Key result
Discharge to a nursing home was associated with a higher 30-day hospital readmission rate compared to discharge to the community (34.4% vs 22.6%, P<.001).
Why the study?
Do nursing home residents have a higher rate of 30-day hospital readmission compared to community-dwelling older adults?
Cohort (n=1,038)
No
Do nursing home residents have a higher rate of 30-day hospital readmission compared to community-dwelling older adults?
Absolute Event Rate: 34.4% vs 22.6%
p-value: p=<.001
Nursing home residents have significantly higher 30-day hospital readmission rates than community-dwelling older adults, with differing risk factors such as congestive heart failure and dementia being specific to the nursing home population.
May signal elevated readmission risk after nursing home discharge; leaves open targeted prevention strategies for older adults.
OBJECTIVES: To compare rates and risk factors for early hospital readmission for nursing home residents and community-dwelling older adults. DESIGN: Retrospective cohort study. SETTING: Geriatric inpatient service at a large urban hospital. PARTICIPANTS: Nursing home residents (n=625) and community-dwelling individuals (n=413) aged 65 and older admitted over a 1-year period. MEASUREMENTS: Thirty-day readmissions. RESULTS: There were 1,706 hospital admissions within the 1-year study period involving 1,038 individuals. The 30-day readmission rate was higher for subjects discharged to a nursing home than those discharged to the community (34.4% vs 22.6%, P<.001). Chronic kidney disease and pressure ulcers were associated with greater risk of readmission in both groups. Chronic obstructive pulmonary disease was a risk factor for readmission only in community-dwelling individuals. Congestive heart failure and dementia were associated with greater risk of readmission only in nursing home residents. Readmission rates varied between individual nursing homes by more than a factor of 2. Risk of readmission was 30% lower in nursing home residents cared for by hospitalist than nonhospitalist geriatricians. CONCLUSION: Higher rates of hospital readmission for individuals discharged to nursing homes than to the community and differing patterns of risk factors for readmission indicate the importance of customized interventions to reduce readmission rates for two distinct elderly populations.
No takes yet. Share an insight, caveat, or question.
Bogaisky et al. (2015) conducted a cohort in Hospital readmission (n=1,038). Discharge to a nursing home vs. Discharge to the community was evaluated on Thirty-day readmissions (p=<.001). Discharge to a nursing home was associated with a higher 30-day hospital readmission rate compared to discharge to the community (34.4% vs 22.6%, P<.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: