Multilevel Comparisons of Hospital Discharge among Older Adults with a Fall-Related Hospitalization.
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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.
author list (cited authors)
Towne, S. D., Fair, K., Smith, M. L., Dowdy, D. M., Ahn, S., Nwaiwu, O., & Ory, M. G.
complete list of authors
Towne, Samuel D||Fair, Kayla||Smith, Matthew Lee||Dowdy, Diane M||Ahn, SangNam||Nwaiwu, Obioma||Ory, Marcia G