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August 1, 1997Medical Care

Discharge Destination and Repeat Hospitalizations

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Why the study?

Does discharge to a nursing home compared to a personal home reduce hospital readmissions in elderly patients with COPD, stroke, or dementia?

Population

20% random sample of patients, 65 years of age or older, with either chronic obstructive pulmonary disease…

Comparison

Discharge to a nursing home vs Discharge to a personal home

Design

Cohort

Follow-up

Up to 2 years

Authors

LCLois CambergFranklin W. Olin College of EngineeringNSNancy SmithWinston-Salem State UniversityMBMarie P. BeaudetStatistics Canada

Discussion

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Implication

Discharge to nursing homes was associated with fewer 30-day readmissions in COPD and dementia; leaves open causality and generalizability to stroke.

Structured PICO

Does discharge to a nursing home compared to a personal home reduce hospital readmissions in elderly patients with COPD, stroke, or dementia?

P
Population
20% random sample of patients, 65 years of age or older, with either chronic obstructive pulmonary disease, stroke, or dementia who were discharged from a Veterans Health Administration (VHA) hospital in 1988.
I
Intervention
Discharge to a nursing home (community or Veterans Health Administration)
C
Comparator
Discharge to a personal home
O
Outcome
Time to hospital readmission within 30 days, 6 months, 1 year, and 2 years of dischargehard clinical

Discharge to a nursing home rather than a personal home is associated with a lower risk of 30-day hospital readmission in elderly patients with COPD or dementia.

Cite This Study

Camberg et al. (1997) studied this question.

synapsesocial.com/papers/6a813f1f762dba2aae6482e0https://doi.org/10.1097/00005650-199708000-00002
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Nursing Home Patients Transferred by Ambulance to a VA Emergency Department1991 · 84 citations
  2. 2Hospital Readmissions Among the Elderly1985 · 224 citations
  3. 3IATROGENESIS IN THE ELDERLY: Factors of Immobility1991 · 40 citations
  4. 4Health Care Financing Review1980 · 2,527 citations
  5. 5Hospital Use in a Fee-for-Service System1982 · 28 citations