New Institutionalization in Long-Term Care After Hospital Discharge to Skilled Nursing Facility.

ABSTRACT:

Background/objectives

Approximately half of individuals newly admitted to long-term care (LTC) nursing homes (NHs) experienced a prior hospitalization followed by discharge to a skilled nursing facility (SNF). The objective was to examine characteristics associated with new institutionalizations of older adults on this care trajectory.

Design

Retrospective cohort study.

Setting

SNFs and LTC NHs.

Patients

Medicare fee-for-service beneficiaries admitted to 7,442 SNFs in 2013 (N = 597,986).

Measurements

We used demographic and clinical characteristics from Medicare data and the Minimum Data Set. We defined "new institutionalization" as LTC NH residence for longer than 90 non-SNF days, starting within 6 months of hospital discharge.

Results

For indivi

SUBMITTER: Middleton A 

PROVIDER: S-EPMC5777887 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature