JAMDA
Volume 3, Issue 3 , Pages 130-135 , May 2002

Hospitalization Risk Following Admission to an Academic Nursing Home

  • Kenneth Boockvar, MD, MS

      Affiliations

    • Department of Geriatrics, Mount Sinai School of Medicine, and The Jewish Home and Hospital, New York, New York
    • Corresponding Author InformationAddress correspondence and requests for reprints to Kenneth S. Boockvar, MD, MS, Mount Sinai School of Medicine, Department of Geriatrics, Box 1070, One Gustave L. Levy Place, New York, NY 10029-6574.
    • ,
  • Mark Lachs, MD, MPH

      Affiliations

    • Division of Geriatrics, Weill Medical College of Cornell University, New York, New York

References 

  1. Alessi C, Harker J. A prospective study of acute illness in the nursing home. Aging (Milano). 1998;10:479–489
  2. Boockvar K, Brodie HD, Lachs M. Nursing assistants detect behavior changes in nursing home residents that precede acute illness: Development and validation of an illness warning instrument. J Am Geriatr Soc. 2000;48:1086–1091
  3. Castle NG, Mor V. Hospitalization of nursing home residents: A review of the literature, 1980–1995. Med Care Res Rev. 1996;53:123–148
  4. Barker WH, Zimmer JG, Hall WJ, et al. Rates, patterns, causes, and costs of hospitalization of nursing home residents: A population-based study. Am J Public Health. 1994;84:1615–1620
  5. Ouslander JG. Medical care in the nursing home. JAMA. 1989;262:2582–2590
  6. Creditor MC. Hazards of hospitalization of the elderly. Ann Intern Med. 1993;118:219–223
  7. Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: Population based review of medical records. BMJ. 2000;320:741–744
  8. Steel K. Iatrogenic disease on a medical service. J Am Geriatr Soc. 1984;32:445–449
  9. Gorbien MJ, Bishop J, Beers MH, et al. Iatrogenic illness in hospitalized elderly people. J Am Geriatr Soc. 1992;40:1031–1042
  10. Davis JW, Shapiro MF, Kane RL. Level of care and complications among geriatric patients discharged from the medical service of a teaching hospital. J Am Geriatr Soc. 1984;32:427–430
  11. Fortinsky RH, Covinsky KE, Palmer RM, Landefeld CS. Effects of functional status changes before and during hospitalization on nursing home admission of older adults. J Gerontol A Biol Sci Med Sci. 1999;54:M521–526
  12. Boyd CM, Xue Q, Guralnik JM, Fried LP. The association of incident hospitalization with incident and persistent dependence in activities of daily living (ADLs) in a cohort of moderately to severely disabled community-dwelling older women (abstract). J Am Geriatr Soc. 2001;49:S136
  13. Fried TR, Mor V. Frailty and hospitalization of long-term stay nursing home residents. J Am Geriatr Soc. 1997;45:265–269
  14. Murtaugh CM, Freiman MP. Nursing home residents at risk of hospitalization and the characteristics of their hospital stays. Gerontologist. 1995;35:35–43
  15. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis. 1987;40:373–383
  16. Bravo G, Dubois MF, Hebert R, De Wals P. A prospective evaluation of the Charlson comorbidity index for use in long-term care patients (abstract). J Am Geriatr Soc. 2001;49:S105
  17. Burton LC, German PS, Gruber-Baldini AL, et al. Medical care for nursing home residents: Differences by dementia status. Epidemiology of Dementia in Nursing Homes Research Group. J Am Geriatr Soc. 2001;49:142–147
  18. Morris JN, Hawes C, Fries BE, et al. Designing the national resident assessment instrument for nursing homes. Gerontologist. 1990;30:293–307
  19. Boockvar KS, Lachs MS. Development of definitions for acute illness in nursing home residents based on chart-recorded physical exam findings. J Am Med Dir Assoc. 2001;2:279–284
  20. Cuijpers P. Mortality and depressive symptoms in inhabitants of residential homes. Int J Geriatr Psychiatry. 2001;16:131–138
  21. Rovner BW. Depression and increased risk of mortality in the nursing home patient. J Am Med. 1993;94:19S–22S
  22. Parmelee PA, Katz IR, Lawton MP. Incidence of depression in long-term care settings. J Gerontol. 1992;47:M189–196
  23. Covinsky KE, Fortinsky RH, Palmer RM, et al. Relation between symptoms of depression and health status outcomes in acutely ill hospitalized older persons. Ann Intern Med. 1997;126:417–425
  24. Kiecolt-Glaser JK, Marucha PT, Malarkey WB, et al. Slowing of wound healing by psychological stress. Lancet. 1995;346:1194–1196
  25. Gullette EC, Blumenthal JA, Babyak M, et al. Effects of mental stress on myocardial ischemia during daily life. JAMA. 1997;277:1521–1526
  26. Teresi J, Holmes D, Bloom H, et al. Factors differentiating hospital transfers from long-term care facilities with high and low transfer rates. Gerontologist. 1991;31:795–806
  27. Kayser-Jones J, Wiener C, Barbaccia J. Factors contributing to the hospitalization of nursing home residents. Gerontologist. 1989;29:502–510
  28. Gambassi G, Landi F, Peng L, et al. Validity of diagnostic and drug data in standardized nursing home resident assessments: Potential for geriatric pharmacoepidemiology. SAGE Study Group. Systematic Assessment of Geriatric drug use via Epidemiology. Med Care. 1998;36:167–179

 This work was performed in part while Dr. Boockvar was supported by Agency for Health Care Policy and Research (now Agency for Health Research and Quality) Health Services Research training Grant OKT2HS00066B. Dr. Boockvar is now a Hartford Foundation Center of Excellence Scholar at Mount Sinai and recipient of the Hoar Fellowship from the New York Academy of Medicine. Dr. Lachs is a Paul Beeson Physician Faculty Scholar (American Federation for Aging Research) and recipient of National Institute on Aging academic leadership award KO7AG00853–03.

PII: S1525-8610(04)70454-5

doi: 10.1016/S1525-8610(04)70454-5

JAMDA
Volume 3, Issue 3 , Pages 130-135 , May 2002

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