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Coronary Heart Disease in Older Adults Living in Residential Care Facilities: 2010 National Survey of Residential Care Facilities

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We also evaluated the proportion of residents requiring assistance in their activities of daily living (ADLs) according to the KATZ scale. Within our cohort of residents ≥65 years old, the majority of residents with CHD needed assistance with 3-4 ADLs (p=0.18) (Figure 1). However, this was found this to not be statistically significant. Excluding the presence of CHD, persons within the CHD cohort were found to have a greater number of chronic conditions on average than those without CDH (CHD: 3.2 ± 1.7 non CHD 2.5 ± 1.4, p<0.0001) (Figure 2). Over the past 12 months, more residents with CHD had ER visits or overnight hospital stays after their arrival to the RCF than those without CHD (Figure 3). 42% of persons with CHD required Emergency Visits compared to 33% of persons without CHD (p<0.0001). Similarly, 31% of persons with CHD were hospitalized after arrival to the RCF compared to 22% of persons without CHD (p<0.0001). To better assess the odds of Overnight Hospitalization within our study cohort, we conducted multivariable logistic regression (Table 2). No sociodemographic variables, such as age, gender, or Medicaid coverage, were found to be significant and therefore are not included in Table 2. However, chronic conditions including high blood pressure (OR=1.17, CI: 1.04, 1.31), heart attack (OR=1.42, CI: 1.11-1.56), and CHF (OR=1.68 CI: 1.45, 196) were found to be positively associated with the overnight hospital stays. After adjusting for resident characteristics and health conditions (listed in Table 1), the adjusted odds of overnight hospitalization after arrival to the RCF was 1.29 times greater for patients with CHD than those without CHD (95% CI: 1.10, 1.51). The presence of chronic conditions, particular... ... middle of paper ... ... Meeting Preliminary Draft Working Paper Please Do Not Cite or Distribute without Permission Abstract Health Services Utilization of Residents in Assisted Living Com. 1–21 (2013). at 9. Moss, A. J. et al. Design and operation of the 2010 National Survey of Residential Care Facilities. Vital Health Stat. 1. 1–131 (2011). at 10. Balancing Incentive Program | Medicaid.gov. at 11. Shelkey, B. M. & Mason, V. Katz Index of Independence in Activities of Daily Living ( ADL ) Katz Index of Independence in Activities of Daily Living. 185, (2012).

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