JAMDA
Volume 10, Issue 9 , Pages 623-629 , November 2009

Predictors of Discharges to a Nursing Home in a Hospital-Based Cohort

  • Emily R. Smith, MSPH

      Affiliations

    • Scott and White Healthcare, Program on Aging and Care, Temple, TX
    • Corresponding Author InformationAddress correspondence to Emily Smith, MSPH, Scott and White Healthcare, Program on Aging and Care, 2401 S. 31st (CDM), Temple, TX 76508.
    • ,
  • Alan B. Stevens, PhD

      Affiliations

    • Scott and White Healthcare, Program on Aging and Care, Temple, TX
    • Texas A&M Health Science Center, Temple, TX

References 

  1. Vinson JM, Rich MW, Sperry JC, et al. Early readmission of elderly patients with congestive heart failure. J Am Geriatr Soc. 1990;38:1290–1295
  2. McCusker J, Karp I, Cardin S, et al. Determinants of emergency department visits by older adults: A systematic review. Acad Emerg Med. 2003;10:1362–1370
  3. McCusker J, Cardin S, Bellavance F, Belzile E. Return to the emergency department among elders: patterns and Predictors. Acad Emerg Med. 2000;7:249–259
  4. Marcantonio ER, McKean S, Goldfinger M, et al. Factors associated with unplanned hospital readmission among patients 65 years of age and older in a Medicare managed care plan. Am J Med. 1999;107:13–17
  5. Burns R, Nichols LO. Factors predicting readmission of older general medicine patients. J Gen Intern Med. 1991;6:389–393
  6. Miller EA, Weissert WG. Predicting elderly people's risk for nursing home placement, hospitalization, functional impairment, and mortality: A synthesis. Med Care Res Rev. 2000;57:259–297
  7. Nolan M, Dellasega C. ‘I really feel I've let him down’: supporting family carers during long-term care placement for elders. J Adv Nurs. 2000;31:759–767
  8. Lee T, Kovner CT, Mezey MD, Ko IS. Factors influencing long-term home care utilization by the older population: Implications for targeting. Public Health Nurs. 2001;18:443–449
  9. Gaugler JE, Duval S, Anderson KA, Kane RL. Predicting nursing home admission in the U.S: a meta-analysis. BMC Geriatr. 2007;7:13
  10. Wingard DL, Jones DW, Kaplan RM. Institutional care utilization by the elderly: A critical review. Gerontologist. 1987;27:156–163
  11. Stuck AE, Siu AL, Wieland GD, et al. Comprehensive geriatric assessment: A meta-analysis of controlled trials. Lancet. 1993;342:1032–1036
  12. Narain P, Rubenstein LZ, Wieland GD, et al. Predictors of immediate and 6-month outcomes in hospitalized elderly patients. The importance of functional status. J Am Geriatr Soc. 1988;36:775–783
  13. Congressional Budget Office . Projections of expenditures for long–term care services for the elderly. Washington, DC: CBO; March 1999;
  14. Texas Department of Human Services. Community care and long term care. Austin, Texas: Texas Department of Aging and Disability Services; 2003.
  15. Yaffe K, Fox P, Newcomer R, et al. Patient and caregiver characteristics and nursing home placement in patients with dementia. JAMA. 2002;287:2090–2097
  16. Smith GE, O'Brien PC, Ivnik RJ, et al. Prospective analysis of risk factors for nursing home placement of dementia patients. Neurology. 2001;57:1467–1473
  17. Smith GE, Kokmen E, O'Brien PC. Risk factors for nursing home placement in population-based dementia cohort. J Am Geriatr Soc. 2000;48:519–525
  18. Rozzini L, Cornali C, Chilovi B, et al. Predictors of Institutionalization in demented patients discharged from a rehabilitation unit. JAMA. 2006;7:345–349
  19. Mittelman MS, Ferris SH, Shulman E, et al. A family intervention to delay nursing home placement of patients with Alzheimer disease: A randomized controlled trial. JAMA. 1996;276:1725–1731
  20. Howell S, Silberberg M, Quinn WV, Lucas JA. Determinants of remaining in the community after discharge: Results from New Jersey's Nursing Home Transition Program. Gerontologist. 2007;47:535–547
  21. Buhr GT, Kuchibhatla M, Clipp EC. Caregiver's reasons for nursing home placement: Clues for improving discussions with families prior to the transition. Gerontologist. 2006;46:52–61
  22. Van Houtven CH, Norton EC. Informal care and health care use of older adults. J Health Econ. 2004;23:1159–1180
  23. Valiyeva E, Russell LB, Miller JE, Safford MM. Lifestyle-related risk factors and risk of future nursing home admission. Arch Intern Med. 2006;166:985–990
  24. Banaszak-Holl J, Fendrick AM, Foster NL, et al. Predicting nursing home admission: Estimates from a 7-year follow-up of a nationally representative sample of older Americans. Alzheimer Dis Assoc Disord. 2004;18:83–89
  25. Satish S, Winograd CH, Chavez C, Bloch DA. Geriatric targeting criteria as predictors of survival and health care utilization. J Am Geriatr Soc. 1996;44:914–921
  26. Rudberg MA, Sager MA, Zhang J. Risk factors for nursing home use after hospitalization for medical illness. J Gerontol A Biol Sci Med Sci. 1996;51:M189–M194
  27. Mahoney JE, Eisner J, Havighurst T, et al. Problems of older adults living alone after hospitalization. J Gen Intern Med. 2000;15:611–619
  28. Holroyd-Leduc JM, Mehta KM, Covinsky KE. Urinary incontinence and its association with death, nursing home admission, and functional decline. J Am Geriatr Soc. 2004;52:712–718
  29. Friedman SM, Steinwachs DM, Rathouz PJ, et al. Characteristics predicting nursing home admission in the program of all–inclusive care for elderly people. Gerontologist. 2005;45:157–166
  30. 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–M526
  31. Fogel JF, Hyman RB, Rock B, Wolf-Klein G. Predictors of hospital length of stay and nursing home placement in an elderly medical population. J Am Med Dir Assoc. 2000;1:202–210
  32. Bharucha AJ, Pandav R, Shen C, et al. Predictors of nursing facility admission: A 12-year epidemiological study in the United States. J Am Geriatr Soc. 2004;52:434–439
  33. Ahmed A, Allman RM, DeLong JF. Predictors of nursing home admission for older adults hospitalized with heart failure. Arch Gerontol Geriatr. 2003;36:117–126
  34. Aditya BS, Sharma JC, Allen SC, Vassallo M. Predictors of a nursing home placement from a non-acute geriatric hospital. Clin Rehabil. 2003;17:108–113
  35. Greenberg JN, Ginn A. A multivariate analysis of the predictors of long-term care placement. Home Health Care Serv Q. 1979;1:75–99
  36. All Patient Refined Diagnosis Related Groups (APR–DRGs). Version 12.0. Definitions Manual. Wallingford, CT: 3M Health Information Systems; 1995;
  37. Yaffe K, Fox P, Newcomer R, et al. Patient and caregiver characteristics and nursing home placement in patients with dementia. JAMA. 2002;287:1090–1097
  38. Muramatsu N, Yin H, Campbell RT, et al. Risk of nursing home admission among older Americans: Does states' spending on home- and community-based services matter?. J Gerontol B Psychol Sci Soc Sci. 2007;62:S169–S178
  39. Kersting RC. Impact of social support, diversity, and poverty on nursing home utilization in a nationally representative sample of older Americans. Soc Work Health Care. 2001;33:67–87
  40. Fisher L, Lieberman MA. A longitudinal study of predictors of nursing home placement for patients with dementia: The contribution of family characteristics. Gerontologist. 1999;39:677–686
  41. Goetz CG, Stebbins GT. Risk factors for nursing home placement in advanced Parkinson's disease. Neurology. 1993;43:2227–2229
  42. Aarsland D, Larsen JP, Tandberg E, Laake K. Predictors of nursing home placement in Parkinson's disease: A population-based, prospective study. J Am Geriatr Soc. 2000;48:938–942
  43. Banerjee S, Murray J, Foley B, et al. Predictors of institutionalisation in people with dementia. J Neurol Neurosurg Psychiatry. 2003;74:1315–1316

 The authors have no conflicts of interest relating to this article.

PII: S1525-8610(09)00239-4

doi: 10.1016/j.jamda.2009.06.003

JAMDA
Volume 10, Issue 9 , Pages 623-629 , November 2009

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