Hispanic ethnicity and in-hospital morbidity and mortality outcomes in Alzheimer's Disease: A U.S. National Study 2005–2015
Hispanics are one of the largest and fastest-growing population in the United States. Having been reported as one of the high-risk ethnicities to develop Alzheimer's Disease (AD) makes elder Hispanics one of the significant groups of AD in the country, indicating a need to study the disparities...
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| Veröffentlicht in: | Clinical neurology and neurosurgery 2021-08, Vol.207, p.106753-106753, Article 106753 |
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| creator | Seifi, Ali Bahadori, Maryam Eslami, Vahid Gheibi, Zahra Mirahmadizadeh, Alireza |
| description | Hispanics are one of the largest and fastest-growing population in the United States. Having been reported as one of the high-risk ethnicities to develop Alzheimer's Disease (AD) makes elder Hispanics one of the significant groups of AD in the country, indicating a need to study the disparities in Hispanics vs. non-Hispanics patients. We aimed to determine the prevalence, morbidity, and mortality outcomes of AD in Hispanics.
We surveyed Healthcare Cost and Utilization Project (HCUP) from 2005 to 2015 to identify patients older than 50 years who were admitted for any reason and had AD diagnosis. Prevalence, demographics, age brackets, in-hospital deaths, disease severity, and hospital length of stay (LOS) were compared between the Hispanics and Non-Hispanics.
Among 14,135,560 Hispanic discharges, 2.76% had AD, compared with 207,515,260 discharges in Non-Hispanic with 2.61% AD, p |
| doi_str_mv | 10.1016/j.clineuro.2021.106753 |
| format | Article |
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We surveyed Healthcare Cost and Utilization Project (HCUP) from 2005 to 2015 to identify patients older than 50 years who were admitted for any reason and had AD diagnosis. Prevalence, demographics, age brackets, in-hospital deaths, disease severity, and hospital length of stay (LOS) were compared between the Hispanics and Non-Hispanics.
Among 14,135,560 Hispanic discharges, 2.76% had AD, compared with 207,515,260 discharges in Non-Hispanic with 2.61% AD, p < 0.001. Hispanics had significantly more AD in all age brackets, especially over 90 years of age, p < 0.001. A significantly higher prevalence of AD in both Hispanic Females (3.27% vs. 3.10%) and Males (2.17% vs. 2.04%) was noticed, p < 0.001. In northeast and south regions of the country and urban hospitals, AD was more among Hispanics (p < 0.001). Hispanic patients were younger (81.8 ± 7.77 vs. 82.6 ± 7.50, p < 0.001), had longer LOS (6.41 ± 7.72 vs. 6.08 ± 7.05, p < 0.001), had higher hospital charges ($45,989 vs. $37,688, p < 0.001). Hispanic AD patients had higher disease severity and mortality risk (p < 0.001). However, the inpatient mortality was not different between the Hispanic and non-Hispanics.
Multivariate analysis showed that Hispanics had the highest AD prevalence in the inpatient setting (OR, 1.38; 95% CI, 1.37–1.39, p < 0.001).
The prevalence of AD was significantly higher in inpatient Hispanics than non-Hispanics. Hispanic AD patients had a younger age compared with non-Hispanic AD. Disease severity and mortality risks were higher in Hispanics with AD than non-Hispanics with AD. However, no difference was seen in mortality rate during admission in Hispanics vs. non-Hispanics.
•Prevalence of Alzheimer’s disease is significantly higher in hospitalized Hispanic patients.•Hispanic patients had longer hospital stay and higher hospitalization charges than non-Hispanics Alzheimer’s patients.•In-hospital mortality rate of Alzheimer’s patients is not different between Hispanics and non-Hispanics.]]></description><identifier>ISSN: 0303-8467</identifier><identifier>EISSN: 1872-6968</identifier><identifier>DOI: 10.1016/j.clineuro.2021.106753</identifier><identifier>PMID: 34126451</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Age ; Aged ; Aged, 80 and over ; Alzheimer Disease - epidemiology ; Alzheimer Disease - ethnology ; Alzheimer's disease ; Demographics ; Demography ; Diabetes ; Ethnicity ; Female ; Health care policy ; Health maintenance organizations ; Hispanic Americans ; Hispanic ethnicity ; Hispanic or Latino - statistics & numerical data ; HMOs ; Hospital Mortality - ethnology ; Hospitalization ; Humans ; Length of stay ; Male ; Medicaid ; Medicare ; Middle Aged ; Morbidity ; Mortality ; Multivariate analysis ; Neurodegenerative diseases ; Neurology ; Patients ; Population ; Prevalence ; Rural areas ; Statistical analysis ; Teaching hospitals ; United States - epidemiology</subject><ispartof>Clinical neurology and neurosurgery, 2021-08, Vol.207, p.106753-106753, Article 106753</ispartof><rights>2021 Elsevier B.V.</rights><rights>Copyright © 2021 Elsevier B.V. All rights reserved.</rights><rights>2021. Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-c43dc8383587510eff87e80c1d5bfa0a1ce3a6fcfb249fd3e22e3df9af2dc8ce3</citedby><cites>FETCH-LOGICAL-c396t-c43dc8383587510eff87e80c1d5bfa0a1ce3a6fcfb249fd3e22e3df9af2dc8ce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0303846721002821$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34126451$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Seifi, Ali</creatorcontrib><creatorcontrib>Bahadori, Maryam</creatorcontrib><creatorcontrib>Eslami, Vahid</creatorcontrib><creatorcontrib>Gheibi, Zahra</creatorcontrib><creatorcontrib>Mirahmadizadeh, Alireza</creatorcontrib><title>Hispanic ethnicity and in-hospital morbidity and mortality outcomes in Alzheimer's Disease: A U.S. National Study 2005–2015</title><title>Clinical neurology and neurosurgery</title><addtitle>Clin Neurol Neurosurg</addtitle><description><![CDATA[Hispanics are one of the largest and fastest-growing population in the United States. Having been reported as one of the high-risk ethnicities to develop Alzheimer's Disease (AD) makes elder Hispanics one of the significant groups of AD in the country, indicating a need to study the disparities in Hispanics vs. non-Hispanics patients. We aimed to determine the prevalence, morbidity, and mortality outcomes of AD in Hispanics.
We surveyed Healthcare Cost and Utilization Project (HCUP) from 2005 to 2015 to identify patients older than 50 years who were admitted for any reason and had AD diagnosis. Prevalence, demographics, age brackets, in-hospital deaths, disease severity, and hospital length of stay (LOS) were compared between the Hispanics and Non-Hispanics.
Among 14,135,560 Hispanic discharges, 2.76% had AD, compared with 207,515,260 discharges in Non-Hispanic with 2.61% AD, p < 0.001. Hispanics had significantly more AD in all age brackets, especially over 90 years of age, p < 0.001. A significantly higher prevalence of AD in both Hispanic Females (3.27% vs. 3.10%) and Males (2.17% vs. 2.04%) was noticed, p < 0.001. In northeast and south regions of the country and urban hospitals, AD was more among Hispanics (p < 0.001). Hispanic patients were younger (81.8 ± 7.77 vs. 82.6 ± 7.50, p < 0.001), had longer LOS (6.41 ± 7.72 vs. 6.08 ± 7.05, p < 0.001), had higher hospital charges ($45,989 vs. $37,688, p < 0.001). Hispanic AD patients had higher disease severity and mortality risk (p < 0.001). However, the inpatient mortality was not different between the Hispanic and non-Hispanics.
Multivariate analysis showed that Hispanics had the highest AD prevalence in the inpatient setting (OR, 1.38; 95% CI, 1.37–1.39, p < 0.001).
The prevalence of AD was significantly higher in inpatient Hispanics than non-Hispanics. Hispanic AD patients had a younger age compared with non-Hispanic AD. Disease severity and mortality risks were higher in Hispanics with AD than non-Hispanics with AD. However, no difference was seen in mortality rate during admission in Hispanics vs. non-Hispanics.
•Prevalence of Alzheimer’s disease is significantly higher in hospitalized Hispanic patients.•Hispanic patients had longer hospital stay and higher hospitalization charges than non-Hispanics Alzheimer’s patients.•In-hospital mortality rate of Alzheimer’s patients is not different between Hispanics and non-Hispanics.]]></description><subject>Age</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alzheimer Disease - epidemiology</subject><subject>Alzheimer Disease - ethnology</subject><subject>Alzheimer's disease</subject><subject>Demographics</subject><subject>Demography</subject><subject>Diabetes</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health care policy</subject><subject>Health maintenance organizations</subject><subject>Hispanic Americans</subject><subject>Hispanic ethnicity</subject><subject>Hispanic or Latino - statistics & numerical data</subject><subject>HMOs</subject><subject>Hospital Mortality - ethnology</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Length of stay</subject><subject>Male</subject><subject>Medicaid</subject><subject>Medicare</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Multivariate analysis</subject><subject>Neurodegenerative diseases</subject><subject>Neurology</subject><subject>Patients</subject><subject>Population</subject><subject>Prevalence</subject><subject>Rural areas</subject><subject>Statistical analysis</subject><subject>Teaching hospitals</subject><subject>United States - epidemiology</subject><issn>0303-8467</issn><issn>1872-6968</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkc9u1DAQxi0EokvhFSpLHOCS1H9ix-HEqi20UgWH0rPltcdar5J4sROkRULqO_QNeRK82i4HLpxGM_P7vrH8IXRGSU0Jleeb2vZhhDnFmhFGy1C2gj9DC6paVslOqudoQTjhlWpke4Je5bwhhHAu1Ut0whvKZCPoAv26DnlrxmAxTOtSwrTDZnQ4jNU65m2YTI-HmFbBHTelK8N9F-fJxgFygfGy_7mGMEB6l_FlyGAyfMBLfF_f1fiLmUIci9HdNLsdZoSI3w-PjFDxGr3wps_w5qmeovtPV98urqvbr59vLpa3leWdnCrbcGcVV1yoVlAC3qsWFLHUiZU3xFAL3Ehv_Yo1nXccGAPufGc8K7qyPEXvD77bFL_PkCc9hGyh780Icc6aiYZyRglvC_r2H3QT51Rev6dE21DaNU2h5IGyKeacwOttCoNJO02J3gekN_oYkN4HpA8BFeHZk_28GsD9lR0TKcDHAwDlP34ESDrbAKMFFxLYSbsY_nfjD7cGpfA</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Seifi, Ali</creator><creator>Bahadori, Maryam</creator><creator>Eslami, Vahid</creator><creator>Gheibi, Zahra</creator><creator>Mirahmadizadeh, Alireza</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>202108</creationdate><title>Hispanic ethnicity and in-hospital morbidity and mortality outcomes in Alzheimer's Disease: A U.S. National Study 2005–2015</title><author>Seifi, Ali ; Bahadori, Maryam ; Eslami, Vahid ; Gheibi, Zahra ; Mirahmadizadeh, Alireza</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-c43dc8383587510eff87e80c1d5bfa0a1ce3a6fcfb249fd3e22e3df9af2dc8ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alzheimer Disease - epidemiology</topic><topic>Alzheimer Disease - ethnology</topic><topic>Alzheimer's disease</topic><topic>Demographics</topic><topic>Demography</topic><topic>Diabetes</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Health care policy</topic><topic>Health maintenance organizations</topic><topic>Hispanic Americans</topic><topic>Hispanic ethnicity</topic><topic>Hispanic or Latino - statistics & numerical data</topic><topic>HMOs</topic><topic>Hospital Mortality - ethnology</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Length of stay</topic><topic>Male</topic><topic>Medicaid</topic><topic>Medicare</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Multivariate analysis</topic><topic>Neurodegenerative diseases</topic><topic>Neurology</topic><topic>Patients</topic><topic>Population</topic><topic>Prevalence</topic><topic>Rural areas</topic><topic>Statistical analysis</topic><topic>Teaching hospitals</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Seifi, Ali</creatorcontrib><creatorcontrib>Bahadori, Maryam</creatorcontrib><creatorcontrib>Eslami, Vahid</creatorcontrib><creatorcontrib>Gheibi, Zahra</creatorcontrib><creatorcontrib>Mirahmadizadeh, Alireza</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical neurology and neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Seifi, Ali</au><au>Bahadori, Maryam</au><au>Eslami, Vahid</au><au>Gheibi, Zahra</au><au>Mirahmadizadeh, Alireza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hispanic ethnicity and in-hospital morbidity and mortality outcomes in Alzheimer's Disease: A U.S. National Study 2005–2015</atitle><jtitle>Clinical neurology and neurosurgery</jtitle><addtitle>Clin Neurol Neurosurg</addtitle><date>2021-08</date><risdate>2021</risdate><volume>207</volume><spage>106753</spage><epage>106753</epage><pages>106753-106753</pages><artnum>106753</artnum><issn>0303-8467</issn><eissn>1872-6968</eissn><abstract><![CDATA[Hispanics are one of the largest and fastest-growing population in the United States. Having been reported as one of the high-risk ethnicities to develop Alzheimer's Disease (AD) makes elder Hispanics one of the significant groups of AD in the country, indicating a need to study the disparities in Hispanics vs. non-Hispanics patients. We aimed to determine the prevalence, morbidity, and mortality outcomes of AD in Hispanics.
We surveyed Healthcare Cost and Utilization Project (HCUP) from 2005 to 2015 to identify patients older than 50 years who were admitted for any reason and had AD diagnosis. Prevalence, demographics, age brackets, in-hospital deaths, disease severity, and hospital length of stay (LOS) were compared between the Hispanics and Non-Hispanics.
Among 14,135,560 Hispanic discharges, 2.76% had AD, compared with 207,515,260 discharges in Non-Hispanic with 2.61% AD, p < 0.001. Hispanics had significantly more AD in all age brackets, especially over 90 years of age, p < 0.001. A significantly higher prevalence of AD in both Hispanic Females (3.27% vs. 3.10%) and Males (2.17% vs. 2.04%) was noticed, p < 0.001. In northeast and south regions of the country and urban hospitals, AD was more among Hispanics (p < 0.001). Hispanic patients were younger (81.8 ± 7.77 vs. 82.6 ± 7.50, p < 0.001), had longer LOS (6.41 ± 7.72 vs. 6.08 ± 7.05, p < 0.001), had higher hospital charges ($45,989 vs. $37,688, p < 0.001). Hispanic AD patients had higher disease severity and mortality risk (p < 0.001). However, the inpatient mortality was not different between the Hispanic and non-Hispanics.
Multivariate analysis showed that Hispanics had the highest AD prevalence in the inpatient setting (OR, 1.38; 95% CI, 1.37–1.39, p < 0.001).
The prevalence of AD was significantly higher in inpatient Hispanics than non-Hispanics. Hispanic AD patients had a younger age compared with non-Hispanic AD. Disease severity and mortality risks were higher in Hispanics with AD than non-Hispanics with AD. However, no difference was seen in mortality rate during admission in Hispanics vs. non-Hispanics.
•Prevalence of Alzheimer’s disease is significantly higher in hospitalized Hispanic patients.•Hispanic patients had longer hospital stay and higher hospitalization charges than non-Hispanics Alzheimer’s patients.•In-hospital mortality rate of Alzheimer’s patients is not different between Hispanics and non-Hispanics.]]></abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>34126451</pmid><doi>10.1016/j.clineuro.2021.106753</doi><tpages>1</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0303-8467 |
| ispartof | Clinical neurology and neurosurgery, 2021-08, Vol.207, p.106753-106753, Article 106753 |
| issn | 0303-8467 1872-6968 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Age Aged Aged, 80 and over Alzheimer Disease - epidemiology Alzheimer Disease - ethnology Alzheimer's disease Demographics Demography Diabetes Ethnicity Female Health care policy Health maintenance organizations Hispanic Americans Hispanic ethnicity Hispanic or Latino - statistics & numerical data HMOs Hospital Mortality - ethnology Hospitalization Humans Length of stay Male Medicaid Medicare Middle Aged Morbidity Mortality Multivariate analysis Neurodegenerative diseases Neurology Patients Population Prevalence Rural areas Statistical analysis Teaching hospitals United States - epidemiology |
| title | Hispanic ethnicity and in-hospital morbidity and mortality outcomes in Alzheimer's Disease: A U.S. National Study 2005–2015 |
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