ArticleAnnals of surgery2016
Outcomes of Patients Discharged to Skilled Nursing Facilities After Acute Care Hospitalizations.
Article in Annals of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 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.
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Who cites it
47 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of facility-based transitional care programs on function and discharge destination for older adults with cognitive impairment: a systematic review.BMC geriatrics · 2022Pooled it
- A novel use of AI for prediction of clinical deterioration in a post-acute hospital.npj health systems · 2026Article
- Disparity in Changes of Post-Acute Care Rehabilitation During the COVID-19 Pandemic.Journal of the American Medical Directors Association · 2026Article
- The Association of Frailty With Post-Hospital Discharge Location and Health Outcomes.Journal of the American Geriatrics Society · 2025Article
- Machine Learning Approach to Identifying Wrong-Site Surgeries Using Centers for Medicare and Medicaid Services Dataset: Development and Validation Study.JMIR formative research · 2025Article
- Predicting loss of independence among geriatric patients following gastrointestinal surgery.Patient safety in surgery · 2025Article
- The impact of geriatric-specific variables on long-term outcomes in patients with hepatopancreatobiliary and colorectal cancer selected for resection.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2024Observational
- Impact of Adjuvant Radiotherapy Setting on Quality-of-Life in Head and Neck Squamous Cell Carcinoma.The Laryngoscope · 2024Observational
- Article
- Factors influencing clinician decision-making about POLST use with nursing facility residents: A qualitative study.Journal of the American Geriatrics Society · 2024Article
- Association between readmission care fragmentation and outcomes after interventions for peripheral arterial disease.Journal of vascular surgery · 2023Article
- Disparities in 30-day readmission rates among Medicare enrollees with dementia.Journal of the American Geriatrics Society · 2023Article
- Prediction of rehospitalization and mortality risks for skilled nursing facilities using a dimension reduction approach.BMC geriatrics · 2023Article
- Feasibility of a 12-Month Follow-Up in Swiss Older Adults after Post-Acute Care in Nursing Homes-A Pilot Study.Geriatrics (Basel, Switzerland) · 2023Article
- Post-Acute Care Outcomes and Functional Status Changes of Adults with New Cancer Discharged to Skilled Nursing Facilities.Journal of the American Medical Directors Association · 2022Article
- Evaluating the Impact of Preoperative Geriatric-Specific Variables and Modified Frailty Index on Postoperative Outcomes After Elective Pancreatic Surgery.World journal of surgery · 2022Article
- Discharge destination and readmissions among patients with head and neck cancer.Laryngoscope investigative otolaryngology · 2022Article
- Readmission, reoperation, and nonhome discharge rates in patients receiving surgical treatment for proximal humerus fractures.JSES international · 2022Article
- Safety-Promoting Interventions for the Older Person with Hip Fracture on Returning Home: A Protocol for a Systematic Review.Journal of personalized medicine · 2022Article
- Risk Factors of Skilled Nursing Facility Admissions and the Interrelation With Hospitalization and Amount of Informal Caregiving Received.Medical care · 2022Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesTo evaluate previously independent older patients discharged to skilled nursing facilities (SNFs) and identify risk factors for failure to return home and death and development of a predictive tool to determine likelihood of adverse outcome.
backgroundLittle is known about the likelihood of return to home, and higher than expected mortality rates in SNFs have recently been described, which may represent an opportunity for quality improvement.
methodsRetrospective cohort of older hospitalized patients discharged to SNFs during 2007 to 2009 in 5 states using Centers for Medicare & Medicaid Services linked minimum data set data from SNFs. We assessed mortality, hospital readmission, discharge to home, and logistic regression models for predicting risk of each outcome.
resultsOf 416,997 patients, 3.8% died during the initial SNF stay, 28.6% required readmission, and 60.5% were ultimately discharged home. Readmission to a hospital was the strongest predictor of death in the years after SNF admission (unadjusted hazard ratio, 28.2; 95% confidence interval, 27.2-29.3; P < 0.001). Among all patients discharged to SNFs, 7.8% eventually died in an SNF and overall 1-year mortality was 26.1%. Risk factors associated with mortality and failure to return home were increasing age, male sex, increasing comorbidities, decreased cognitive function, decreased functional status, parenteral nutrition, and pressure ulcers.
conclusionsA large proportion of older patients discharging to SNFs never return home. A better understanding of the natural history of patients sent to SNFs after hospitalization and risk factors for failure to return to home, readmission, and death should help identify opportunities for interventions to improved outcome.
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