Table 2.
Crude and risk-adjusted advance care planning, DNR orders, treatment intensity and mortality rates among hospitalized older adults with COVID-19 March-June 2020, by dementia status
Variable | No Dementia | Dementia | OR | LB 95% CI | UB 95% CI | p-value |
---|---|---|---|---|---|---|
Crude | ||||||
ACP | 17% | 28% | 2.1 | 1.7 | 2.7 | <0.0001 |
DNR | 22% | 52% | 4.3 | 3.5 | 5.2 | <0.0001 |
ICU | 28% | 26% | 0.9 | 0.7 | 1.1 | 0.258 |
MV | 16% | 11% | 0.6 | 0.5 | 0.8 | 0.001 |
Mortality | 14% | 22% | 1.9 | 1.5 | 2.3 | <0.0001 |
Risk-Adjusted * | ||||||
ACP | 17% | 26% | 1.8 | 1.4 | 2.3 | <0.0001 |
DNR | 21% | 47% | 3.6 | 2.9 | 4.4 | <0.0001 |
ICU | 28% | 26% | 0.9 | 0.7 | 1.2 | 0.487 |
MV | 16% | 12% | 0.7 | 0.5 | 1.0 | 0.044 |
Mortality | 13% | 19% | 1.5 | 1.2 | 2.0 | <0.0001 |
Risk + ACP Adjusted ** | ||||||
DNR | 21% | 46% | 3.4 | 2.7 | 4.2 | <0.0001 |
ICU | 28% | 26% | 0.9 | 0.7 | 1.2 | 0.539 |
MV | 16% | 12% | 0.7 | 0.5 | 1.0 | 0.050 |
Mortality | 13% | 18% | 1.5 | 1.1 | 1.9 | 0.002 |
Adjusted for age, sex, race, ethnicity, and comorbidities (Cancer, Cirrhosis, CAD/MI, CVA/Stroke, Diabetes, HIV/AIDS, Hypertension, Heart Failure, Chronic Kidney Disease, Renal Failure, Asthma, Emphysema/COPD, Smoker, Obesity), month hospitalization, and clustering by hospital.
Also adjusted for advance care planning (ACP) conversation billing and documentation during the hospitalization.