Circulatory Diseases in the U.S. Elderly in the Linked National Long-Term Care Survey-Medicare Database: Population-Based Analysis of Incidence, Comorbidity, and Disability.


Journal Article

Incidence rates of acute coronary heart disease (ACHD; including myocardial infarction and angina pectoris), stroke, and heart failure (HF) were studied for their age, disability, and comorbidity patterns in the U.S. elderly population using the National Long Term Care Survey (NLTCS) data linked to Medicare records for 1991-2005. Incidence rates increased with age with a decrease in the oldest old (stroke and HF) or were stable at all ages (ACHD). For all diseases, incidence rates were lower among institutionalized individuals and higher in individuals with higher comorbidity indices. The results could be used for understanding currently debated effects of biomedical research, screening, and therapeutic innovations on changes in disease incidence with advancing age as well as for projecting future Medicare costs.

Full Text

Duke Authors

Cited Authors

  • Akushevich, I; Kravchenko, J; Ukraintseva, S; Arbeev, K; Yashin, AI

Published Date

  • July 2013

Published In

Volume / Issue

  • 35 / 4

Start / End Page

  • 437 - 458

PubMed ID

  • 26609189

Pubmed Central ID

  • 26609189

Electronic International Standard Serial Number (EISSN)

  • 1552-7573

Digital Object Identifier (DOI)

  • 10.1177/0164027512446941


  • eng

Conference Location

  • United States