ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2018
Factors Associated With Accelerated Hospitalization and Re-hospitalization Among Medicare Home Health Patients.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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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
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Outcomes in deprescribing implementation trials and compliance with expert recommendations: a systematic review.BMC geriatrics · 2023Pooled it
- Hospitalizations and associated costs among older adults receiving regular home care services.Aging clinical and experimental research · 2026Article
- Self-Rated Health in Middle Age and Risk of Hospitalizations and Death: Recurrent Event Analysis of the ARIC Study.Journal of general internal medicine · 2024Article
- Changes in Polypharmacy and Potentially Inappropriate Medications in Homebound Older Adults in Japan, 2015-2019: a Nationwide Study.Journal of general internal medicine · 2023Article
- The role of geriatric syndromes in predicting unplanned hospitalizations: a population-based study using Minimum Data Set for Home Care.BMC geriatrics · 2023Article
- Uncovering hidden trends: identifying time trajectories in risk factors documented in clinical notes and predicting hospitalizations and emergency department visits during home health care.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- The identification of clusters of risk factors and their association with hospitalizations or emergency department visits in home health care.Journal of advanced nursing · 2023Article
- A hybrid machine learning framework to improve prediction of all-cause rehospitalization among elderly patients in Hong Kong.BMC medical research methodology · 2023Article
- Childhood adversities and rate of adulthood all-cause hospitalization in the general population: A retrospective cohort study.PloS one · 2023Article
- Classifying home care clients' risk of unplanned hospitalization with the resident assessment instrument.European geriatric medicine · 2022Article
- Potentially inappropriate medication use and the hospitalization rate among Thai elderly patients: a retrospective cohort study.European journal of clinical pharmacology · 2022Article
- Documentation of hospitalization risk factors in electronic health records (EHRs): a qualitative study with home healthcare clinicians.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Factors Associated with Timing of the Start-of-Care Nursing Visits in Home Health Care.Journal of the American Medical Directors Association · 2021Article
- Hospitalization Trajectories in Home- and Community-Based Services Recipients: The Influence of Physician and Social Care Density.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021Article
- Unmet family caregiver training needs associated with acute care utilization during home health care.Journal of the American Geriatrics Society · 2021Article
- Pattern of comorbidities and 1-year mortality in elderly patients with COPD hospitalized in internal medicine wards: data from the RePoSI Registry.Internal and emergency medicine · 2021Article
- Utilization and Functional Outcomes Among Medicare Home Health Recipients Varied Across Living Situations.Journal of the American Geriatrics Society · 2021Article
- Pain Management in Home Health Care: Relationship With Dementia and Facility Admissions.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2021Article
- Comorbidity does not mean clinical complexity: evidence from the RePoSI register.Internal and emergency medicine · 2020Article
- Function and Caregiver Support Associated With Readmissions During Home Health for Individuals With Dementia.Archives of physical medicine and rehabilitation · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Background: Preventing hospitalizations and re-hospitalizations of older adults receiving Medicare home health (HH) services is a key goal for patients and care providers. This study aimed to identify factors related to greater risk of and earlier hospitalizations from HH, a key step in targeting preventive efforts. Methods: Data come from Medicare mandated start-of-care assessments from 87,780 HH patients served by 132 agencies in 32 states, collected from January 2013 to March 2015. Using parametric accelerated failure time (AFT) survival models, we evaluated the association between key patient and environmental characteristics and the hazard of and time until hospitalization and re-hospitalization. Results: In total, 15,030 hospitalizations, including 6,539 re-hospitalizations, occurred in the sample within 60 days of start of HH. Factors most strongly associated with substantially greater risk of and earlier hospitalization included male gender, history of hospitalization, polypharmacy, elevated depressive symptoms, greater functional disability, primary diagnoses of heart disease, chronic obstructive pulmonary disease, and urinary tract infection, and government-controlled agency care. In addition to these factors, black race and primary diagnosis of skin wounds were uniquely related to risk of earlier re-hospitalization. Conclusions: Results suggest that factors collected during routine HH patient assessments can provide important information to predict risk of earlier hospitalization and re-hospitalization among Medicare HH patients. Identified factors can help identify patients at greatest risk of early hospitalization and may be important targets for agencies and care providers to prevent avoidable hospitalizations.
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