Here - American Geriatrics Society

P OSTER
A BSTRACTS
Conclusions: There were similarities between the socio-demographic
and health-related correlates of alcohol use among older Taiwanese
adults and older adults from other ethnicities. Former or current
use of other substances was also associated with more frequent
alcohol use. Future studies should evaluate whether the effect of alcohol
use on health-related outcomes among older Asian adults
would differ from older adults of other ethnicities.
D138
Quality of Hospice Care for Patients with Dementia.
J. Albrecht, 1 J. C. McGregor, 2,3 E. K. Fromme, 3 D. S. Lee, 2,3
J. P. Furuno. 2,3 1. University of Maryland, Baltimore, MD; 2. Oregon
State Univeristy, Portland, OR; 3. Oregon Health & ScienceUniveristy,
Portland, OR.
Background: Patients with dementia comprise an increasing
percentage of hospice recipients; yet research on the quality of hospice
care for patients with dementia is lacking. We used data from the
2007 National Hospice and Home Care Survey (NHHCS) to compare
quality of care in dementia patients to all other hospice patients.
Methods: The 2007 NHHCS is a nationally-representative sample
of 4,733 U.S. hospice discharges. Data were collected through inperson
interviews with agency directors and staff and patient medical
records. A current primary diagnosis of dementia was defined as
ICD-9 codes: 290.0, 290.42, 294.8, 294.9, 331.0, 331.11, 331.4, 331.82,
and 331.9. Quality indicators were compared between patients with
and without dementia. These include: transfer to hospice in the last 3
days of life, tube feeding, depression, absence of an advanced directive
or do not resuscitate (DNR) order, stage II or greater pressure
ulcers, use of emergent care, antibiotic receipt, continuity of residence
and pain reported at last assessment. All estimates were weighted to
account for the survey’s complex sampling design. Chi-square and
Student’s t-tests were used for comparisons, and statistical significance
was defined as p