PMID: 12752844May 20, 2003Paper

Prospective evaluation of a screen for complex discharge planning in hospitalized adults

Journal of the American Geriatrics Society
Diane E HollandMary A Severson

Abstract

To test the predictive ability of the Probability of Repeated Admission (PRA) screen for nonroutine discharge planning (requiring new referrals for formal services). Prospective cohort. Two hospitals within a large Midwestern, tertiary care, referral-based system. Nine hundred ninety-one hospitalized adults identified using a systematic sampling strategy. The PRA screen was administered, and use of nonroutine discharge planning resources and nonroutine discharge disposition were determined using observation and open record review. Prolonged length of stay was determined by comparing the actual length of stay with the combined average length of stay for diagnosis-related groupings. Significant differences in PRA scores existed in two of three endpoints, but the differences were small, and the ranges of scores overlapped almost completely. Using, logistic regression, items predicting use of nonroutine discharge-planning resources were self-rated health, caregiver availability, age, and sex (chi-square (chi2) = 105.7, df = 9, P <.001), accounting for 17.9% of the variability and area under receiver operating characteristic curve (AUC) of 0.74. Self-rated health and sex predicted prolonged length of stay (chi2 = 15.3, df = 5, P =.0...Continue Reading

References

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Citations

Aug 19, 2007·Archives of Gerontology and Geriatrics·Makoto TanakaMasayuki Yokode
Dec 17, 2008·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·James F GraumlichJean C Aldag
Dec 5, 2013·International Journal of Nursing Knowledge·Alberto Dal MolinLaura Rasero
Apr 11, 2014·Social Work in Health Care·Rosemary Kennedy ChapinTerry L Koenig
May 8, 2009·Western Journal of Nursing Research·Lori Lea PopejoyColleen Galambos
Jan 28, 2006·Nursing Research·Diane E HollandKathleen E Krichbaum

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