Hospital and nursing home use from 2002 to 2008 among US older adults with cognitive impairment, not dementia in 2002

Daniel Clark, Timothy E. Stump, Wanzhu Tu, Douglas K. Miller, Kenneth M. Langa, Frederick Unverzagt, Christopher Callahan

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Little is known about health care use in the cognitive impairment, not dementia (CIND) subpopulation. Using a cohort of 7130 persons aged 71 years or over from the Health and Retirement Survey, we compared mean and total health care use from 2002 to 2008 for those with no cognitive impairment, CIND, or dementia in 2002. Cognitive status was determined using a validated method based on self or proxy interview measures. Health care use was also based on self or proxy reports. On the basis of the Health and Retirement Survey, the CIND subpopulation in 2002 was 5.3 million or 23% of the total population 71 years of age or over. Mean hospital nights was similar and mean nursing home nights was less in persons with CIND compared with persons with dementia. The CIND subpopulation, however, had more total hospital and nursing home nights - 71,000 total hospital nights and 223,000 total nursing home nights versus 32,000 hospital nights and 138,000 nursing home nights in the dementia subpopulation. A relatively large population and high health care use result in a large health care impact of the CIND subpopulation.

Original languageEnglish
Pages (from-to)372-378
Number of pages7
JournalAlzheimer Disease and Associated Disorders
Volume27
Issue number4
DOIs
StatePublished - Oct 2013

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Nursing Homes
Dementia
Delivery of Health Care
Retirement
Proxy
Health Surveys
Cognitive Dysfunction
Population
Interviews

Keywords

  • cognitive impairment
  • health services use
  • older adults

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health
  • Gerontology
  • Clinical Psychology

Cite this

Hospital and nursing home use from 2002 to 2008 among US older adults with cognitive impairment, not dementia in 2002. / Clark, Daniel; Stump, Timothy E.; Tu, Wanzhu; Miller, Douglas K.; Langa, Kenneth M.; Unverzagt, Frederick; Callahan, Christopher.

In: Alzheimer Disease and Associated Disorders, Vol. 27, No. 4, 10.2013, p. 372-378.

Research output: Contribution to journalArticle

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