Table 1.

Characteristics of Hospitalized Nursing Home Residents with Advanced Dementia, 2000–2010

	Attending physician type:
	Generalist n=78,422	Hospitalist n=38,731	Specialist n=11,836
Patient characteristics:
Male, %	29.14	27.88	31.51
Age, mean ± SD	83.78 ± 7.52	83.56 ± 7.63	82.97 ± 7.83
Race, %
White	78.68	69.94	68.13
Black	17.39	24.37	24.90
Other	3.93	5.69	6.97
Illness Characteristics:
Functional impairment, mean ± SD	25.00 ± 3.55	24.87 ± 3.59	25.10 ± 3.58
Pre-admission CHESS, mean ± SD	.80 ± 1.01	0.75 ± 0.97	0.82 ± 1.03
CPS Score = 6, %	58.9	30.1	11.0
Pre-admission diagnoses, %
Cancer	5.84	5.59	6.64
CHF	23.41	22.78	23.83
Diabetes	30.68	33.46	33.71
Pneumonia	10.79	11.14	13.31
Hip fracture	5.38	5.26	4.37
CVA/stroke	32.96	33.19	35.76
Schizophrenia	2.71	3.25	2.40
Renal disease	6.11	6.91	9.04
Parkinson’s disease	10.15	9.14	9.32
Alzheimer’s disease	33.85	31.96	27.11
Bipolar disease	1.55	1.78	1.27
COPD	15.25	15.53	16.94
Paraplegia	14.28	14.79	16.63
Hemiplegia	0.24	0.19	0.35
Aphasia	13.57	13.57	13.39
Pre-admission goals of care, %
DNR	53.89	49.62	41.17
DNH	1.41	1.48	1.16
Hospitalization characteristics:
Generalist continuity, %	62.10	24.91	1.97
Specialist continuity, %	1.84	1.72	32.04
Hospice discharge, %	5.36	7.51	5.56

Source: Medicare fee-for-service claims data, 2000–2010.

Notes: *mean (standard deviation). ADL is Activities of Daily Living, as measured by the Late Loss Activities of Daily Living Scale, CHESS is Changes in Health, End-Stage Disease, Signs and Symptoms Scale, CPS is Cognitive Performance Scale, CHF is congestive heart failure, COPD is chronic obstructive pulmonary disease, DNR is do not resuscitate order in place, DNH is do not hospitalize order in place. This sample is limited to those included in the regression model: hospital length of stay≥3 days, did not die in the hospital.