Journal
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 63, Issue 3, Pages 548-552Publisher
WILEY-BLACKWELL
DOI: 10.1111/jgs.13317
Keywords
elderly; hospital readmission; nursing home resident
Categories
Funding
- U.S. Department of Health and Human Services [K01HP21157]
Ask authors/readers for more resources
ObjectivesTo compare rates and risk factors for early hospital readmission for nursing home residents and community-dwelling older adults. DesignRetrospective cohort study. SettingGeriatric inpatient service at a large urban hospital. ParticipantsNursing home residents (n=625) and community-dwelling individuals (n=413) aged 65 and older admitted over a 1-year period. MeasurementsThirty-day readmissions. ResultsThere were 1,706 hospital admissions within the 1-year study period involving 1,038 individuals. The 30-day readmission rate was higher for subjects discharged to a nursing home than those discharged to the community (34.4% vs 22.6%, P<.001). Chronic kidney disease and pressure ulcers were associated with greater risk of readmission in both groups. Chronic obstructive pulmonary disease was a risk factor for readmission only in community-dwelling individuals. Congestive heart failure and dementia were associated with greater risk of readmission only in nursing home residents. Readmission rates varied between individual nursing homes by more than a factor of 2. Risk of readmission was 30% lower in nursing home residents cared for by hospitalist than nonhospitalist geriatricians. ConclusionHigher rates of hospital readmission for individuals discharged to nursing homes than to the community and differing patterns of risk factors for readmission indicate the importance of customized interventions to reduce readmission rates for two distinct elderly populations.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available