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

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

Research output: Contribution to journalArticle

4 Citations (Scopus)

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
Externally publishedYes

Fingerprint

Medicare
Observational Studies
Health
Hospitalization
Dietary Fats
Marital Status
Population
Health Status
Logistic Models
Smoking
Prospective Studies
Depression
Morbidity
Education
Weights and Measures

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Cardiology and Cardiovascular Medicine

Cite this

Robbins, J. A., Yanez, N., 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.

Factors associated with hospital utilization in the elderly : From the cardiovascular health study. / Robbins, J. A.; Yanez, Norbert; 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 journalArticle

Robbins, JA, Yanez, N, Powe, NR, Savage, PJ, Ives, DG, Gardin, JM & Lyles, M 1998, 'Factors associated with hospital utilization in the elderly: From the cardiovascular health study', American Journal of Geriatric Cardiology, vol. 7, no. 3, pp. 27-35.
Robbins, J. A. ; Yanez, Norbert ; Powe, N. R. ; Savage, P. J. ; Ives, D. G. ; Gardin, J. M. ; Lyles, M. / Factors associated with hospital utilization in the elderly : From the cardiovascular health study. In: American Journal of Geriatric Cardiology. 1998 ; Vol. 7, No. 3. pp. 27-35.
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