{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T15:53:51Z","timestamp":1762185231012,"version":"build-2065373602"},"reference-count":18,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T00:00:00Z","timestamp":1723248000000},"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","award":["K24AG070106","K24AG073527","RF1 AG061221"],"award-info":[{"award-number":["K24AG070106","K24AG073527","RF1 AG061221"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults with severe aortic stenosis (AS) may receive care in a nursing home (NH) prior to undergoing transcatheter aortic valve replacement (TAVR). NH level of care can be used to stabilize medical conditions, to provide rehabilitation services, or for long\u2010term care services. Our primary objective is to determine whether NH utilization pre\u2010TAVR can be used to stratify patients at risk for higher mortality and poor disposition outcomes at 30 and 365\u2009days post\u2010TAVR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study among Medicare beneficiaries who spent \u22651\u2009day in an NH 6\u2009months before TAVR (2011\u20132019). The intensity of NH utilization was categorized as low users (1\u201330\u2009days), medium users (31\u201389\u2009days), long\u2010stay NH residents (\u2265\u2009100\u2009days, with no more than a 10\u2010day gap in care), and high post\u2010acute rehabilitation patients (\u226590\u2009days, with more than a 10\u2010day gap in care). The probabilities of death and disposition were estimated using multinomial logistic regression, adjusting for age, sex, and race.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 15,581 patients, 9908 (63.6%) were low users, 4312 (27.7%) were medium users, 663 (4.3%) were high post\u2010acute care rehab users, and 698 (4.4%) were long\u2010stay NH residents before TAVR. High post\u2010acute care rehabilitation patients were more likely to have dementia, weight loss, falls, and extensive dependence of activities of daily living (ADLs) as compared with low NH users. Mortality was the greatest in high post\u2010acute care rehab users: 5.5% at 30\u2009days, and 36.4% at 365\u2009days. In contrast, low NH users had similar mortality rates compared with long\u2010stay NH residents: 4.8% versus 4.8% at 30\u2009days, and 24.9% versus 27.0% at 365\u2009days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Frequent bouts of post\u2010acute rehabilitation before TAVR were associated with adverse outcomes, yet this metric may be helpful to determine which patients with severe AS could benefit from palliative and geriatric services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19124","type":"journal-article","created":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T03:35:56Z","timestamp":1723260956000},"page":"3510-3519","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pre\u2010procedural nursing home length of stay and outcomes of transcatheter aortic valve replacement"],"prefix":"10.1111","volume":"72","author":[{"given":"Preston N.","family":"Nicely","sequence":"first","affiliation":[{"name":"Warren Alpert Medical School of Brown University  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laiji","family":"Yang","sequence":"additional","affiliation":[{"name":"Hinda and Arthur Marcus Institute for Aging Research and Department of Medicine Hebrew Senior Life &amp; Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7290-6838","authenticated-orcid":false,"given":"Dae Hyun","family":"Kim","sequence":"additional","affiliation":[{"name":"Hinda and Arthur Marcus Institute for Aging Research and Department of Medicine Hebrew Senior Life &amp; Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Medicine Beth Israel Deaconess Medical Center  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah D.","family":"Berry","sequence":"additional","affiliation":[{"name":"Hinda and Arthur Marcus Institute for Aging Research and Department of Medicine Hebrew Senior Life &amp; Harvard Medical School  Boston Massachusetts USA"},{"name":"Department of Medicine Beth Israel Deaconess Medical Center  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,10]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.04.018"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/ncpcardio0827"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.894170"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.011724"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12471\u2010020\u201001378\u20101"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jjcc.2022.08.003"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/M13\u20101316"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.6738"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010023\u201002958\u20109"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2009.0629"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010020\u201006332\u2010w"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475\u20106773.2010.01194.x"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.10.027"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.35702\/card.10006"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2019.07.006"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019\u2010017\u20100655\u20108"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010133\u20104\u2010200008150\u201000007"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/8894223"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.19124","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T15:15:25Z","timestamp":1762182925000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.19124"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,10]]},"references-count":18,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1111\/jgs.19124"],"URL":"https:\/\/doi.org\/10.1111\/jgs.19124","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"type":"print","value":"0002-8614"},{"type":"electronic","value":"1532-5415"}],"subject":[],"published":{"date-parts":[[2024,8,10]]},"assertion":[{"value":"2023-11-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}