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Characteristics of Older Adults with Alzheimer’s Disease Who Were Hospitalized during the COVID-19 Pandemic: A Secondary Data Analysis

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Listed:
  • Dingyue Wang

    (School of Nursing, Duke University, Durham, NC 27710, USA)

  • Cristina C. Hendrix

    (School of Nursing, Duke University, Durham, NC 27710, USA
    GRECC Durham Veterans Affairs Medical Center, Durham, NC 27705, USA)

  • Youran Lee

    (School of Nursing, Duke University, Durham, NC 27710, USA)

  • Christian Noval

    (School of Nursing, Duke University, Durham, NC 27710, USA)

  • Nancy Crego

    (School of Nursing, Duke University, Durham, NC 27710, USA)

Abstract

We aim to investigate the relationships between the population characteristics of patients with Alzheimer’s Disease (AD) and their Healthcare Utilization (HU) during the COVID-19 pandemic. Electronic health records (EHRs) were utilized. The study sample comprised those with ICD-10 codes G30.0, G30.1, G30.8, and G30.9 between 1 January 2020 and 31 December 2021. Pearson’s correlation and multiple regression were used. The analysis utilized 1537 patient records with an average age of 82.20 years (SD = 7.71); 62.3% were female. Patients had an average of 1.64 hospitalizations (SD = 1.18) with an average length of stay (ALOS) of 7.45 days (SD = 9.13). Discharge dispositions were primarily home (55.1%) and nursing facilities (32.4%). Among patients with multiple hospitalizations, a negative correlation was observed between age and both ALOS (r = −0.1264, p = 0.0030) and number of hospitalizations (r = −0.1499, p = 0.0004). Predictors of longer ALOS included male gender ( p = 0.0227), divorced or widowed ( p = 0.0056), and the use of Medicare Advantage and other private insurance ( p = 0.0178). Male gender ( p = 0.0050) and Black race ( p = 0.0069) were associated with a higher hospitalization frequency. We recommend future studies including the co-morbidities of AD patients, larger samples, and longitudinal data.

Suggested Citation

  • Dingyue Wang & Cristina C. Hendrix & Youran Lee & Christian Noval & Nancy Crego, 2024. "Characteristics of Older Adults with Alzheimer’s Disease Who Were Hospitalized during the COVID-19 Pandemic: A Secondary Data Analysis," IJERPH, MDPI, vol. 21(6), pages 1-9, May.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:6:p:703-:d:1405352
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    References listed on IDEAS

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    1. Brian Downer & Soham Al Snih & Mukaila Raji & Lin-Na Chou & Yong-Fang Kuo & Kyriakos S Markides & Kenneth J Ottenbacher, 2020. "Healthcare utilization of Mexican-American Medicare beneficiaries with and without Alzheimer’s disease and related dementias," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-16, January.
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