ArticleJournal of the American Medical Directors Association2016
Hospital Readmission From Post-Acute Care Facilities: Risk Factors, Timing, and Outcomes.
Article in Journal of the American Medical Directors Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.
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.
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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
61 citing papers in PubMed.
- Who's paying? Payor status significantly affects hospital readmission rates after ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Can I Stay, or Must I Go Now? A Cohort Study of Discharge Appeals in a Post-Acute Skilled Nursing Facility.Journal of the American Medical Directors Association · 2026Article
- The role of declining therapy volumes in skilled nursing facility outcomes: a mediation analysis.Health affairs scholar · 2026Article
- Baseline risk factors associated with all-cause early hospitalization of older patients following admission to Danish municipal temporary stays.BMC health services research · 2026Article
- Effects of a post-acute care management program on subsequent acute care utilization for hospitalized patients discharged to skilled nursing facilities.BMC health services research · 2026Article
- Postacute Care Use and Outcomes Among Medicare Advantage vs Traditional Medicare Beneficiaries.JAMA network open · 2025Article
- The Need to Incorporate Post-Acute Care Entities Into the National Disaster Medical System.Journal of the American College of Emergency Physicians open · 2025Review
- A Multi-Outcome Prognostic Model for Community-Dwelling Older Adults Admitted to Skilled Nursing Facilities for Post-Acute Care.Journal of the American Medical Directors Association · 2025Article
- Skill mix versus flexibility: Decoding nurse staffing impacts on critical access hospitals.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Unveiling the veil: Exploring experiences of patient-initiated workplace violence in long-term care and mental health and substance use settings.Work (Reading, Mass.) · 2025Article
- Article
- Emergency department visits and hospital readmissions after a deprescribing intervention among hospitalized older adults.Journal of the American Geriatrics Society · 2024Article
- Interdisciplinary videoconference model for identifying potential adverse transition of care events following hospital discharge to postacute care.BMJ open quality · 2024Article
- Unplanned transfer to acute care during inpatient geriatric rehabilitation: incidence, risk factors, and associated short-term outcomes.BMC geriatrics · 2024Article
- Associations with Discharge to Post-Acute Care Facilities Among Patients Undergoing Open Reduction Internal Fixation of Distal Radius Fractures.Plastic surgery (Oakville, Ont.) · 2024Article
- Emergency department visits by older adults receiving postacute care in skilled nursing facilities.Journal of hospital medicine · 2024Article
- Clinical trajectories of critically ill patients discharged directly from a critical unit to a postacute care facility: retrospective cohort.Critical care science · 2024Article
- From critical care units to postacute care facilities: the sooner, the better?Critical care science · 2024Article
- Admission Cognition and Function Predict Change in Physical Function Following Skilled Nursing Rehabilitation.Journal of the American Medical Directors Association · 2024Observational
- Hospitalists Improving Transitions of Care Through Virtual Collaborative Rounding with Skilled Nursing Facilities-the HiToC SNF Study.Journal of general internal medicine · 2023Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectivesHospital discharges to post-acute care (PAC) facilities have increased rapidly. This increase may lead to more hospital readmissions from PAC facilities, which are common and poorly understood. We sought to determine the risk factors and timing for hospital readmission from PAC facilities and evaluate the impact of readmission on patient outcomes.
designRetrospective analysis of Medicare Current Beneficiary Survey (MCBS) from 2003-2009.
settingThe MCBS is a nationally representative survey of beneficiaries matched with claims data.
participantsCommunity-dwelling beneficiaries who were hospitalized and discharged to a PAC facility for rehabilitation. INTERVENTION/EXPOSURE: Potential readmission risk factors included patient demographics, health utilization, active medical conditions at time of PAC admission, and PAC characteristics. MEASUREMENTS: Hospital readmission during the PAC stay, return to community residence, and all-cause mortality.
resultsOf 3246 acute hospitalizations followed by PAC facility stays, 739 (22.8%) included at least 1 hospital readmission. The strongest risk factors for readmission included impaired functional status (HR 4.78, 95% CI 3.21-7.10), markers of increased acuity such as need for intravenous medications in PAC (1.63, 1.39-1.92), and for-profit PAC ownership (1.43, 1.21-1.69). Readmitted patients had a higher mortality rate at both 30 days (18.9% vs 8.6%, P < .001) and 100 days (39.9% vs 14.5%, P < .001) even after adjusting for age, comorbidities, and prior health care utilization (30 days: OR 2.01, 95% CI 1.60-2.54; 100 days: OR 3.79, 95% CI 3.13-4.59).
conclusionsHospital readmission from PAC facilities is common and associated with a high mortality rate. Readmission risk factors may signify inadequate transitional care processes or a mismatch between patient needs and PAC resources.
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