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Use and cost of hospitalization of patients with AD by stage and living arrangement: CERAD XXI.

Publication ,  Journal Article
Fillenbaum, G; Heyman, A; Peterson, BL; Pieper, CF; Weiman, AL
Published in: Neurology
January 23, 2001

OBJECTIVE: To determine the probability, frequency, length of stay, and Medicare costs of hospitalization of institutionalized and noninstitutionalized patients with AD at various stages of dementia. METHODS: The authors analyzed the 1991 to 1995 Medicare records of 420 CERAD patients with AD, a group which, at entry, had no serious comorbidities. They were geographically distributed across the United States and observed for a median of 2.5 years. Repeated measures logistic regression and generalized estimating equations were used to model the probability of hospitalization. Among those hospitalized, the general linear mixed model was used to determine number of admissions, length of stay, and Medicare cost. Demographic characteristics and calendar date were controlled in all analyses. RESULTS: As dementia worsened, the probability of hospitalization increased among patients living at home, but decreased among those who were institutionalized. Number of admissions, length of stay, and cost also decreased significantly as stage worsened among the institutionalized patients, but the stage of dementia had no effect in non-institutionalized patients. CONCLUSION: The hospitalization experience of patients with AD living at home differs from that of patients with AD living in institutions. Residential setting appears to be an important determinant of hospitalization in patients with AD.

Duke Scholars

Published In

Neurology

DOI

ISSN

0028-3878

Publication Date

January 23, 2001

Volume

56

Issue

2

Start / End Page

201 / 206

Location

United States

Related Subject Headings

  • United States
  • Time Factors
  • Residence Characteristics
  • Neurology & Neurosurgery
  • Medicare
  • Male
  • Humans
  • Hospitalization
  • Female
  • Alzheimer Disease
 

Citation

APA
Chicago
ICMJE
MLA
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Fillenbaum, G., Heyman, A., Peterson, B. L., Pieper, C. F., & Weiman, A. L. (2001). Use and cost of hospitalization of patients with AD by stage and living arrangement: CERAD XXI. Neurology, 56(2), 201–206. https://doi.org/10.1212/wnl.56.2.201
Fillenbaum, G., A. Heyman, B. L. Peterson, C. F. Pieper, and A. L. Weiman. “Use and cost of hospitalization of patients with AD by stage and living arrangement: CERAD XXI.Neurology 56, no. 2 (January 23, 2001): 201–6. https://doi.org/10.1212/wnl.56.2.201.
Fillenbaum G, Heyman A, Peterson BL, Pieper CF, Weiman AL. Use and cost of hospitalization of patients with AD by stage and living arrangement: CERAD XXI. Neurology. 2001 Jan 23;56(2):201–6.
Fillenbaum, G., et al. “Use and cost of hospitalization of patients with AD by stage and living arrangement: CERAD XXI.Neurology, vol. 56, no. 2, Jan. 2001, pp. 201–06. Pubmed, doi:10.1212/wnl.56.2.201.
Fillenbaum G, Heyman A, Peterson BL, Pieper CF, Weiman AL. Use and cost of hospitalization of patients with AD by stage and living arrangement: CERAD XXI. Neurology. 2001 Jan 23;56(2):201–206.

Published In

Neurology

DOI

ISSN

0028-3878

Publication Date

January 23, 2001

Volume

56

Issue

2

Start / End Page

201 / 206

Location

United States

Related Subject Headings

  • United States
  • Time Factors
  • Residence Characteristics
  • Neurology & Neurosurgery
  • Medicare
  • Male
  • Humans
  • Hospitalization
  • Female
  • Alzheimer Disease