TY - JOUR PY - 2018// TI - Multilevel comparisons of hospital discharge among older adults with a fall-related hospitalization JO - Health services research A1 - Towne, Samuel D. A1 - Fair, Kayla A1 - Smith, Matthew Lee A1 - Dowdy, Diane M. A1 - Ahn, SangNam A1 - Nwaiwu, Obioma A1 - Ory, Marcia G. SP - 2227 EP - 2248 VL - 53 IS - 4 N2 - 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

LA - en SN - 0017-9124 UR - http://dx.doi.org/10.1111/1475-6773.12763 ID - ref1 ER -