ArticleJournal of the American Geriatrics Society2016
Association Between Hospital Admission Risk Profile Score and Skilled Nursing or Acute Rehabilitation Facility Discharges in Hospitalized Older Adults.
Article in Journal of the American Geriatrics Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Do morbidity measures predict the decline of activities of daily living and instrumental activities of daily living amongst older inpatients? A systematic review.International journal of clinical practice · 2021Pooled it
- Association of Vulnerability Screening on Hospital Admission with Discharge to Rehabilitation-Oriented Care after Acute Hospital Stay.Annals of geriatric medicine and research · 2023Article
- Using phenotypic data from the Electronic Health Record (EHR) to predict discharge.BMC geriatrics · 2023Observational
- Assessment Tools for the Admission of Older Adults to Inpatient Rehabilitation: A Scoping Review.Journal of clinical medicine · 2023Article
- A Scoping Literature Review of Rural Institutional Elder Care.International journal of environmental research and public health · 2022Article
- Relationship between Vitamin C Deficiency and Cognitive Impairment in Older Hospitalised Patients: A Cross-Sectional Study.Antioxidants (Basel, Switzerland) · 2022Article
- Referral to geriatric rehabilitation: a scoping review of triage factors in acutely hospitalised older patients.Age and ageing · 2022Article
- Prevalence of Hypovitaminosis C and its Relationship with Frailty in Older Hospitalised Patients: A Cross-Sectional Study.Nutrients · 2021Article
- Improving the post-acute care discharge score (PACD) by adding patients' self-care abilities: A prospective cohort study.PloS one · 2019Observational
- The decision-making process for unplanned admission to hospital unveiled in hospitalised older adults: a qualitative study.BMC geriatrics · 2018Article
- The Association of Frailty with Discharge Disposition for Hospitalized Community Dwelling Elderly Patients.Journal of hospital medicine · 2018Article
- Association of Hospital Admission Risk Profile Score with Mortality in Hospitalized Older Adults.Innovation in aging · 2017Article
- Clinical value of Hospital Admission Risk Profile (HARP) and the Identification of Seniors at Risk (ISAR) scales to predict hospital-associated functional decline in an acute geriatric unit in Colombia.Colombia medica (Cali, Colombia)Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo evaluate whether the Hospital Admission Risk Profile (HARP) score is associated with skilled nursing or acute rehabilitation facility discharge after an acute hospitalization.
designRetrospective cohort study.
settingInpatient unit of a rural academic medical center.
participantsHospitalized individuals aged 70 and older from October 1, 2013 to June 1, 2014. MEASUREMENTS: Participant age at the time of admission, modified Folstein Mini-Mental State Examination score, and self-reported instrumental activities of daily living 2 weeks before admission were used to calculate HARP score. The primary predictor was HARP score, and the primary outcome was discharge disposition (home, facility, deceased). Multivariate analysis was used to evaluate the association between HARP score and discharge disposition, adjusting for age, sex, comorbidities, and length of stay.
resultsFour hundred twenty-eight individuals admitted from home were screened and their HARP scores were categorized as low (n = 162, 37.8%), intermediate (n = 157, 36.7%), or high (n = 109, 25.5%). Participants with high HARP scores were significantly more likely to be discharged to a facility (55%) than those with low HARP scores (20%) (P < .001). After adjustment, participants with high HARP scores were more than four times as likely as those with low scores to be discharged to a facility (odds ratio = 4.58, 95% confidence interval = 2.42-8.66).
conclusionIn a population of older hospitalized adults, HARP score (using readily available admission information) identifies individuals at greater risk of skilled nursing or acute rehabilitation facility discharge. Early identification for potential facility discharges may allow for targeted interventions to prevent functional decline, improve informed shared decision-making about post-acute care needs, and expedite discharge planning.
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