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. 2013 Jul 17;310(3):319-20.
doi: 10.1001/jama.2013.8392.

Survival after multiple hospitalizations for infections and dehydration in nursing home residents with advanced cognitive impairment

Joan M Teno  1 , Pedro Gozalo, Susan L Mitchell, Denise Tyler, Vincent Mor
Affiliations

Survival after multiple hospitalizations for infections and dehydration in nursing home residents with advanced cognitive impairment

Joan M Teno et al. JAMA. .
No abstract available

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Conflict of interest statement

Conflict of Interest Disclosures: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr Teno reported serving on the National Hospice and Palliative Care Organization board of directors. Dr Mor reported serving on the board of the Tufts Health Plan Foundation, Home and Hospice Care of Rhode Island, Jewish Alliance of Rhode Island, PointRight Inc, NaviHealth Inc, hcr-Manorcare, and AcademyHealth; serving as a consultant to the Alliance for Nursing Home Quality, Abt Associates Inc, Econometric Inc, Research Triangle Inc, and AARP Public Policy Center; providing expert testimony for the Senate Health and Aging Committee on End of LIfe Care and for a Congressional Briefing by Kidney Care Partners; has received payment for lectures from the Alliance for Nursing Home Quality, Yale University, Rutgers University, and the Congressional Budget Office; and owning stock in PointRight Inc and NaviHealth Inc. No other disclosures were reported.

Figures

Figure
Figure. Adjusted 180-Day Survival of 1.3 Million Nursing Home Residents With Advanced Cognitive Impairment With 2 or More Hospitalizations for Selected Complications
This adjusted 180-day survival curve is based on a competing risk model in nursing home residents with advanced cognitive impairment who experienced 2 or more hospitalizations for selected complications vs overall survival for those without complications. For nursing home residents with 2 or more of these complications, survival time was included up to the point of the second complication.
See this image and copyright information in PMC

References

    1. Mitchell SL, Teno JM, Kiely DK, et al. The clinical course of advanced dementia. N Engl J Med. 2009;361(16):1529–1538. - PMC - PubMed
    1. Mor V. A comprehensive clinical assessment tool to inform policy and practice: applications of the Minimum Data Set. Med Care. 2004;42(4) suppl:III50–III59. - PubMed
    1. Morris JN, Fries BE, Mehr DR, et al. MDS Cognitive Performance Scale. J Gerontol. 1994;49(4):M174–M182. - PubMed
    1. Mor V, Intrator O, Unruh MA, Cai S. Temporal and geographic variation in the validity and internal consistency of the nursing home resident assessment Minimum Data Set 2.0. BMC Health Serv Res. 2011;11:78. - PMC - PubMed
    1. Stata News website. In the spotlight: competing-risks regression. [Accessed April 3, 2013]; http://www.stata.com/news/statanews.25.4.pdf.

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