ArticleJournal of the American Medical Directors Association2010
Predictors of in-hospital mortality among hospitalized nursing home residents: an analysis of the National Hospital Discharge Surveys 2005-2006.
Article in Journal of the American Medical Directors Association, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 27 citations in OpenAlex.
- Impact of nursing home-acquired pneumonia on the domains of the novel construct of intrinsic capacity: The INCUR study.Journal of the American Geriatrics Society · 2022Article
- Advanced cognitive impairment among older nursing home residents.BMC geriatrics · 2021Observational
- Medical therapy following hospitalization for heart failure with reduced ejection fraction and association with discharge to long-term care: a cross-sectional analysis of the REasons for Geographic And Racial Differences in Stroke (REGARDS) population.BMC cardiovascular disorders · 2017Article
- Integration of Infection Management and Palliative Care in Nursing Homes: An Understudied Issue.Research in gerontological nursing · 2017Article
- Heart Failure Among Older Adults in Skilled Nursing Facilities: More of a Dilemma Than Many Now Realize.Current geriatrics reports · 2015Article
- Admission From Nursing Home Residence Increases Acute Mortality After Hip Fractures.Geriatric orthopaedic surgery & rehabilitation · 2015Article
- Enhancing Resident Safety by Preventing Healthcare-Associated Infection: A National Initiative to Reduce Catheter-Associated Urinary Tract Infections in Nursing Homes.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015Review
- Incidence and economical effects of pneumonia in the older population living in French nursing homes: design and methods of the INCUR study.BMC public health · 2013Article
- Predictors of mortality among elderly dependent home care patients.BMC health services research · 2013Article
- Renin-Angiotensin Inhibition and Outcomes in Nursing Home Residents With Heart Failure.American journal of therapeuticsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo determine the demographic and clinical predictors of in-hospital mortality among hospitalized nursing home (NH) residents.
designRetrospective analysis of the public-use copies of the 2005-2006 National Hospital Discharge Survey (NHDS) datasets.
settingNon-federal acute-care, short-stay hospitals in all 50 states and the District of Columbia.
participantsParticipants were 1904 and 1752 NH residents, 45 years or older, hospitalized in 2005 and 2006, respectively. MEASUREMENTS: In-hospital mortality.
methodsA multivariable logistic regression model was developed to determine independent predictors of in-hospital mortality using the 2005 dataset. The model was then applied to the 2006 dataset to determine the generalizability of the predictors.
resultsSignificant independent predictors of in-hospital mortality in 2005 included age 85 years or older (adjusted odds ratio [OR], 2.53; 95% confidence interval [CI], 1.21-5.30; P=.013), acute respiratory failure (adjusted OR, 5.67; 95% CI, 3.51-9.17; P < .0001), septicemia (adjusted OR, 4.63; 95% CI, 3.08-6.96; P < .0001), and acute renal failure (adjusted OR, 2.11; 95% CI, 1.30-3.41; P=.002). The following baseline characteristics also predicted in-hospital mortality in 2006: age 85 years or older (adjusted OR, 2.45; 95% CI, 1.31-4.59; P=.005), acute respiratory failure (adjusted OR, 7.11; 95% CI, 4.46-11.33; P < .0001), septicemia (adjusted OR, 3.91; 95% CI, 2.64-5.80; P < .0001), and acute renal failure (adjusted OR, 2.75; 95% CI, 1.82-4.15; P < .0001). Chronic morbidities were not associated with in-hospital mortality.
conclusionAmong hospitalized NH residents, age 85 years or older and several acute conditions, but not chronic morbidities, predicted in-hospital mortality. Elderly NH residents at risk of developing these acute conditions may benefit from palliative care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.