Journal of General Internal Medicine

, Volume 23, Issue 1, pp 70–76

Degree of Disability and Patterns of Caregiving among Older Americans with Congestive Heart Failure

  • Tanya Ruff Gure
  • Mohammed U. Kabeto
  • Caroline S. Blaum
  • Kenneth M. Langa
Original Article

DOI: 10.1007/s11606-007-0456-1

Cite this article as:
Gure, T.R., Kabeto, M.U., Blaum, C.S. et al. J GEN INTERN MED (2008) 23: 70. doi:10.1007/s11606-007-0456-1

Abstract

OBJECTIVES

Although congestive heart failure (CHF) is a common condition, the extent of disability and caregiving needs for those with CHF are unclear. We sought to determine: (1) prevalence of physical disability and geriatric conditions, (2) whether CHF is independently associated with disability, (3) rates of nursing home admission, and (4) formal and informal in-home care received in the older CHF population.

METHODS

We used cross-sectional data from the 2000 wave of the Health and Retirement Study. We compared outcomes among three categories of older adults: (1) no coronary heart disease (CHD), (2) CHD, without CHF, and (3) CHF. Compared to those without CHF, respondents reporting CHF were more likely to be disabled (P < 0.001) and to have geriatric conditions (P < 0.001). Respondents reporting CHF were more likely to have been admitted to a nursing home (P < 0.05). CHF respondents were more functionally impaired than respondents without CHF.

RESULTS

The adjusted average weekly informal care hours for respondents reporting CHF was higher than for those reporting CHD but without CHF and those reporting no CHD (6.7 vs 4.1 vs 5.1, respectively; P < 0.05). Average weekly formal caregiving hours also differed among the three groups (1.3 CHF vs 0.9 CHD without CHF vs 0.7 no CHD; P > 0.05).

CONCLUSIONS

CHF imposes a significant burden on patients, families, and the long-term care system. Older adults with CHF have higher rates of disability, geriatric conditions, and nursing home admission.

KEY WORDS

CHF disability formal and informal caregiving 

Copyright information

© Society of General Internal Medicine 2007

Authors and Affiliations

  • Tanya Ruff Gure
    • 1
    • 3
    • 4
    • 5
  • Mohammed U. Kabeto
    • 5
  • Caroline S. Blaum
    • 2
    • 4
  • Kenneth M. Langa
    • 1
    • 5
  1. 1.Department of Veterans Affairs, VA Center for Practice Management & Outcomes ResearchVA Ann Arbor Healthcare SystemAnn ArborUSA
  2. 2.Department of Veterans Affairs, Geriatric ResearchEducation and Clinical Center (GRECC)Ann ArborUSA
  3. 3.RWJ Clinical Scholars ProgramUniversity of MichiganAnn ArborUSA
  4. 4.Division of Geriatric MedicineUniversity of MichiganAnn ArborUSA
  5. 5.Division of General Internal MedicineUniversity of MichiganAnn ArborUSA

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