ArticleCirculation. Cardiovascular quality and outcomes2025
Association of Alzheimer's Disease and Related Dementias (ADRD) With Days at Home Among Medicare Beneficiaries After a Heart Failure Hospitalization.
Article in Circulation. Cardiovascular quality and outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundOlder adults with concomitant heart failure (HF) and Alzheimer's Disease and Related Dementias (ADRD) are at high risk for adverse outcomes, including health care utilization and mortality. Increasingly, adults with these conditions want to maximize quality of life and days at home (DAH). This study aimed to determine the association between ADRD and DAH following HF hospitalization.
methodsThis retrospective cohort analysis draws from a 20% random sample from 2017 to 2019 Medicare claims of beneficiaries who survived HF hospitalization. The primary outcome was mean DAH 6 months post-hospitalization. Exposure was defined as the presence of diagnosed ADRD, extracted from the Master Beneficiary Summary Base File Chronic Conditions subfile. Multivariable negative binomial regression was used to examine the adjusted association between ADRD and DAH, with covariates selected in accordance with the Andersen model of health care utilization.
resultsThe 74,908 Medicare beneficiaries in the cohort had a mean age of 79.1 years (SD 11); half were men (50.0%) and 82.3% were non-Hispanic White. Overall, 18% (n=14,396) had ADRD. Beneficiaries with concomitant ADRD were older, more likely to be female, and more likely to have dual Medicaid/Medicare eligibility compared with those without ADRD. Although DAH in the 6 months preceding admission was similar, following hospitalization those with concomitant ADRD had less time at home (mean DAH 120.7 [65.9] for those with ADRD versus 136.4 [59.7] for those without ADRD). When adjusting for patient characteristics, hospitalization course, and hospital and geographic-level fixed effects, this difference persisted: patients with HF and ADRD spent an estimated 6% fewer DAH post-hospitalization (incidence rate ratio, 0.94 0.93-0.95). In the 6 months post-hospitalization, 10.2% of patients with HF and ADRD spent ≤7 DAH. The odds of spending ≤7 DAH were 24% higher for patients with ADRD (odds ratio, 1.24 [95% CI, 1.16-1.33]).
conclusionsFollowing HF hospitalization, Medicare beneficiaries with ADRD spent significantly fewer DAH than those without ADRD. Identifying and addressing the unmet needs of this population after hospitalization is crucial.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.