ArticleJournal of the American Geriatrics Society2014
Restarting the cycle: incidence and predictors of first acute care use after nursing home discharge.
Article in Journal of the American Geriatrics Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
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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
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Transitional care of older adults in skilled nursing facilities: A systematic review.Geriatric nursing (New York, N.Y.)Pooled it
- Preparedness for care transitions to home and acute care use of skilled nursing facility patients.BMC geriatrics · 2025Trial
- Life-Space of Older Adults after Discharge from Skilled Nursing Facilities.Journal of the American Medical Directors Association · 2024Trial
- Health Trajectories of Skilled Nursing Facility Patients With Alzheimer's Disease and Related Dementias: Evidence for Practicing Nurses.Journal of gerontological nursing · 2024Trial
- Connect-Home transitional care from skilled nursing facilities to home: A stepped wedge, cluster randomized trial.Journal of the American Geriatrics Society · 2023Trial
- Disease Management in Skilled Nursing Facilities Improves Outcomes for Patients With a Primary Diagnosis of Heart Failure.Journal of the American Medical Directors Association · 2022Trial
- Connect-Home: Transitional Care of Skilled Nursing Facility Patients and their Caregivers.Journal of the American Geriatrics Society · 2017Trial
- Postacute Care and Long-term Care for LGBTQ+ Older Adults.Clinics in geriatric medicine · 2024Review
- Where Skilled Nursing Facility Residents Get Acute Care: Is the Emergency Department the Medical Home?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021Article
- Complex Transitions from Skilled Nursing Facility to Home: Patient and Caregiver Perspectives.Journal of general internal medicine · 2021Article
- Receipt of Timely Primary Care Services Following Post-Acute Skilled Nursing Facility Care.Journal of the American Medical Directors Association · 2021Article
- Article
- Patients discharged from higher-quality skilled nursing facilities spend more days at home.Health services research · 2021Article
- Implementing a Standardized Transition Care Plan in Skilled Nursing Facilities.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020Article
- Skilled Nursing Facility Patients Discharged to Home Health Agency Services Spend More Days at Home.Journal of the American Geriatrics Society · 2020Article
- What Predicts Health Care Transitions for Older Adults Following Introduction of LTSS?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020Article
- Adapting Project RED to Skilled Nursing Facilities.Clinical nursing research · 2020Article
- Home Health Care After Skilled Nursing Facility Discharge Following Heart Failure Hospitalization.Journal of the American Geriatrics Society · 2020Article
- Opportunities for Collaboration: Refining Postoperative Readmission Risk for Skilled Nursing Facility Patients.Journal of the American Medical Directors Association · 2019Article
- Assessing the impact of Minnesota's return to community initiative for newly admitted nursing home residents.Health services research · 2019Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo describe the time to first acute care use (e.g., emergency department (ED) use without hospitalization or rehospitalization) for older adults discharged to home after receiving postacute care in skilled nursing facilities (SNFs); to identify predictors of first acute care use.
designRetrospective cohort study using administrative claims data.
settingSNFs providing postacute care for patients in North and South Carolina (N = 1,474).
participantsA cohort of Medicare beneficiaries aged 65 and older (N = 55,980) who were hospitalized and then transferred to a SNF for postacute care and subsequently discharged home (January 1, 2010, to August 31, 2011). MEASUREMENTS: Medicare institutional claims data (Parts A and B) and Medicare enrollment data were used; facility-level variables were obtained from CMS Nursing Home Compare. Survival from SNF discharge to first acute care use was explored. Cox proportional hazards regression models were used to describe individual-, home care-, and nursing facility-level predictors.
resultsAfter discharge from SNF to home, 22.1% of older adults had an episode of acute care use within 30 days, including 7.2% with an ED visit without hospitalization and 14.8% with a rehospitalization; 37.5% of older adults had their first acute care use within 90 days. Male sex, dual eligibility status, higher Charlson comorbidity score, certain primary diagnoses at index hospitalization (neoplasms and respiratory disease), and care in SNFs with for-profit ownership or fewer licensed practical nurses hours per patient-day were associated with greater likelihood of acute care use.
conclusionMedicare beneficiaries have a high use of acute care services after discharge from SNFs, and several factors associated with acute care use are potentially modifiable. Findings suggest the need for interventions to support beneficiaries as they transition from SNFs to home.
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