Affordable Access

deepdyve-link
Publisher Website

Documentation of Dementia as a Cause of Death Among Mexican-American Decedents Diagnosed with Dementia

Authors
  • Downer, Brian1, 2
  • Chou, Lin-Na3
  • Snih, Soham Al1, 2
  • Barba, Cheyanne4
  • Kuo, Yong-Fang2, 5
  • Raji, Mukaila2, 6
  • Markides, Kyriakos S.2, 3
  • Ottenbacher, Kenneth J.1, 2
  • 1 Division of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch, Galveston, TX, USA
  • 2 Sealy Center on Aging, University of Texas Medical Branch, Galveston, TX, USA
  • 3 Preventive Medicine and Population Health, University of Texas Medical Branch, Galveston, TX, USA
  • 4 Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA
  • 5 Office of Biostatistics, University of Texas Medical Branch, Galveston, TX, USA
  • 6 Internal Medicine – Geriatrics & Palliative Medicine, University of Texas Medical Branch, Galveston, TX, USA
Type
Published Article
Journal
Journal of Alzheimer s Disease
Publisher
IOS Press
Publication Date
Jan 01, 2021
Volume
82
Issue
4
Pages
1727–1736
Identifiers
DOI: 10.3233/JAD-210361
PMID: 34219726
PMCID: PMC8384698
Source
PubMed Central
Keywords
Disciplines
  • Article
License
Unknown

Abstract

Background: Hispanic older adults are a high-risk population for Alzheimer’s disease and related dementias (ADRD) but are less likely than non-Hispanic White older adults to have ADRD documented as a cause of death on a death certificate. Objective: To investigate characteristics associated with ADRD as a cause of death among Mexican-American decedents diagnosed with ADRD. Methods: Data came from the Hispanic Established Populations for the Epidemiologic Study of the Elderly, Medicare claims, and National Death Index. Results: The final sample included 853 decedents diagnosed with ADRD of which 242 had ADRD documented as a cause of death. More health comorbidities (OR = 0.40, 95% CI = 0.28–0.58), older age at death (OR = 1.18, 95% CI = 1.03–1.36), and longer ADRD duration (OR = 1.08, 95% CI = 1.03–1.14) were associated with ADRD as a cause of death. In the last year of life, any ER admission without a hospitalization (OR = 0.45, 95% CI = 0.22–0.92), more physician visits (OR = 0.96, 95% CI = 0.93–0.98), and seeing a medical specialist (OR = 0.46, 95% CI = 0.29–0.75) were associated with lower odds for ADRD as a cause of death. In the last 30 days of life, any hospitalization with an ICU stay (OR = 0.55, 95% CI = 0.36–0.82) and ER admission with a hospitalization (OR = 0.67, 95% CI = 0.48–0.94) were associated with lower odds for ADRD as a cause of death. Receiving hospice care in the last 30 days of life was associated with 1.98 (95% CI = 1.37–2.87) higher odds for ADRD as a cause of death. Conclusion: Under-documentation of ADRD as a cause of death may reflect an underestimation of resource needs for Mexican-Americans with ADRD.

Report this publication

Statistics

Seen <100 times