Citation

Towne SD, Fair K, Smith ML, Dowdy DM, Ahn S, Nwaiwu O, Ory MG. Health Serv. Res. 2018; 53(4): 2227-2248.

Affiliation

Center for Population Health and Aging, Texas A&M University, School of Public Health, College Station, TX.

Copyright

(Copyright © 2018, John Wiley and Sons)

DOI

10.1111/1475-6773.12763

PMID

28857156

Abstract

OBJECTIVE: We examined multilevel factors associated with hospital discharge status among older adults suffering a fall-related hospitalization. DATA SOURCES: The 2011-2013 (n = 131,978) Texas Inpatient Hospital Discharge Public-Use File was used. STUDY DESIGN/METHODS: Multilevel logistic regression analyses estimated the likelihood of being discharged to institutional settings versus home. PRINCIPAL FINDINGS: Factors 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).

CONCLUSIONS: Understanding 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.

© Health Research and Educational Trust.

Language: en

Keywords

Falls; Medicare; hospital discharge; older adults