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Multilevel Comparisons of Hospital Discharge among Older Adults with a Fall-Related Hospitalization.


ABSTRACT:

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.

SUBMITTER: Towne SD 

PROVIDER: S-EPMC6051977 | biostudies-literature |

REPOSITORIES: biostudies-literature

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