Temporal Trends and Rural-Urban Differences in Hospital Length of Stay for Alzheimer Disease and Related Disorders

Samuel T.Y. Opoku; Bettye A. Apenteng; Ge Lin

doi:10.1097/WAD.0000000000000183

Temporal Trends and Rural-Urban Differences in Hospital Length of Stay for Alzheimer Disease and Related Disorders

Samuel T.Y. Opoku, Bettye A. Apenteng, Ge Lin

Health Policy & Community Health

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Objectives: The aim of this study was to assess rural-urban differences and temporal trends in length of inpatient stay among patients diagnosed with Alzheimer disease and related dementia (ADRD). Materials and Methods: The study sample comprised 27,313 ADRD and 27,313 matched non-ADRD inpatient discharges from Nebraska hospitals from 2005 to 2011. Descriptive statistics and multivariable regression models were used to assess rural-urban variations and temporal trends in length of stay (LOS). Results: LOS was found to be similar for ADRD and non-ADRD-related hospitalizations. No rural-urban differences in LOS were observed for ADRD-related hospitalizations. However, there was a temporal decline in LOS for ADRD-related hospitalizations. Conclusions: LOS for ADRD-related hospitalizations was found to be influenced mostly by patient-level demographic and clinical factors. Hospital-level factors were not associated with LOS.

Original language	English
Pages (from-to)	244-248
Number of pages	5
Journal	Alzheimer Disease and Associated Disorders
Volume	31
Issue number	3
DOIs	https://doi.org/10.1097/WAD.0000000000000183
State	Published - 2017

Keywords

Alzheimer disease
aging
dementia
health disparity
rural

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1097/WAD.0000000000000183

Cite this

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title = "Temporal Trends and Rural-Urban Differences in Hospital Length of Stay for Alzheimer Disease and Related Disorders",

abstract = "Objectives: The aim of this study was to assess rural-urban differences and temporal trends in length of inpatient stay among patients diagnosed with Alzheimer disease and related dementia (ADRD). Materials and Methods: The study sample comprised 27,313 ADRD and 27,313 matched non-ADRD inpatient discharges from Nebraska hospitals from 2005 to 2011. Descriptive statistics and multivariable regression models were used to assess rural-urban variations and temporal trends in length of stay (LOS). Results: LOS was found to be similar for ADRD and non-ADRD-related hospitalizations. No rural-urban differences in LOS were observed for ADRD-related hospitalizations. However, there was a temporal decline in LOS for ADRD-related hospitalizations. Conclusions: LOS for ADRD-related hospitalizations was found to be influenced mostly by patient-level demographic and clinical factors. Hospital-level factors were not associated with LOS.",

keywords = "Alzheimer disease, aging, dementia, health disparity, rural",

author = "Opoku, {Samuel T.Y.} and Apenteng, {Bettye A.} and Ge Lin",

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pages = "244--248",

journal = "Alzheimer Disease and Associated Disorders",

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publisher = "Lippincott Williams and Wilkins Ltd.",

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T1 - Temporal Trends and Rural-Urban Differences in Hospital Length of Stay for Alzheimer Disease and Related Disorders

AU - Opoku, Samuel T.Y.

AU - Apenteng, Bettye A.

AU - Lin, Ge

PY - 2017

Y1 - 2017

N2 - Objectives: The aim of this study was to assess rural-urban differences and temporal trends in length of inpatient stay among patients diagnosed with Alzheimer disease and related dementia (ADRD). Materials and Methods: The study sample comprised 27,313 ADRD and 27,313 matched non-ADRD inpatient discharges from Nebraska hospitals from 2005 to 2011. Descriptive statistics and multivariable regression models were used to assess rural-urban variations and temporal trends in length of stay (LOS). Results: LOS was found to be similar for ADRD and non-ADRD-related hospitalizations. No rural-urban differences in LOS were observed for ADRD-related hospitalizations. However, there was a temporal decline in LOS for ADRD-related hospitalizations. Conclusions: LOS for ADRD-related hospitalizations was found to be influenced mostly by patient-level demographic and clinical factors. Hospital-level factors were not associated with LOS.

AB - Objectives: The aim of this study was to assess rural-urban differences and temporal trends in length of inpatient stay among patients diagnosed with Alzheimer disease and related dementia (ADRD). Materials and Methods: The study sample comprised 27,313 ADRD and 27,313 matched non-ADRD inpatient discharges from Nebraska hospitals from 2005 to 2011. Descriptive statistics and multivariable regression models were used to assess rural-urban variations and temporal trends in length of stay (LOS). Results: LOS was found to be similar for ADRD and non-ADRD-related hospitalizations. No rural-urban differences in LOS were observed for ADRD-related hospitalizations. However, there was a temporal decline in LOS for ADRD-related hospitalizations. Conclusions: LOS for ADRD-related hospitalizations was found to be influenced mostly by patient-level demographic and clinical factors. Hospital-level factors were not associated with LOS.

KW - Alzheimer disease

KW - aging

KW - dementia

KW - health disparity

KW - rural

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JO - Alzheimer Disease and Associated Disorders

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ER -

Temporal Trends and Rural-Urban Differences in Hospital Length of Stay for Alzheimer Disease and Related Disorders

Abstract

Keywords

UN SDGs

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