Research in gerontological nursing · 2025
Adding Functional Ability Measures to a Mortality Algorithm to Support Palliative Care Eligibility Decisions.
СтатьяПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
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Luth Elizabeth A, Brickner Carlin, Rakotoarivelo Harivony, Gao Oude, Bowles Kathryn H
Аннотация
PURPOSE: To codify functional ability measures using administrative claims data to identify individuals for palliative care and examine their associations with mortality.
METHOD: A retrospective cohort analysis of July 2022-June 2023 administrative claims data for 6,625 Medicare Advantage plan enrollees identified functional ability measures-activities of daily living (ADL), feeding and respiratory support, physical therapy and occupational therapy (PT/OT), and skilled nursing-as key mortality predictors. Logistic regression tested associations between functional ability and mortality.
RESULTS: One hundred eighty-six (4.6%) individuals died during the study period. PT/OT services were associated with lower odds of mortality (adjusted odds ratio = 0.74, 95% confidence interval [0.65, 0.85]). ADL support, skilled nursing, and pain management were associated with higher odds of mortality.
CONCLUSION: Attention to whether a seriously ill individual is receiving PT/OT, ADL support, or skilled nursing may help make timely referrals to palliative care.
METHOD: A retrospective cohort analysis of July 2022-June 2023 administrative claims data for 6,625 Medicare Advantage plan enrollees identified functional ability measures-activities of daily living (ADL), feeding and respiratory support, physical therapy and occupational therapy (PT/OT), and skilled nursing-as key mortality predictors. Logistic regression tested associations between functional ability and mortality.
RESULTS: One hundred eighty-six (4.6%) individuals died during the study period. PT/OT services were associated with lower odds of mortality (adjusted odds ratio = 0.74, 95% confidence interval [0.65, 0.85]). ADL support, skilled nursing, and pain management were associated with higher odds of mortality.
CONCLUSION: Attention to whether a seriously ill individual is receiving PT/OT, ADL support, or skilled nursing may help make timely referrals to palliative care.