Hazards of hospitalization: residence prior to admission predicts outcomes

The Gerontologist
Susan M FriedmanRobert M McCann

Abstract

Previous studies investigating adverse outcomes of hospitalized elders have focused on community-dwelling patients. Given the rapid growth of populations living in other settings, such as assisted living facilities, it is important to understand whether these patients are at higher risk of experiencing specific adverse outcomes during hospitalization, so that interventions can be developed to reduce risk. This is a prospective, observational study of 212 sequential patients admitted during a 1-month period in 2006 to a 38-bed Acute Care for Elders unit in Rochester, New York and followed until discharge. We categorized the patients by residence prior to admission (i.e., community, assisted living, and nursing home). Our outcome categories were: worsening function, delirium, depression, falls, pressure sores, and nursing home admission. After adjusting for multiple characteristics, we found that patients admitted from assisted living facilities were at substantially higher risk than those admitted from the community for functional decline and falls. Patients from nursing homes had a trend toward increased risk for these outcomes, but the trend did not reach statistical significance. More than three fourths of assisted living fac...Continue Reading

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Citations

May 17, 2011·Alzheimer Disease and Associated Disorders·Ramit Ravona-SpringerMichal Schnaider Beeri
Mar 23, 2011·Australian Occupational Therapy Journal·Sarah Cheah, Scott Presnell
Feb 5, 2010·Dementia and Geriatric Cognitive Disorders·Ramit Ravona-SpringerMichal Schnaider Beeri
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Feb 14, 2020·International Journal for Equity in Health·Sudeh Cheraghi-SohiCaroline Sanders
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Dec 8, 2020·Journal of the American Medical Directors Association·Elizabeth KunkelDaniel Kobewka
Aug 12, 2021·Age and Ageing·Anton De SpiegeleerNele Van Den Noortgate

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