{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:59:56Z","timestamp":1781657996363,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,11,7]],"date-time":"2016-11-07T00:00:00Z","timestamp":1478476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24AG033640"],"award-info":[{"award-number":["K24AG033640"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U01FD004493"],"award-info":[{"award-number":["U01FD004493"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009210","name":"Food and Drug Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009210","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005485","name":"American College of Cardiology Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005485","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,2]]},"abstract":"\n Objectives<\/jats:title>\n \n To evaluate the incidence and characteristics of nursing home (\n NH<\/jats:styled-content>\n ) use after implantable cardioverter\u2010defibrillator (\n ICD<\/jats:styled-content>\n ) implantation.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cohort study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n \n Medicare beneficiaries in the National Cardiovascular Data Registry\u2014\n ICD<\/jats:styled-content>\n Registry.\n <\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n \n Individuals aged 65 and older receiving\n ICD<\/jats:styled-content>\n s between January 1, 2006, and March 31, 2010 (N = 192,483).\n <\/jats:p>\n <\/jats:sec>\n \n Measurements<\/jats:title>\n \n Proportion of\n ICD<\/jats:styled-content>\n recipients discharged to\n NH<\/jats:styled-content>\n s directly after device placement, cumulative incidence of long\u2010term\n NH<\/jats:styled-content>\n admission, and factors associated with immediate discharge to a\n NH<\/jats:styled-content>\n and time to long\u2010term\n NH<\/jats:styled-content>\n admission.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Over 4 years, 40.6% of the cohort died, and 35,939 (18.7%) experienced at least one\n NH<\/jats:styled-content>\n admission, including 4.0% directly discharged to a\n NH<\/jats:styled-content>\n after\n ICD<\/jats:styled-content>\n implantation and 2.8% admitted to long\u2010term\n NH<\/jats:styled-content>\n care during follow\u2010up. The cumulative incidence of long\u2010term\n NH<\/jats:styled-content>\n 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\n NH<\/jats:styled-content>\n died there. Factors most strongly associated with direct\n NH<\/jats:styled-content>\n discharge and time to long\u2010term\n NH<\/jats:styled-content>\n care were older age (adjusted odds ratio (\n AOR<\/jats:styled-content>\n ) = 2.09, 95% confidence interval (\n CI<\/jats:styled-content>\n ) = 2.01\u20132.17 per 10\u2010year increment; adjusted hazard ratio (\n AHR<\/jats:styled-content>\n ) = 1.88, 95%\n CI<\/jats:styled-content>\n = 1.80\u20131.97, respectively), dementia (\n AOR<\/jats:styled-content>\n = 2.60, 95%\n CI<\/jats:styled-content>\n = 2.25\u20133.01;\n AHR<\/jats:styled-content>\n = 2.50, 95%\n CI<\/jats:styled-content>\n = 2.14\u20132.93, respectively), and Medicare Part A claim for\n NH<\/jats:styled-content>\n stay in prior 6 months (\n AOR<\/jats:styled-content>\n = 3.96, 95%\n CI<\/jats:styled-content>\n = 3.70\u20134.25;\n AHR<\/jats:styled-content>\n = 2.88, 95%\n CI<\/jats:styled-content>\n = 2.65\u20133.14, respectively).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Nearly one in five individuals are admitted to\n NH<\/jats:styled-content>\n s over a median of 1.6 years of follow\u2010up after\n ICD<\/jats:styled-content>\n implantation. Understanding these outcomes may help inform the clinical care of these individuals.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.14520","type":"journal-article","created":{"date-parts":[[2016,11,7]],"date-time":"2016-11-07T03:39:28Z","timestamp":1478489968000},"page":"340-347","source":"Crossref","is-referenced-by-count":3,"title":["Nursing Home Use After Implantable Cardioverter\u2010Defibrillator Implantation in Older Adults: Results from the National Cardiovascular Data Registry"],"prefix":"10.1111","volume":"65","author":[{"given":"Daniel B.","family":"Kramer","sequence":"first","affiliation":[{"name":"Hebrew SeniorLife Institute for Aging Research Boston MA"},{"name":"Smith Center for Outcomes Research in Cardiology Division of Cardiology Beth Israel Deaconess Medical Center Boston MA"},{"name":"Harvard Medical School Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew R.","family":"Reynolds","sequence":"additional","affiliation":[{"name":"Harvard Clinical Research Institute Boston MA"},{"name":"Lahey Hospital and Medical Center Burlington MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon\u2010Lise","family":"Normand","sequence":"additional","affiliation":[{"name":"Department of Health Care Policy Harvard Medical School Boston MA"},{"name":"Department of Biostatistics Havard TH Chan School of Public Health Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig S.","family":"Parzynski","sequence":"additional","affiliation":[{"name":"Center for Outcomes Research and Evaluation Yale\u2013New Haven Hospital Yale University New Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Spertus","sequence":"additional","affiliation":[{"name":"Mid America Heart Institute Kansas City Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Mor","sequence":"additional","affiliation":[{"name":"Department of Health Services Policy and Practice Center for Gerontology and Health Care Research School of Public Health Brown University Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan L.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Hebrew SeniorLife Institute for Aging Research Boston MA"},{"name":"Harvard Medical School Boston MA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2009.04.010"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2010.07.015"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.02.014"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.09.070"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.2177"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.748"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2006.01.019"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2013.01.035"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.07.020"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2009.04.002"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/30.3.293"},{"key":"e_1_2_6_13_1","unstructured":"PopeGC EllisRP AshASet al.2000.Diagnostic Cost Group Hierarchical Condition Category Models for Medicare Risk Adjustment. 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