ArticleJournal of the American Geriatrics Society2017
Delirium During Postacute Nursing Home Admission and Risk for Adverse Outcomes.
Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 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
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.
- Educational interventions aimed at improving knowledge of delirium among nursing home staff-a realist review.BMC geriatrics · 2024Pooled it
- Who Is Delirium Worse For?Journal of the American Geriatrics Society · 2026Article
- 'Just a delirium': a qualitative study of care home managers' perspectives on barriers to delirium recognition and management in UK care homes.Age and ageing · 2026Article
- The etiology of delirium in long-term care settings: a Lernaean Hydra.European geriatric medicine · 2025Review
- Delirium in nursing homes and long-term care facilities: findings of a scoping review of detection tools.European geriatric medicine · 2025Article
- The risk of delirium or dementia-related hospitalization among individuals living with dementia after long-term care entry: A population-based risk prediction model.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Persistence of Delirium in Postacute Care at Skilled Nursing Facilities.JAMA network open · 2025Article
- Differences in setting of initial dementia diagnosis among fee-for-service Medicare beneficiaries.Journal of the American Geriatrics Society · 2025Article
- Prediction of delirium occurrence using machine learning in acute stroke patients in intensive care unit.Frontiers in neuroscience · 2024Article
- The associations of continuity of care with inpatient, outpatient, and total medical care costs among older adults with urinary incontinence.BMC health services research · 2023Article
- Association of Psychiatric Diagnoses and Medicaid Coverage with Length of Stay Among Inpatients Discharged to Skilled Nursing Facilities.Journal of general internal medicine · 2022Article
- The development of a web-based app employing machine learning for delirium prevention in long-term care facilities in South Korea.BMC medical informatics and decision making · 2022Review
- Delirium in Nursing Home Residents: A Narrative Review.Healthcare (Basel, Switzerland) · 2022Review
- Outcomes in heart failure patients discharged to skilled nursing facilities with delirium.ESC heart failure · 2022Article
- Delirium and Functional Recovery in Patients Discharged to Skilled Nursing Facilities After Hospitalization for Heart Failure.JAMA network open · 2021Article
- Nursing Home Transfers for Behavioral Concerns: Findings from the OPTIMISTIC Demonstration Project.Journal of the American Geriatrics Society · 2021Article
- Inpatient Rehabilitation Delirium Screening: Impact on Acute Care Transfers and Functional Outcomes.PM & R : the journal of injury, function, and rehabilitation · 2020Article
- Disparities in Nursing Home Use and Quality Among African American, Hispanic, and White Medicare Residents With Alzheimer's Disease and Related Dementias.Journal of aging and health · 2019Article
- Development and Validation of the Nursing Home Minimum Data Set 3.0 Mortality Risk Score (MRS3).The journals of gerontology. Series A, Biological sciences and medical sciences · 2019Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo identify the rate of delirium present during admission to postacute care (PAC) in the nursing home setting and to determine whether patients with delirium had higher risk for adverse outcomes.
designRetrospective cohort study.
settingUS Medicare- and Medicaid-certified nursing homes, 2011 to 2014.
participantsIndividuals admitted to all US nursing homes for PAC, aged ≥65 years, and without prior history of nursing home residence (n = 5,588,702). MEASUREMENTS: Minimum Data Set (MDS) 3.0 admission assessments identified delirium based upon Confusion Assessment Method (CAM) items. Robust Poisson regression was used to calculate adjusted relative risks (aRRs) with 95% confidence intervals (CIs) for death following PAC admission, and for 30-day discharge outcomes including re-hospitalization from PAC, discharge home, and functional improvement.
resultsDelirium was identified in 4.3% of new postacute nursing home admissions. Mortality within 30 days of PAC admission was observed in 16.3% of patients with delirium and 5.8% of patients without delirium (aRR = 2.27, CI = 2.24-2.30). The rate of 30-day readmission from PAC was 21.3% for patients with delirium compared with 15.1% among patients without delirium (aRR = 1.42, 95% CI = 1.40, 1.43). 26.9% of patients with delirium were discharged home within 30 days of admission compared to 52.5% of patients without delirium (aRR = 0.57, 95% CI = 0.57, 0.58). 48.9% of patients with delirium showed functional improvement at discharge compared to 59.9% of patients without delirium (aRR = 0.83, 95% CI = 0.82, 0.83).
conclusionsPatients with delirium present upon PAC admission were at high risk for mortality and 30-day re-hospitalization and were less likely to have timely discharge to home or to improve in physical function at discharge. Early identification and care planning for individuals with delirium at PAC admission may be essential to improve outcomes.
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