Post-Acute Care Services Received by Older Adults Following a Cardiac Event: A Population-Based Analysis
Open accessAbstract
BACKGROUND: Post-acute care (PAC) is available for older adults who need additional services after hospitalization for acute cardiac events. With the aging population and an increase in the prevalence of cardiac disease, it is important to determine current PAC use for cardiac patients to assist health care workers to meet the needs of older cardiac patients. The purpose of this study was to determine the current PAC use and factors associated with PAC use for older adults following hospitalization for a cardiac event that includes coronary artery bypass graft and valve surgeries, myocardial infarction (MI), percutaneous coronary intervention (PCI), and heart failure (HF). METHODS AND RESULTS: A cross-sectional design and the 2003 Medicare part A database were used for this study. The sample (n = 1493521) consisted of patients 65 years and older discharged after their first cardiac event. Multinomial logistic regression was used to examine factors associated with PAC use. Overall, PAC use was 55% for cardiac valve surgery, 50% for MI, 45% for HF, 44% for coronary artery bypass graft, and 5% for PCI. Medical patients use more skilled nursing facility care, and surgical patients use more home health care. Only 0.1% to 3.4% of the cardiac patients use intermediate rehabilitation facilities. Compared with those who do not use PAC, those who use home health care and skilled nursing facility care are older and female, have a longer hospital length of stay, and have more comorbidity. Asians, Hispanics, and Native Americans were less likely to use PAC after hospitalization for an MI or HF. CONCLUSIONS: The current rate of PAC use indicates that almost half of nondisabled Medicare patients discharged from the hospital following a cardiac event use one of these services. Health care professionals can increase PAC use for Asians, Hispanics, and Native Americans by including culturally targeted communication. Optimizing recovery for cardiac patients who use PAC may require focused cardiac rehabilitation strategies.
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Other common impediments to CR enrollment and participation include illness severity, complications during hospitalization, impaired cognitive or physical function, depression, pain, lack of social support, and logistic barriers.
“Other common impediments to CR enrollment and participation include illness severity, complications during hospitalization, impaired cognitive or physical function, depression, pain, lack of social support, and logistic barriers.218”
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- Authors
- Dolansky, M. A., Xu, F., Zullo, M., Shishehbor, M., Moore, S. M., & Rimm, A. A.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Dolansky, Mary A.
- Venue
- Journal of Cardiovascular Nursing
- Published
- 2010-07
- Volume
- 25
- Issue
- 4
- Pages
- 342-349
- ISSN
- 0889-4655 (ISSN-L)
- PMC
- PMC2885047
- OpenAlex
- W1987586760
- Cited by
- 59
- References
- 32
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 7 · 2020: 5 · 2019: 5 · 2018: 2 · 2017: 9 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 3 · 2012: 3
- FWCI
- 5.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Journal of Cardiovascular Nursing (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5kl2rr024990-05)
- National Center for Research Resources (KL2-RR-024990, K12RR023264)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Keywords
- post-acute care, older adults, cardiac events, myocardial infarction, heart failure, coronary artery bypass grafting, heart valve surgery, percutaneous coronary intervention, home health care, Medicare Part A, racial and ethnic disparities, comorbidities, length of hospital stay, cardiac rehabilitation
- MeSH terms
- Aftercare, Aged, Cross-Sectional Studies, Female, Heart Diseases, Home Care Services, Humans, Intermediate Care Facilities, Length of Stay, Male, Patient Acceptance of Health Care, Patient Discharge, Skilled Nursing Facilities, United States, Nursing Methodology Research, Comorbidity, Logistic Models, Medicare Part A, Hospital Costs, Community Health Planning, Health Care Surveys, Needs Assessment
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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