Multilevel Comparisons of Hospital Discharge among Older Adults with a Fall-Related Hospitalization

被引：4

作者：

Towne, Samuel D., Jr. ^{[1
]}

Fair, Kayla ^{[2
]}

Smith, Matthew Lee ^{[1
,3
]}

Dowdy, Diane M. ^{[1
]}

Ahn, SangNam ^{[1
,4
]}

Nwaiwu, Obioma ^{[5
]}

Ory, Marcia G. ^{[6
]}

机构：

[1] Texas A&M Univ, Sch Publ Hlth, Dept Hlth Promot & Community Hlth Sci, 1266 TAMU, College Stn, TX 77843 USA

[2] Univ Texas Southwestern Med Ctr Dallas, Dept Psychiat, Ctr Depress Res & Clin Care, Dallas, TX 75390 USA

[3] Univ Georgia, Coll Publ Hlth, Dept Hlth Promot & Behav, Athens, GA 30602 USA

[4] Univ Memphis, Sch Publ Hlth, Div Hlth Syst Management & Policy, Memphis, TN 38152 USA

[5] Univ Arkansas Med Sci, Dept Family & Prevent Med, Little Rock, AR 72205 USA

[6] Texas A&M Univ, Sch Publ Hlth, Ctr Populat Hlth & Aging, College Stn, TX USA

来源：

HEALTH SERVICES RESEARCH | 2018年 / 53卷 / 04期

关键词：

Falls; hospital discharge; older adults; Medicare; TEXAS; CARE; RISK;

D O I：

10.1111/1475-6773.12763

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

ObjectiveWe examined multilevel factors associated with hospital discharge status among older adults suffering a fall-related hospitalization. Data SourcesThe 2011-2013 (n=131,978) Texas Inpatient Hospital Discharge Public-Use File was used. Study Design/MethodsMultilevel logistic regression analyses estimated the likelihood of being discharged to institutional settings versus home. Principal FindingsFactors associated with a greater likelihood of being discharged to institutional settings versus home/self-care included being female, white, older, having greater risk of mortality, receiving care in a non-teaching hospital, having Medicare (versus Private) coverage, and being admitted from a non-health care facility (versus clinical referral). ConclusionsUnderstanding risk factors for costly discharges to institutional settings enables targeted fall-prevention interventions with identification of at-risk groups and allows for identifying policy-related factors associated with discharge status.

引用

页码：2227 / 2248

页数：22

共 50 条

[1] MULTI-LEVEL COMPARISONS OF HOSPITAL DISCHARGE AMONG OLDER ADULTS WITH A FALL-RELATED HOSPITALIZATION
Towne, S. D.
Fair, K.
Dowdy, D.
Smith, M. L.
Ahn, S.
Ory, M. G.
GERONTOLOGIST, 2015, 55 : 641 - 641
[2] Cost of Fall-Related Hospitalizations among Older Adults: Environmental Comparisons from the 2011 Texas Hospital Inpatient Discharge Data
Towne, Samuel D., Jr.
Ory, Marcia G.
Smith, Matthew Lee
POPULATION HEALTH MANAGEMENT, 2014, 17 (06) : 351 - 356
[3] POLYPHARMACY AND RISK OF FALL-RELATED HOSPITALIZATION IN OLDER ADULTS
Maharjan, S.
Sharma, M.
VALUE IN HEALTH, 2022, 25 (07) : S315 - S315
[4] Increase in fall-related hospitalization, mortality, and lethality among older adults in Brazil
Ortiz Gomes Stolt, Ligia Raquel
Kolisch, Daniel Vieira
Tanaka, Clarice
Alves Cardoso, Maria Regina
Basso Schmitt, Ana Carolina
REVISTA DE SAUDE PUBLICA, 2020, 54
[5] THE COST AND FREQUENCY OF HOSPITALIZATION FOR FALL-RELATED INJURIES IN OLDER ADULTS
ALEXANDER, BH
RIVARA, FP
WOLF, ME
AMERICAN JOURNAL OF PUBLIC HEALTH, 1992, 82 (07) : 1020 - 1023
[6] Trends in Hospitalization for Fall-related Injuries among older adults, 1988-2005
Orces, C. H.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2009, 57 : S172 - S173
[7] Fall-Risk Assessment and Intervention to Reduce Fall-related Injuries and Hospitalization among Older Adults
Emerson, Pittawat Narktawan
JNP- THE JOURNAL FOR NURSE PRACTITIONERS, 2023, 19 (01):
[8] Fear of falling among older adults with a fall-related injury
Tennstedt, S
Peterson, E
Jette, A
GERONTOLOGIST, 2003, 43 : 378 - 378
[9] Fall-Related Eye Injury Among Older Adults in the United States
Halawa, Omar
Mitchell, William
Zebardast, Nazlee
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2021, 229 : 82 - 89
[10] Weather warnings predict fall-related injuries among older adults
Mondor, Luke
Charland, Katia
Verma, Aman
Buckeridge, David L.
AGE AND AGEING, 2015, 44 (03) : 403 - 408

← 1 2 3 4 5 →