Abstract
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 <0.0001) were history of CHF, stroke, angina, hypertension, In (timed walk), In (blocks walked/week), age, gender, and clinic site. Factors not entering the model (p >0.05) were income, education, smoking, diabetes, weight, dietary fat, marital status, depression, and measures of mental function. Conclusion: In the elderly, existing health status is the major determinant of hospitalization and overwhelms many classic 'risk factors' for morbidity.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 27-35 |
| Number of pages | 9 |
| Journal | American Journal of Geriatric Cardiology |
| Volume | 7 |
| Issue number | 3 |
| State | Published - May 1998 |
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ASJC Scopus subject areas
- Geriatrics and Gerontology
- Cardiology and Cardiovascular Medicine
Cite this
Factors associated with hospital utilization in the elderly : From the cardiovascular health study. / Robbins, John A; Yanez, D.; Powe, N. R.; Savage, P. J.; Ives, D. G.; Gardin, J. M.; Lyles, M.
In: American Journal of Geriatric Cardiology, Vol. 7, No. 3, 05.1998, p. 27-35.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Factors associated with hospital utilization in the elderly
T2 - From the cardiovascular health study
AU - Robbins, John A
AU - Yanez, D.
AU - Powe, N. R.
AU - Savage, P. J.
AU - Ives, D. G.
AU - Gardin, J. M.
AU - Lyles, M.
PY - 1998/5
Y1 - 1998/5
N2 - 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 <0.0001) were history of CHF, stroke, angina, hypertension, In (timed walk), In (blocks walked/week), age, gender, and clinic site. Factors not entering the model (p >0.05) were income, education, smoking, diabetes, weight, dietary fat, marital status, depression, and measures of mental function. Conclusion: In the elderly, existing health status is the major determinant of hospitalization and overwhelms many classic 'risk factors' for morbidity.
AB - 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 <0.0001) were history of CHF, stroke, angina, hypertension, In (timed walk), In (blocks walked/week), age, gender, and clinic site. Factors not entering the model (p >0.05) were income, education, smoking, diabetes, weight, dietary fat, marital status, depression, and measures of mental function. Conclusion: In the elderly, existing health status is the major determinant of hospitalization and overwhelms many classic 'risk factors' for morbidity.
UR - http://www.scopus.com/inward/record.url?scp=0031954460&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031954460&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:0031954460
VL - 7
SP - 27
EP - 35
JO - American Journal of Geriatric Cardiology
JF - American Journal of Geriatric Cardiology
SN - 1076-7460
IS - 3
ER -