Evidence map›Paper›PMID 28198561›Full record

ArticleJournal of the American Geriatrics Society2017

Nursing Home Use After Implantable Cardioverter-Defibrillator Implantation in Older Adults: Results from the National Cardiovascular Data Registry.

Daniel B Kramer, Matthew R Reynolds, Sharon-Lise Normand, Craig S Parzynski, John A Spertus, Vincent Mor, Susan L Mitchell

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.3field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Daniel B KramerHebrew SeniorLife Institute for Aging Research, Boston, MA.
Matthew R ReynoldsHarvard Clinical Research Institute, Boston, MA.
Sharon-Lise NormandDepartment of Health Care Policy, Harvard Medical School, Boston, MA.
Craig S ParzynskiCenter for Outcomes Research and Evaluation, Yale-New Haven Hospital, Yale University, New Haven, Connecticut.
John A SpertusMid America Heart Institute, Kansas City, Missouri.
Vincent MorDepartment of Health Services, Policy and Practice, Center for Gerontology and Health Care Research, School of Public Health, Brown University, Providence, Rhode Island.
Susan L MitchellHebrew SeniorLife Institute for Aging Research, Boston, MA.
Harvard University · USBaim Institute for Clinical Research · USMRIGlobal · USRhode Island Department of Health · USYale New Haven Hospital · US

Funding

Midcareer Mentoring Award for Patient-Oriented Research in AgingK24AG033640 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI MITCHELL, SUSAN L · 2009 to 2018
$1.8M
THE MDEPINET MEDICAL COUNTER MEASURES STUDYU01FD004493 · FDA · HARVARD MEDICAL SCHOOL · PI NORMAND, SHARON-LISE TERESA, RESNIC, FREDERIC S · 2012 to 2012
$1.6M
Patient-Centered Outcomes of Implantable Defibrillator Therapy in Older PatientsK23AG045963 · NIA · HEBREW REHABILITATION CENTER FOR AGED · PI KRAMER, DANIEL BRUCE · 2013 to 2016
$714k
FDA HHS U01 FD004493NIA NIH HHS K23 AG045963NIA NIH HHS K24 AG033640
6 · The paper itself

Abstract

objectivesTo evaluate the incidence and characteristics of nursing home (NH) use after implantable cardioverter-defibrillator (ICD) implantation.

designCohort study.

settingMedicare beneficiaries in the National Cardiovascular Data Registry-ICD Registry.

participantsIndividuals aged 65 and older receiving ICDs between January 1, 2006, and March 31, 2010 (N = 192,483). MEASUREMENTS: Proportion of ICD recipients discharged to NHs directly after device placement, cumulative incidence of long-term NH admission, and factors associated with immediate discharge to a NH and time to long-term NH admission.

resultsOver 4 years, 40.6% of the cohort died, and 35,939 (18.7%) experienced at least one NH admission, including 4.0% directly discharged to a NH after ICD implantation and 2.8% admitted to long-term NH care during follow-up. The cumulative incidence of long-term NH admission, accounting for the competing risk of death, was 1.7% at 1 year, 3.8% at 3 years, and 4.6% at 4 years; 20.1% of individuals admitted to a NH died there. Factors most strongly associated with direct NH discharge and time to long-term NH care were older age (adjusted odds ratio (AOR) = 2.09, 95% confidence interval (CI) = 2.01-2.17 per 10-year increment; adjusted hazard ratio (AHR) = 1.88, 95% CI = 1.80-1.97, respectively), dementia (AOR = 2.60, 95% CI = 2.25-3.01; AHR = 2.50, 95% CI = 2.14-2.93, respectively), and Medicare Part A claim for NH stay in prior 6 months (AOR = 3.96, 95% CI = 3.70-4.25; AHR = 2.88, 95% CI = 2.65-3.14, respectively).

conclusionNearly one in five individuals are admitted to NHs over a median of 1.6 years of follow-up after ICD implantation. Understanding these outcomes may help inform the clinical care of these individuals.

Indexed as

Defibrillators, ImplantableAgedAge FactorsCohort StudiesDementiaDiabetes MellitusFemaleHumansMaleMedicare Part ANursing HomesPatient AdmissionRegistriesSex FactorsUnited Statesagingimplantable cardioverter-defibrillatorsoutcomes

Identifiers

PMID28198561
PMCPMC5325141
OpenAlexW2549991074

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.