ArticleExperimental gerontology2017
The subsequent course of disability in older persons discharged to a skilled nursing facility after an acute hospitalization.
Article in Experimental gerontology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05964205 (Analysis of a Stepped-Wedge Implementation of the PT-PENCIL Tool), which is not on this map. Cited by 4 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.
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.
Analysis of a Stepped-Wedge Implementation of the PT-PENCIL Tool
Who cites it
4 citing papers in PubMed, 10 citations in OpenAlex.
- Use of the iPRISM webtool in a learning community to assess implementation context and fit of a novel clinical decision support tool for physical therapy triage in acute care hospitals.PM & R : the journal of injury, function, and rehabilitation · 2025Article
- Validation and Improvement of the Saga Fall Risk Model: A Multicenter Retrospective Observational Study.Clinical interventions in aging · 2024Observational
- Editorial: Mediterranean Diet, In-Hospital Exercise, and the Incidence of Hospital-Acquired Disability in Old Patients.The journal of nutrition, health & aging · 2023Article
- Application of High-Intensity Functional Resistance Training in a Skilled Nursing Facility: An Implementation Study.Physical therapy · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo evaluate the association between the type of acute hospitalization and subsequent course of disability in older persons discharged to a skilled nursing facility (SNF).
designLongitudinal study of 754 community-living persons aged 70 or older.
participantsThe analytical sample included 365 participants who had one or more admissions to a SNF after an acute hospitalization (n=520 index admissions). MEASUREMENTS: Information on hospitalizations, SNF admissions, and disability was ascertained over 15years. The primary and secondary outcomes were disability burden and recovery of pre-hospital function, respectively, assessed monthly over a 6-month period. Index admissions were classified into four mutually exclusive groups based on the type of hospitalization: elective major surgery, non-elective major surgery, critical illness, and other.
resultsDisability worsened considerably after hospitalization for each of the four groups. Relative to elective major surgery, the disability burden over 6months was significantly greater for non-elective major surgery, critical illness, and other hospitalizations, with adjusted rate ratios (RRs) of 1.37 (95% CI 1.19 to 1.59), 1.37 (95% CI 1.19 to 1.58), and 1.29 (95% CI 1.14 to 1.47), respectively. Overall, recovery to pre-hospital function was observed in only 132 (25.4%) admissions. Relative to elective major surgery, the likelihood of recovering pre-hospital function was considerably lower for each of the three other groups. The results were consistent for basic, instrumental and mobility activities.
conclusionAmong older persons discharged to a SNF after an acute hospitalization, the functional course over 6months was generally poor, with recovery to pre-hospital function observed in only one out of every four cases. Relative to elective major surgery, functional outcomes were worse for non-elective major surgery, critical illness, and other hospitalizations.
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