ArticleResearch in gerontological nursing
Adding Functional Ability Measures to a Mortality Algorithm to Support Palliative Care Eligibility Decisions.
Article in Research in gerontological nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo codify functional ability measures using administrative claims data to identify individuals for palliative care and examine their associations with mortality.
methodA 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.
resultsOne 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.
conclusionAttention to whether a seriously ill individual is receiving PT/OT, ADL support, or skilled nursing may help make timely referrals to palliative care.
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