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Editorial| Volume 21, ISSUE 4, P441-443, April 2020

Hospitalization and Post-Acute and Long-Term Care Medicine

  • Sheryl Zimmerman
    Correspondence
    Address correspondence to Sheryl Zimmerman, PhD, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Martin Luther King Jr Boulevard, Campus Box 7590, Chapel Hill, NC 27599-7590.
    Affiliations
    Cecil G. Sheps Center for Health Services Research and Schools of Social Work and Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC
    Search for articles by this author
  • Philip D. Sloane
    Affiliations
    Cecil G. Sheps Center for Health Services Research and Department of Family Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC
    Search for articles by this author
      In 2017, 15.3% of the US population 65 years of age and older were hospitalized, as were 22.1% of those 85 years of age and older.
      Centers for Disease Control and Prevention, National Center for Health Statistics
      Health, United States, 2018–data finder.
      Given that there are 49 million persons 65 and older, and 6.5 million persons 85 and older,
      Administration for Community Living
      2017 profile of older Americans.
      these numbers correspond to the staggering figures of 7.5 million older adults hospitalized, including 1.5 million of the oldest old, every year, often multiple times. It's no wonder that the April 2020 theme issue of JAMDA is dedicated to hospital care.
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      References

        • Centers for Disease Control and Prevention, National Center for Health Statistics
        Health, United States, 2018–data finder.
        (Available at:)
        https://www.cdc.gov/nchs/data/hus/2018/039.pdf
        Date accessed: February 24, 2020
        • Administration for Community Living
        2017 profile of older Americans.
        (Available at:)
        • Centers for Medicare & Medicaid Services
        The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program.
        (Available at:)
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        Predictors of rehospitalization in post-acute rehabilitation among different ethnic groups.
        J Am Med Dir Assoc. 2020; 21: 513-518
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        Dementia severity associated with increased risk of potentially preventable readmissions during home health care.
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        Ambulatory case sensitive conditions associated with potentially avoidable hospital admissions.
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        External validation and comparison of early readmission’s risk scores in the elderly: Prospective observational study.
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        Reducing hospital readmissions through a skilled nursing facility discharge intervention: A pragmatic trial.
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        The Post-acute Delayed Discharge Risk Scale (PADDRS): Derivation and validation with Ontario alternate level of care (ALC) patients in CCC hospitals.
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        Understanding factors associated with psychomotor subtypes of delirium in older inpatients with dementia.
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        Association between level of arousal and 30-day survival in acutely ill older adults.
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        Opioid use disorder among hospitalized older adults: Prevalence, characteristics, and discharge status.
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        Measurement of dynamical resilience indicators improves the prediction of recovery following hospitalization in older adults.
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        Effect of a simple exercise programme on hospitalisation-associated disability in older patients: A randomised controlled trial.
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        The geriatric patient: The ideal one for chest ultrasound? A review from the Chest Ultrasound in the Elderly Study Group (GRETA) of the Italian Society of Gerontology and Geriatrics (SIGG).
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        • Iwamoto J.
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        Lower incidence of in-hospital falls in patients hospitalised in window beds than nonwindow beds.
        J Am Med Dir Assoc. 2020; 21: 476-480
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        Effects of statins for secondary prevention on functioning and other outcomes among nursing home residents.
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