کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2724359 1146144 2013 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Do Patients With Advanced Cognitive Impairment Admitted to Hospitals With Higher Rates of Feeding Tube Insertion Have Improved Survival?
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
پیش نمایش صفحه اول مقاله
Do Patients With Advanced Cognitive Impairment Admitted to Hospitals With Higher Rates of Feeding Tube Insertion Have Improved Survival?
چکیده انگلیسی

ContextResearch is conflicting on whether receiving medical care at a hospital with more aggressive treatment patterns improves survival.ObjectivesThe aim of this study was to examine whether nursing home residents admitted to hospitals with more aggressive patterns of feeding tube insertion had improved survival.MethodsUsing the 1999–2007 Minimum Data Set matched to Medicare claims, we identified hospitalized nursing home residents with advanced cognitive impairment who did not have a feeding tube inserted prior to their hospital admissions. The sample included 56,824 nursing home residents and 1773 acute care hospitals nationwide. Hospitals were categorized into nine groups based on feeding tube insertion rates and whether the rates were increasing, staying the same, or decreasing between the periods of 2000–2003 and 2004–2007. Multivariate logit models were used to examine the association between the hospital patterns of feeding tube insertion and survival among hospitalized nursing home residents with advanced cognitive impairment.ResultsNearly one in five hospitals (N = 366) had persistently high rates of feeding tube insertion. Being admitted to these hospitals with persistently high rates of feeding tube insertion was not associated with improved survival when compared with being admitted to hospitals with persistently low rates of feeding tube insertion. The adjusted odds ratios were 0.93 (95% confidence interval [CI]: 0.87, 1.01) and 1.02 (95% CI: 0.95, 1.09) for one-month and six-month posthospitalization survival, respectively.ConclusionHospitals with more aggressive patterns of feeding tube insertion did not have improved survival for hospitalized nursing home residents with advanced cognitive impairment.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pain and Symptom Management - Volume 45, Issue 3, March 2013, Pages 524–533
نویسندگان
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