Degree of Disability and Patterns of Caregiving among Older Americans with Congestive Heart Failure |
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Authors: | Tanya Ruff Gure Caroline S Blaum Kenneth M Langa |
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Institution: | (1) Department of Veterans Affairs, VA Center for Practice Management & Outcomes Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA;(2) Department of Veterans Affairs, Geriatric Research, Education and Clinical Center (GRECC), Ann Arbor, MI, USA;(3) RWJ Clinical Scholars Program, University of Michigan, Ann Arbor, MI, USA;(4) Division of Geriatric Medicine, University of Michigan, Ann Arbor, MI, USA;(5) Division of General Internal Medicine, University of Michigan, Ann Arbor, MI, USA |
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Abstract: | OBJECTIVES Although congestive heart failure (CHF) is a common condition, the extent of disability and caregiving needs for those with
CHF are unclear. We sought to determine: (1) prevalence of physical disability and geriatric conditions, (2) whether CHF is
independently associated with disability, (3) rates of nursing home admission, and (4) formal and informal in-home care received
in the older CHF population.
METHODS We used cross-sectional data from the 2000 wave of the Health and Retirement Study. We compared outcomes among three categories
of older adults: (1) no coronary heart disease (CHD), (2) CHD, without CHF, and (3) CHF. Compared to those without CHF, respondents
reporting CHF were more likely to be disabled (P < 0.001) and to have geriatric conditions (P < 0.001). Respondents reporting CHF were more likely to have been admitted to a nursing home (P < 0.05). CHF respondents were more functionally impaired than respondents without CHF.
RESULTS The adjusted average weekly informal care hours for respondents reporting CHF was higher than for those reporting CHD but
without CHF and those reporting no CHD (6.7 vs 4.1 vs 5.1, respectively; P < 0.05). Average weekly formal caregiving hours also differed among the three groups (1.3 CHF vs 0.9 CHD without CHF vs 0.7
no CHD; P > 0.05).
CONCLUSIONS CHF imposes a significant burden on patients, families, and the long-term care system. Older adults with CHF have higher rates
of disability, geriatric conditions, and nursing home admission. |
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Keywords: | CHF disability formal and informal caregiving |
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