Factors associated with hospital utilization in the elderly: From the cardiovascular health study

John A Robbins, D. Yanez, N. R. Powe, P. J. Savage, D. G. Ives, J. M. Gardin, M. Lyles

Research output: Contribution to journalArticle

4 Scopus citations

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 languageEnglish (US)
Pages (from-to)27-35
Number of pages9
JournalAmerican Journal of Geriatric Cardiology
Volume7
Issue number3
StatePublished - May 1998

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Cardiology and Cardiovascular Medicine

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    Robbins, J. A., Yanez, D., Powe, N. R., Savage, P. J., Ives, D. G., Gardin, J. M., & Lyles, M. (1998). Factors associated with hospital utilization in the elderly: From the cardiovascular health study. American Journal of Geriatric Cardiology, 7(3), 27-35.