n = 1,380) of participants died in the hospital (range 34% in Midwest to 45% in Northeast). Nursing home residence, functional dependence, and cancer or dementia diagnosis, among other characteristics, were associated with lower adjusted odds of in-hospital death. Being black or Hispanic, living alone, and having more medical comorbidities were associated with greater adjusted odds, as was higher HCI. Sex, education, net worth, and completion of an advance directive did not correlate with in-hospital death. Conclusion: Black race, Hispanic ethnicity, and other functional and social characteristics are correlates of in-hospital death, even after controlling for the role of HCI. Further work must be done to determine whether preferences, provider characteristics and practice patterns, or differential access to medical and community services drive this difference. (© 2011, Copyright the Authors Journal compilation © 2011, The American Geriatrics Society.) |
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| معلومات مُعتمدة: | K24 AG022345 United States AG NIA NIH HHS; P30 AG028741 United States AG NIA NIH HHS |
| تواريخ الأحداث: | Date Created: 20111119 Date Completed: 20120213 Latest Revision: 20220330 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC4051314 |
| DOI: | 10.1111/j.1532-5415.2011.03718.x |
| PMID: | 22092014 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1532-5415 |
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| DOI: | 10.1111/j.1532-5415.2011.03718.x |