Trends, Predictors, and Outcomes of Healthcare Resources Used in Patients Hospitalized with Alzheimer's Disease with at Least One Procedure: The Nationwide Inpatient Sample

May A. Beydoun, Alyssa A. Gamaldo, Hind A. Beydoun, Danielle Shaked, Alan B. Zonderman, Shaker M. Eid

Research output: Contribution to journalArticle

Abstract

We assessed trends, predictors and outcomes of resource utilization in hospital inpatient discharges with a principal diagnosis of Alzheimer's disease (AD) with at least one procedure. Using Nationwide Inpatient Sample data (NIS, 2002-2012), discharges primarily diagnosed with AD, aged ≥60 y and with ≥1 procedure, were selected (Weighted n = 92,300). Hospital resource utilization were assessed using ICD-9-CM codes, while hospitalization outcomes included total charges (TC, 2012$), length of stay (LOS, days), and mortality risk (MR, %). Brain and respiratory/gastrointestinal procedure utilization both dropped annually by 3-7%, while cardiovascular procedures/evaluations, blood evaluations, blood transfusion, and resuscitation ("CVD/Blood") as well as neurophysiological and psychological evaluation and treatment ("Neuro") procedures increased by 5-8%. Total charges, length of stay, and mortality risk were all markedly higher with use of respiratory/gastrointestinal procedures as opposed to being reduced with use of "Brain" procedures. Procedure count was positively associated with all three hospitalization outcomes. In sum, patterns of hospital resources that were used among AD inpatients changed over-time, and were associated with hospitalization outcomes such as total charges, length of stay, and mortality risk.

Original languageEnglish (US)
Pages (from-to)813-824
Number of pages12
JournalJournal of Alzheimer's Disease
Volume57
Issue number3
DOIs
StatePublished - Jan 1 2017

Fingerprint

Inpatients
Alzheimer Disease
Delivery of Health Care
Length of Stay
Hospitalization
Mortality
Brain
International Classification of Diseases
Resuscitation
Blood Transfusion
Psychology

All Science Journal Classification (ASJC) codes

  • Neuroscience(all)
  • Clinical Psychology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

@article{fd2e27aab2ad47eb8917ea0d801cf701,
title = "Trends, Predictors, and Outcomes of Healthcare Resources Used in Patients Hospitalized with Alzheimer's Disease with at Least One Procedure: The Nationwide Inpatient Sample",
abstract = "We assessed trends, predictors and outcomes of resource utilization in hospital inpatient discharges with a principal diagnosis of Alzheimer's disease (AD) with at least one procedure. Using Nationwide Inpatient Sample data (NIS, 2002-2012), discharges primarily diagnosed with AD, aged ≥60 y and with ≥1 procedure, were selected (Weighted n = 92,300). Hospital resource utilization were assessed using ICD-9-CM codes, while hospitalization outcomes included total charges (TC, 2012$), length of stay (LOS, days), and mortality risk (MR, {\%}). Brain and respiratory/gastrointestinal procedure utilization both dropped annually by 3-7{\%}, while cardiovascular procedures/evaluations, blood evaluations, blood transfusion, and resuscitation ({"}CVD/Blood{"}) as well as neurophysiological and psychological evaluation and treatment ({"}Neuro{"}) procedures increased by 5-8{\%}. Total charges, length of stay, and mortality risk were all markedly higher with use of respiratory/gastrointestinal procedures as opposed to being reduced with use of {"}Brain{"} procedures. Procedure count was positively associated with all three hospitalization outcomes. In sum, patterns of hospital resources that were used among AD inpatients changed over-time, and were associated with hospitalization outcomes such as total charges, length of stay, and mortality risk.",
author = "Beydoun, {May A.} and Gamaldo, {Alyssa A.} and Beydoun, {Hind A.} and Danielle Shaked and Zonderman, {Alan B.} and Eid, {Shaker M.}",
year = "2017",
month = "1",
day = "1",
doi = "10.3233/JAD-161225",
language = "English (US)",
volume = "57",
pages = "813--824",
journal = "Journal of Alzheimer's Disease",
issn = "1387-2877",
publisher = "IOS Press",
number = "3",

}

Trends, Predictors, and Outcomes of Healthcare Resources Used in Patients Hospitalized with Alzheimer's Disease with at Least One Procedure : The Nationwide Inpatient Sample. / Beydoun, May A.; Gamaldo, Alyssa A.; Beydoun, Hind A.; Shaked, Danielle; Zonderman, Alan B.; Eid, Shaker M.

In: Journal of Alzheimer's Disease, Vol. 57, No. 3, 01.01.2017, p. 813-824.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Trends, Predictors, and Outcomes of Healthcare Resources Used in Patients Hospitalized with Alzheimer's Disease with at Least One Procedure

T2 - The Nationwide Inpatient Sample

AU - Beydoun, May A.

AU - Gamaldo, Alyssa A.

AU - Beydoun, Hind A.

AU - Shaked, Danielle

AU - Zonderman, Alan B.

AU - Eid, Shaker M.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - We assessed trends, predictors and outcomes of resource utilization in hospital inpatient discharges with a principal diagnosis of Alzheimer's disease (AD) with at least one procedure. Using Nationwide Inpatient Sample data (NIS, 2002-2012), discharges primarily diagnosed with AD, aged ≥60 y and with ≥1 procedure, were selected (Weighted n = 92,300). Hospital resource utilization were assessed using ICD-9-CM codes, while hospitalization outcomes included total charges (TC, 2012$), length of stay (LOS, days), and mortality risk (MR, %). Brain and respiratory/gastrointestinal procedure utilization both dropped annually by 3-7%, while cardiovascular procedures/evaluations, blood evaluations, blood transfusion, and resuscitation ("CVD/Blood") as well as neurophysiological and psychological evaluation and treatment ("Neuro") procedures increased by 5-8%. Total charges, length of stay, and mortality risk were all markedly higher with use of respiratory/gastrointestinal procedures as opposed to being reduced with use of "Brain" procedures. Procedure count was positively associated with all three hospitalization outcomes. In sum, patterns of hospital resources that were used among AD inpatients changed over-time, and were associated with hospitalization outcomes such as total charges, length of stay, and mortality risk.

AB - We assessed trends, predictors and outcomes of resource utilization in hospital inpatient discharges with a principal diagnosis of Alzheimer's disease (AD) with at least one procedure. Using Nationwide Inpatient Sample data (NIS, 2002-2012), discharges primarily diagnosed with AD, aged ≥60 y and with ≥1 procedure, were selected (Weighted n = 92,300). Hospital resource utilization were assessed using ICD-9-CM codes, while hospitalization outcomes included total charges (TC, 2012$), length of stay (LOS, days), and mortality risk (MR, %). Brain and respiratory/gastrointestinal procedure utilization both dropped annually by 3-7%, while cardiovascular procedures/evaluations, blood evaluations, blood transfusion, and resuscitation ("CVD/Blood") as well as neurophysiological and psychological evaluation and treatment ("Neuro") procedures increased by 5-8%. Total charges, length of stay, and mortality risk were all markedly higher with use of respiratory/gastrointestinal procedures as opposed to being reduced with use of "Brain" procedures. Procedure count was positively associated with all three hospitalization outcomes. In sum, patterns of hospital resources that were used among AD inpatients changed over-time, and were associated with hospitalization outcomes such as total charges, length of stay, and mortality risk.

UR - http://www.scopus.com/inward/record.url?scp=85017527178&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85017527178&partnerID=8YFLogxK

U2 - 10.3233/JAD-161225

DO - 10.3233/JAD-161225

M3 - Article

C2 - 28304303

AN - SCOPUS:85017527178

VL - 57

SP - 813

EP - 824

JO - Journal of Alzheimer's Disease

JF - Journal of Alzheimer's Disease

SN - 1387-2877

IS - 3

ER -