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Title of Journal: J GEN INTERN MED

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Abbravation: Journal of General Internal Medicine

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Springer-Verlag

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10.1016/0304-3991(91)90177-8

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1525-1497

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Disability and Decline in Physical Function Associ

Authors: Amy S Kelley Susan L Ettner R Sean Morrison Qingling Du Catherine A Sarkisian
Publish Date: 2012/03/02
Volume: 27, Issue: 7, Pages: 794-800
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Abstract

We sampled decedents aged 65 and older n = 2493 from the Health and Retirement Study 2000–2006 and linked data from individual Medicare claims and the Dartmouth Atlas of Health Care Twopart regression models estimated the relationship between total hospital days in the last 6 months and patient characteristics including physical function while adjusting for regional resources and hospital care intensity HCIMedian hospital days was 7 range = 0–183 53 of respondents had functional decline Compared with decedents without functional decline those with severe disability or decline had more regressionadjusted hospital days range 347–905 depending on category Dementia was associated with fewer days −302 while chronic kidney disease 237 diabetes 240 stroke or transient ischemic attack 211 and congestive heart failure 174 were associated with more days African Americans and Hispanics had more days 591 and 461 respectively Those with family nearby had 162 fewer days and hospice enrollees had 188 fewer days Additional hospital days were associated with urban residence 174 and residence in a region with more specialists 197 and higher HCI 227Dr Kelley is a Brookdale Leadership in Aging Fellow Dr Morrison is the recipient of a MidCareer Investigator Award in PatientOriented Research K24 AG022345 from the National Institute on Aging and supported by the National Palliative Care Research Center Dr Sarkisian is supported by the VA Greater Los Angeles Healthcare System Geriatric Research Education Clinical Center No sponsors or funders had any role in the design and conduct of the study collection management analysis and interpretation of the data or preparation review or approval of the manuscript

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