Unknown

Dataset Information

0

The subsequent course of disability in older persons discharged to a skilled nursing facility after an acute hospitalization.


ABSTRACT: OBJECTIVES:To evaluate the association between the type of acute hospitalization and subsequent course of disability in older persons discharged to a skilled nursing facility (SNF). DESIGN:Longitudinal study of 754 community-living persons aged 70 or older. PARTICIPANTS:The analytical sample included 365 participants who had one or more admissions to a SNF after an acute hospitalization (n=520 index admissions). MEASUREMENTS:Information on hospitalizations, SNF admissions, and disability was ascertained over 15years. The primary and secondary outcomes were disability burden and recovery of pre-hospital function, respectively, assessed monthly over a 6-month period. Index admissions were classified into four mutually exclusive groups based on the type of hospitalization: elective major surgery, non-elective major surgery, critical illness, and other. RESULTS:Disability worsened considerably after hospitalization for each of the four groups. Relative to elective major surgery, the disability burden over 6months was significantly greater for non-elective major surgery, critical illness, and other hospitalizations, with adjusted rate ratios (RRs) of 1.37 (95% CI 1.19 to 1.59), 1.37 (95% CI 1.19 to 1.58), and 1.29 (95% CI 1.14 to 1.47), respectively. Overall, recovery to pre-hospital function was observed in only 132 (25.4%) admissions. Relative to elective major surgery, the likelihood of recovering pre-hospital function was considerably lower for each of the three other groups. The results were consistent for basic, instrumental and mobility activities. CONCLUSION:Among older persons discharged to a SNF after an acute hospitalization, the functional course over 6months was generally poor, with recovery to pre-hospital function observed in only one out of every four cases. Relative to elective major surgery, functional outcomes were worse for non-elective major surgery, critical illness, and other hospitalizations.

SUBMITTER: Liu Z 

PROVIDER: S-EPMC5793887 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

altmetric image

Publications

The subsequent course of disability in older persons discharged to a skilled nursing facility after an acute hospitalization.

Liu Zuyun Z   Han Ling L   Leo-Summers Linda L   Gahbauer Evelyne A EA   Allore Heather G HG   Gill Thomas M TM  

Experimental gerontology 20170804


<h4>Objectives</h4>To evaluate the association between the type of acute hospitalization and subsequent course of disability in older persons discharged to a skilled nursing facility (SNF).<h4>Design</h4>Longitudinal study of 754 community-living persons aged 70 or older.<h4>Participants</h4>The analytical sample included 365 participants who had one or more admissions to a SNF after an acute hospitalization (n=520 index admissions).<h4>Measurements</h4>Information on hospitalizations, SNF admis  ...[more]

Similar Datasets

| S-EPMC8370039 | biostudies-literature
| S-EPMC6964248 | biostudies-literature
| S-EPMC6318170 | biostudies-literature
| S-EPMC7363542 | biostudies-literature
| S-EPMC5992035 | biostudies-literature
| S-EPMC7967078 | biostudies-literature
| S-EPMC4888384 | biostudies-literature
| S-EPMC2669872 | biostudies-other
| S-EPMC8365788 | biostudies-literature
| S-EPMC3124926 | biostudies-literature