Resource use in the last 6 months of life among medicare beneficiaries with heart failure, 2000-2007

Kathleen Unroe, Melissa A. Greiner, Adrian F. Hernandez, David J. Whellan, Padma Kaul, Kevin A. Schulman, Eric D. Peterson, Lesley H. Curtis

Research output: Contribution to journalArticle

116 Citations (Scopus)

Abstract

Background: Heart failure is a common cause of death among Medicare beneficiaries, but little is known about health care resource use at the end of life. Methods: In a retrospective cohort study of 229 543 Medicare beneficiaries with heart failure who died between January 1, 2000, and December 31, 2007, we examined resource use in the last 180 days of life, including all-cause hospitalizations, intensive care unit days, skilled nursing facility stays, home health, hospice, durable medical equipment, outpatient physician visits, and cardiac procedures. We calculated overall costs to Medicare and predictors of costs. Results: Approximately 80% of patients were hospitalized in the last 6 months of life; days in intensive care increased from 3.5 to 4.6 (P

Original languageEnglish (US)
Pages (from-to)196-203
Number of pages8
JournalArchives of Internal Medicine
Volume171
Issue number3
DOIs
StatePublished - Feb 14 2011
Externally publishedYes

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Medicare
Heart Failure
Durable Medical Equipment
Skilled Nursing Facilities
Costs and Cost Analysis
Hospices
Health Resources
Critical Care
Intensive Care Units
Cause of Death
Hospitalization
Cohort Studies
Outpatients
Retrospective Studies
Delivery of Health Care
Physicians
Health

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Unroe, K., Greiner, M. A., Hernandez, A. F., Whellan, D. J., Kaul, P., Schulman, K. A., ... Curtis, L. H. (2011). Resource use in the last 6 months of life among medicare beneficiaries with heart failure, 2000-2007. Archives of Internal Medicine, 171(3), 196-203. https://doi.org/10.1001/archinternmed.2010.371

Resource use in the last 6 months of life among medicare beneficiaries with heart failure, 2000-2007. / Unroe, Kathleen; Greiner, Melissa A.; Hernandez, Adrian F.; Whellan, David J.; Kaul, Padma; Schulman, Kevin A.; Peterson, Eric D.; Curtis, Lesley H.

In: Archives of Internal Medicine, Vol. 171, No. 3, 14.02.2011, p. 196-203.

Research output: Contribution to journalArticle

Unroe, K, Greiner, MA, Hernandez, AF, Whellan, DJ, Kaul, P, Schulman, KA, Peterson, ED & Curtis, LH 2011, 'Resource use in the last 6 months of life among medicare beneficiaries with heart failure, 2000-2007', Archives of Internal Medicine, vol. 171, no. 3, pp. 196-203. https://doi.org/10.1001/archinternmed.2010.371
Unroe, Kathleen ; Greiner, Melissa A. ; Hernandez, Adrian F. ; Whellan, David J. ; Kaul, Padma ; Schulman, Kevin A. ; Peterson, Eric D. ; Curtis, Lesley H. / Resource use in the last 6 months of life among medicare beneficiaries with heart failure, 2000-2007. In: Archives of Internal Medicine. 2011 ; Vol. 171, No. 3. pp. 196-203.
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