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Hospital Characteristics Associated With Feeding Tube Placement in Nursing Home Residents With Advanced Cognitive Impairment

Hospital Characteristics Associated With Feeding Tube Placement in Nursing Home Residents With... ORIGINAL CONTRIBUTION Hospital Characteristics Associated With Feeding Tube Placement in Nursing Home Residents With Advanced Cognitive Impairment Joan M. Teno, MD, MS Context Tube-feeding is of questionable benefit for nursing home residents with ad- Susan L. Mitchell, MD, MPH vanced dementia. Approximately two-thirds of US nursing home residents who are tube fed had their feeding tube inserted during an acute care hospitalization. Pedro L. Gozalo, PhD Objective To identify US hospital characteristics associated with higher rates of feed- David Dosa, MD, MPH ing tube insertion in nursing home residents with advanced cognitive impairment. Amy Hsu, BA Design, Setting, and Patients The sample included nursing home residents aged Orna Intrator, PhD 66 years or older with advanced cognitive impairment admitted to acute care hospi- tals between 2000 and 2007. Rate of feeding tube placement was based on a 20% Vincent Mor, PhD sample of all Medicare Claims files and was assessed in hospitals with at least 30 such admissions during the 8-year period. A multivariable model with the unit of the analy- EMENTIA IS NOW A LEADING sis being the hospital admission identified hospital-level factors independently asso- cause of death in the United ciated with feeding tube insertion rates, including http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Hospital Characteristics Associated With Feeding Tube Placement in Nursing Home Residents With Advanced Cognitive Impairment

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Publisher
American Medical Association
Copyright
Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2010.79
pmid
20145231
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL CONTRIBUTION Hospital Characteristics Associated With Feeding Tube Placement in Nursing Home Residents With Advanced Cognitive Impairment Joan M. Teno, MD, MS Context Tube-feeding is of questionable benefit for nursing home residents with ad- Susan L. Mitchell, MD, MPH vanced dementia. Approximately two-thirds of US nursing home residents who are tube fed had their feeding tube inserted during an acute care hospitalization. Pedro L. Gozalo, PhD Objective To identify US hospital characteristics associated with higher rates of feed- David Dosa, MD, MPH ing tube insertion in nursing home residents with advanced cognitive impairment. Amy Hsu, BA Design, Setting, and Patients The sample included nursing home residents aged Orna Intrator, PhD 66 years or older with advanced cognitive impairment admitted to acute care hospi- tals between 2000 and 2007. Rate of feeding tube placement was based on a 20% Vincent Mor, PhD sample of all Medicare Claims files and was assessed in hospitals with at least 30 such admissions during the 8-year period. A multivariable model with the unit of the analy- EMENTIA IS NOW A LEADING sis being the hospital admission identified hospital-level factors independently asso- cause of death in the United ciated with feeding tube insertion rates, including

Journal

JAMAAmerican Medical Association

Published: Feb 10, 2010

References