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Prospective study reveals admission functional status and social support predict post-hospital institutionalization in adult inpatients, highlighting key targets for early discharge planning.
To identify factors that predict institutional placement at discharge from a general hospital, 367 patients were evaluated prospectively upon admission. Prior nursing residence forecasts continued institutionalization, whereas ability to perform instrumental activities of daily life and the presence of strong community support (spouse of professional) heralds continued life at home following hospitalization. For the 29% of patients who did not fit into the above categories, over age 85, inability to perform activities of daily life and abnormal thought process correlated with nursing home placement.
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Wachtel et al. (1987) studied this question.
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