Mechanical Ventilation and Survival in Patients With Advanced Dementia in Medicare Advantage.

ABSTRACT:

Context

Medicare Advantage (MA) cares for an increasing proportion of traditional Medicare (TM) patients although, the association of MA on low-value care among hospitalized patients is uncertain.

Objectives

We sought to determine whether invasive mechanical ventilation (IMV) use or mortality differs among hospitalized patients with advanced dementia (AD) enrolled in MA vs. TM and the influence of hospital MA concentration.

Methods

Retrospective cohort of hospitalized Medicare patients from 2016 to 2017 who were ≥66 years old with AD (n=147,153) and had a hospitalization with an assessment completed during a nursing home stay ≤120 days prior to that hospitalization indicating AD and severe cognitive/functional impairment. MA enrollment was ascertained at hospitalizati

SUBMITTER: Sullivan DR 

PROVIDER: S-EPMC9124676 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature