TABLE 3.
Health-care use among veterans with Alzheimer’s disease and related dementias (AD/ADRD) diagnosis in 2018
| Homeless AD/ADRD N = 7363 |
At-risk AD/ADRD N = 13,667 |
Stably housed AD/ADRD N = 190,733 |
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|---|---|---|---|---|---|
| Health-care use | Mean (SD) | Adjusted difference versus stably housed (95% CI) | Mean (SD) | Adjusted difference versus stably housed(95% CI) | Mean (SD) |
| Number of emergency department visits, mean (SD) | 5.54 (9.13) | 2.88***(2.66, 3.10) | 2.86(9.44) | 1.25(0.84, 1.67) | 1.17(4.44) |
| Number of inpatient hospitalizations, mean (SD) | 1.30 (1.96) | 0.64***(0.59, 0.69) | 0.66(1.23) | 0.29***(0.25, 0.32) | 0.28(0.77) |
| Number of psychiatric hospitalizations, mean (SD) | 0.48 (1.24) | 0.15***(0.13, 0.17) | 0.06(0.39) | 0.03***(0.02, 0.04) | 0.02(0.21) |
| N (%) | Adjusted RR (95%CI) | N (%) | Adjusted RR (95%CI) | N (%) | |
| Any nursing home use, n (%) | 1046 (14.21%) | 1.57***(1.43, 1.71) | 3814 (27.91%) | 2.56***(2.29, 2.88) | 18,473(9.69%) |
| Any community-based long-term care servicea,n (%) | 1453 (19.73%) | 0.97(0.91, 1.04) | 8489 (66.11%) | 2.23***(2.08, 2.40) | 50,314(26.38%) |
Note: Zero-inflated negative binomial (acute care services) and logistic regressions (long-term care services) controlled for age, sex, race, marital status, priority status, residing in rural or urban area, combat service, and comorbidities. Standard errors were clustered at the medical center level.
a
Includes adult day health care, home based primary care, homemaker and home health aide care, hospice care, palliative care, and purchased skilled home health care.
Abbreviations: CI, confidence interval; RR, related risk; SD, standard deviation.