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Akushevich I, Kravchenko J, Ukraintseva S, et al. Circulatory Diseases in the U.S. Elderly in the Linked National Long-Term Care Survey-Medicare Database: Population-Based Analysis of Incidence, Comorbidity, and Disability. Res Aging. 2012;35(4):437-458doi: 10.1177/0164027512446941.
Akushevich, I., Kravchenko, J., Ukraintseva, S., Arbeev, K., & Yashin, A. I. (2013). Circulatory Diseases in the U.S. Elderly in the Linked National Long-Term Care Survey-Medicare Database: Population-Based Analysis of Incidence, Comorbidity, and Disability. Research on aging, 35(4), 437-458. https://doi.org/10.1177/0164027512446941
Akushevich, Igor, et al. "Circulatory Diseases in the U.S. Elderly in the Linked National Long-Term Care Survey-Medicare Database: Population-Based Analysis of Incidence, Comorbidity, and Disability." Research on aging vol. 35,4 (2013): 437-458. doi: https://doi.org/10.1177/0164027512446941
Akushevich I, Kravchenko J, Ukraintseva S, Arbeev K, Yashin AI. Circulatory Diseases in the U.S. Elderly in the Linked National Long-Term Care Survey-Medicare Database: Population-Based Analysis of Incidence, Comorbidity, and Disability. Res Aging. 2013 Jul;35(4):437-458. doi: 10.1177/0164027512446941. Epub 2012 Jun 11. PMID: 26609189; PMCID: PMC4655882.
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Res Aging. 2013 Jul;35(4):437-458. doi: 10.1177/0164027512446941. Epub 2012 Jun 11.

Circulatory Diseases in the U.S. Elderly in the Linked National Long-Term Care Survey-Medicare Database: Population-Based Analysis of Incidence, Comorbidity, and Disability.

Research on aging

Igor Akushevich, Julia Kravchenko, Svetlana Ukraintseva, Konstantin Arbeev, Anatoli I Yashin

Affiliations

  1. Center for Population Health and Aging, Duke University, Durham, NC, USA.
  2. Duke Cancer Institute, Duke University, Durham, NC, USA.
  3. Center for Population Health and Aging, Duke University, Durham, NC, USA ; Duke Cancer Institute, Duke University, Durham, NC, USA.

PMID: 26609189 PMCID: PMC4655882 DOI: 10.1177/0164027512446941

Abstract

Incidence rates of acute coronary heart disease (ACHD; including myocardial infarction and angina pectoris), stroke, and heart failure (HF) were studied for their age, disability, and comorbidity patterns in the U.S. elderly population using the National Long Term Care Survey (NLTCS) data linked to Medicare records for 1991-2005. Incidence rates increased with age with a decrease in the oldest old (stroke and HF) or were stable at all ages (ACHD). For all diseases, incidence rates were lower among institutionalized individuals and higher in individuals with higher comorbidity indices. The results could be used for understanding currently debated effects of biomedical research, screening, and therapeutic innovations on changes in disease incidence with advancing age as well as for projecting future Medicare costs.

Keywords: Medicare data; age pattern; circulatory diseases; comorbidity; disability; elderly; incidence rates

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