Appendix Table 1.
Individual characteristics for ADRD and non-ADRD residents, before and after the launch of the National Partnership
| Residents with ADRD | Residents without ADRD | |||
|---|---|---|---|---|
| Variable | Pre (n=174,319) |
Post (n=277,576) |
Pre (n= 549,870) |
Post (n= 1,009,586) |
| Rehospitalization | ||||
| 30-day readmission from NHs | 11.3% | 9.8% | 11.3% | 10.1% |
| Socio-demographics | ||||
| Race | ||||
| white | 84.0% | 82.6% | 86.5% | 85.2% |
| black | 8.7% | 8.8% | 6.6% | 6.7% |
| other | 7.3% | 8.6% | 6.9% | 8.1% |
| Age | 83.90 | 83.80 | 80.03 | 79.66 |
| Male | 32.1% | 33.1% | 31.9% | 33.6% |
| Medicare-Medicaid dual status | 24.9% | 24.1% | 18.8% | 17.3% |
| Functional Status | ||||
| ADL | 17.81 | 18.04 | 16.03 | 16.38 |
| CFS | ||||
| intact | 20.6% | 21.5% | 71.5% | 73.4% |
| mild | 29.2% | 29.0% | 19.9% | 18.7% |
| moderate | 41.7% | 41.9% | 5.9% | 5.6% |
| severe | 6.8% | 6.4% | 0.8% | 0.7% |
| missing | 1.7% | 1.3% | 2.0% | 1.5% |
| Aggressive behavior | 18.1% | 17.3% | 0.1% | 0.1% |
| Major Diagnoses | ||||
| cancer | ||||
| Yes | 5.2% | 5.2% | 6.7% | 6.9% |
| No | 86.2% | 86.3% | 75.6% | 75.8% |
| missing | 8.6% | 8.4% | 17.7% | 17.3% |
| CAD | ||||
| Yes | 23.6% | 23.3% | 22.0% | 21.8% |
| No | 67.8% | 68.3% | 60.3% | 60.9% |
| missing | 8.6% | 8.4% | 17.7% | 17.3% |
| Heart failure | 18.5% | 17.2% | 20.0% | 18.9% |
| Hypertension | 79.1% | 79.0% | 79.3% | 79.1% |
| Diabetes | 27.4% | 27.0% | 32.1% | 31.8% |
| Asthma/COPD | 18.3% | 17.5% | 23.4% | 22.6% |
| PVD | ||||
| Yes | 5.1% | 6.1% | 5.7% | 7.1% |
| No | 86.4% | 93.9% | 76.7% | 92.9% |
| missing | 8.5% | 17.6% | ||
| Pneumonia | 12.1% | 11.5% | 10.4% | 9.8% |
| Septicemia | 1.9% | 2.0% | 1.8% | 1.8% |
| UTI | 28.6% | 26.6% | 17.9% | 16.1% |
| Wound infect | 1.9% | 1.6% | 3.2% | 2.6% |
| Hip fracture | 10.8% | 11.4% | 8.9% | 8.8% |
| Other fracture | 11.3% | 11.5% | 11.3% | 11.3% |
| Stroke | 15.3% | 14.1% | 10.2% | 9.3% |
| Respiratory failure | 1.4% | 1.7% | 2.2% | 2.7% |
| Anxiety | 21.2% | 22.1% | 16.2% | 16.9% |
| Depression | 39.3% | 38.0% | 25.8% | 24.8% |
| Bipolar disorder | 1.9% | 2.1% | 1.2% | 1.3% |
| Psychotic disorder | 7.7% | 8.3% | 1.1% | 1.1% |
| Schizophrenia | 1.3% | 1.4% | 0.7% | 0.8% |
| Anemia | 25.5% | 24.7% | 27.6% | 27.0% |
| Ulcerative Colitis/Crohn’s disease | ||||
| Yes | 0.8% | 0.7% | 0.9% | 0.9% |
| No | 78.7% | 84.6% | 71.6% | 76.7% |
| Missing | 20.5% | 14.7% | 27.5% | 22.4% |
| Viral hepatitis | 0.1% | 0.1% | 0.2% | 0.2% |
| Seizure disorder or epilepsy | 4.7% | 4.8% | 2.9% | 2.9% |
| Index Hospitalization | ||||
| DRG weights | 1.42 | 1.47 | 1.96 | 2.04 |
| Length of stay | ||||
| ≤ 3 days | 25.2% | 26.1% | 29.1% | 30.8% |
| Between 4 and 7 days | 48.4% | 48.2% | 43.4% | 42.5% |
| ≥ 8 days | 26.3% | 25.7% | 27.5% | 26.7% |
| ICU | 22.7% | 23.5% | 27.1% | 27.8% |
| Prior hospitalization 30day | 12.3% | 11.5% | 13.6% | 12.8% |
| Prior hospitalization 31-180day | 16.7% | 15.2% | 17.0% | 15.6% |
| Prior hospitalization 181-365day | 18.1% | 15.9% | 17.6% | 15.5% |
| Surgical index hospitalization | 22.3% | 23.8% | 47.3% | 49.5% |
| MDS-based Other Conditions | ||||
| End-stage prognosis | 0.5% | 0.4% | 0.4% | 0.3% |
| fall_30day | ||||
| Yes | 47.2% | 48.4% | 34.5% | 34.8% |
| No | 43.1% | 43.5% | 59.1% | 60.2% |
| Unable to answer | 7.2% | 6.5% | 3.8% | 3.4% |
| missing | 2.5% | 1.5% | 2.6% | 1.5% |
| fall_31_180day | ||||
| Yes | 18.5% | 20.0% | 12.3% | 13.3% |
| No | 59.8% | 61.5% | 75.1% | 76.5% |
| Unable to answer | 18.1% | 16.2% | 9.3% | 8.1% |
| missing | 3.5% | 2.2% | 3.3% | 2.1% |
| Venous/Arterial ulcer present | 1.4% | 1.3% | 2.0% | 1.8% |
| Infection of the foot | 0.8% | 0.7% | 1.1% | 1.0% |
| Diabetic foot ulcer | 0.3% | 0.3% | 0.6% | 0.6% |
| Dehydrate | 0.4% | 0.4% | 0.3% | 0.2% |
| Internal bleeding | 0.9% | 0.8% | 0.9% | 0.8% |
| Pain Frequency | ||||
| 0 No pain | 62.1% | 63.3% | 36.0% | 37.0% |
| 1 Almost constant | 3.4% | 2.7% | 6.9% | 5.7% |
| 2 Frequently | 11.6% | 10.1% | 25.9% | 23.4% |
| 3 Occasionally | 18.0% | 19.0% | 26.7% | 29.4% |
| 4 Rarely | 3.9% | 3.8% | 4.3% | 4.3% |
| Unable to answer | 1.0% | 1.1% | 0.2% | 0.2% |
| Surgical wound | 18.9% | 20.7% | 42.4% | 44.9% |
| Bowel continent | ||||
| 1 Always continent | 48.9% | 46.8% | 74.9% | 72.8% |
| 2 occasionally incontinent | 13.3% | 13.7% | 8.8% | 9.6% |
| 3 frequently incontinent | 18.8% | 21.5% | 9.0% | 10.4% |
| 4 always incontinent | 17.7% | 16.6% | 5.4% | 5.1% |
| 9 not rated | 1.3% | 1.4% | 1.9% | 2.1% |
| Shortness of breath with exertion | 10.7% | 10.3% | 15.9% | 15.2% |
| Shortness of breath - sitting | 3.2% | 2.9% | 4.8% | 4.4% |
| Shortness of breath - lying | 5.4% | 5.6% | 7.9% | 8.1% |
| Parenteral/IV feeding | 1.4% | 0.8% | 1.2% | 0.7% |
| Feeding tube | 2.3% | 2.3% | 2.1% | 2.1% |
| Ostomy care | 1.1% | 1.1% | 2.0% | 2.1% |
| Antibiotic received | ||||
| Yes | 29.1% | 37.2% | 25.9% | 35.0% |
| No | 50.4% | 62.8% | 46.6% | 65.0% |
| Missing | 20.5% | 27.5% | ||
| Insulin injection | 14.9% | 14.1% | 19.3% | 18.2% |
Note: ADRD (Alzheimer’s disease or related dementias); NH (nursing home); ADL (activities of daily living); CFS (cognitive function scale); ABS (aggressive behavior scale); CAD (Coronary artery disease); COPD (Chronic obstructive pulmonary disease); PVD (Peripheral Vascular Disease); UTI (urinary tract infection); DRG (diagnosis related group); ICU (intensive care unit); IV (intravenous)