Untangling the complex web of avoidable nursing home-to-hospital transfers of residents with dementia.

ABSTRACT:

Introduction

Nursing home (NH) residents with Alzheimer's disease or related dementias (ADRD) are at high risk for hospital transfer. We aimed to (1) describe characteristics and predictors of avoidable transfer of residents with ADRD and (2) explore how "what matters" influences the decision to transfer.

Methods

We applied an exploratory, mixed methods design using data collected as part of a Centers for Medicare and Medicaid Services demonstration project. Advanced practice registered nurses documented retrospective details about nursing home (NH)-to-hospital transfers (n = 3687) from 16 NHs.

Results

NH residents with ADRD had 1.22 times higher odds of having an avoidable NH-to-hospital transfer (odds ratio = 1.22; 95% confidence interval = 1.03, 1.45). Factors cont

SUBMITTER: Powell KR 

PROVIDER: S-EPMC11567868 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature