ArticleJournal of the American Medical Directors Association2018
Trajectories Over the First Year of Long-Term Care Nursing Home Residence.
Article in Journal of the American Medical Directors Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of reasons and risks for acute service use by older adult residents of long-term care.Journal of clinical nursing · 2025Pooled it
- Identifying observable medication use time in administrative databases: a tutorial using nursing home residents.American journal of epidemiology · 2026Article
- Differences in survival and healthcare utilization amongst nursing home residents with advanced dementia and frailty compared to other end-of-life conditions: a retrospective cohort study.BMC palliative care · 2025Article
- Evaluation of Mortality in Users of Pimavanserin Compared with Other Atypical Antipsychotics in Patients with Parkinson's Disease Psychosis: An Update.Drug safety · 2025Article
- Cognitive and Functional Decline Among Long-Term Care Residents.JAMA network open · 2025Article
- "Help with rowing the boat": Implementing and evaluating the Strengthening a Palliative Approach in Long-Term Care program in four Canadian provinces.Palliative care and social practice · 2025Article
- Article
- Outcomes following intradetrusor onabotulinumtoxinA in a national cohort of nursing home residents.BJUI compass · 2025Article
- Article
- Findings in Danish long-term care facilities in the first year of the SARS-CoV-2 pandemic.European geriatric medicine · 2023Article
- Pilot study of autologous fecal microbiota transplants in nursing home residents: Feasibility and safety.Contemporary clinical trials communications · 2022Article
- Repeat hospital transfers among long stay nursing home residents: a mixed methods analysis of age, race, code status and clinical complexity.BMC health services research · 2022Article
- Goals of Care Conversations in Long-Term Care during the First Wave of the COVID-19 Pandemic.Journal of clinical medicine · 2022Article
- Growth of Physicians and Nurse Practitioners Practicing Full Time in Nursing Homes.Journal of the American Medical Directors Association · 2021Article
- Identifying the Main Predictors of Length of Care in Social Care in Portugal.Portuguese journal of public health · 2021Article
- Reducing Morbidity and Mortality Rates from COVID-19, Influenza and Pneumococcal Illness in Nursing Homes and Long-Term Care Facilities by Vaccination and Comprehensive Infection Control Interventions.Geriatrics (Basel, Switzerland) · 2021Article
- What Predicts Health Care Transitions for Older Adults Following Introduction of LTSS?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020Article
- Implementing advance care planning in routine nursing home care: The development of the theory-based ACP+ program.PloS one · 2019Article
- Readmission Patterns Over 90-Day Episodes of Care Among Medicare Fee-for-Service Beneficiaries Discharged to Post-acute Care.Journal of the American Medical Directors Association · 2018Article
- Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivesTo describe the trajectories in the first year after individuals are admitted to long-term care nursing homes.
designRetrospective cohort study.
settingUS long-term care facilities.
participantsMedicare fee-for-service beneficiaries newly admitted to long-term care nursing homes from July 1, 2012, to December 31, 2013 (N=535,202). MEASUREMENTS: Demographic characteristics were from Medicare data. Individual trajectories were conducted using the Minimum Data Set for determining long-term care stays and community discharge, and Medicare Provider and Analysis Reviews claims data for determining hospitalizations, skilled nursing facility stays, inpatient rehabilitation, long-term acute hospital and psychiatric hospital stays.
resultsThe median length of stay in a long-term care nursing home over the 1 year following admission was 127 [interquartile range (IQR): 24, 356] days. The median length of stay in any institution was 158 (IQR: 38, 365). Residents experienced a mean of 2.1 ± 2.8 (standard deviation) transitions over the first year. The community discharge rate was 36.5% over the 1-year follow-up, with 20.8% discharged within 30 days and 31.2% discharged within 100 days. The mortality rate over the first year of nursing home residence was 35.0%, with 16.3% deaths within 100 days. At 12 months post long-term care admission, 36.9% of the cohort were in long-term care, 23.4% were in community, 4.7% were in acute care hospitals or other institutions, and 35.0% had died.
conclusionAfter a high initial community discharge rate, the majority of patients newly admitted to long-term care experienced multiple transitions while remaining institutionalized until death or the end of 1-year follow-up.
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