ArticleJournal of the American Geriatrics Society2018
New Institutionalization in Long-Term Care After Hospital Discharge to Skilled Nursing Facility.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 48 citations in OpenAlex.
- Cognitive impairment and hospital admission risk among community-dwelling adults in the MAUCO cohort.Annals of medicine · 2026Article
- Patient Functional Outcomes in Skilled Nursing Facilities: The Mediating Role of Declining Therapy.Archives of physical medicine and rehabilitation · 2026Article
- How Housing Influences Nursing Home Utilization in the United States: An Integrative Review.Journal of the American Medical Directors Association · 2026Review
- A multi-state transition model among older adults receiving home care services: a population-based cohort study.BMC geriatrics · 2026Article
- Clinician Specialization in Skilled Nursing Facility Practice and Post-Acute Outcomes of Patients With Dementia.Health services research · 2026Article
- Institutionalization and home health care after acute hospitalizations of older persons in Norway.BMC health services research · 2025Article
- Care Trajectories for a Cohort of First-Time Nursing Home Admissions: A 5-Year Longitudinal Study in Minnesota.Journal of the American Medical Directors Association · 2025Article
- The Association of Frailty With Post-Hospital Discharge Location and Health Outcomes.Journal of the American Geriatrics Society · 2025Article
- A Multi-Outcome Prognostic Model for Community-Dwelling Older Adults Admitted to Skilled Nursing Facilities for Post-Acute Care.Journal of the American Medical Directors Association · 2025Article
- "Nobody Can Be Equipped for This": Advice From New Residents of Long-Term Care Facilities.Journal of the American Geriatrics Society · 2025Article
- COVID-19 Pandemic and Racial and Ethnic Disparities in Long-Term Nursing Home Stay or Death Following Hospital Discharge.JAMA network open · 2025Article
- "You've Got a Lot to Prove": A Mixed Methods Analysis of How Older Adults and Their Families Navigate Medicaid Enrollment.Social policy & administration · 2024Article
- Utilization and Potential Disparities in Access to Physical Therapy for Spine Pain in the Long-Term Care Population.Archives of physical medicine and rehabilitation · 2024Article
- Association Between Depression Symptoms and Disability Outcomes in Older Adults at Risk of Mobility Decline.Archives of rehabilitation research and clinical translation · 2024Article
- Article
- An innovative rehabilitation program for the veterans affairs post-acute skilled nursing setting: Preliminary results.Journal of the American Geriatrics Society · 2023Article
- Return to community living and mortality after moving to a long-term care facility: A nationally representative cohort study.Journal of the American Geriatrics Society · 2023Article
- Analysis of Functional Recovery in Older Adults Discharged to Skilled Nursing Facilities and Then Home.JAMA network open · 2022Article
- Postacute care outcomes in home health or skilled nursing facilities in patients with a diagnosis of dementia.Health services research · 2022Article
- Unplanned nursing home admission among discharged polymedicated older inpatients: a single-centre, registry-based study in Switzerland.BMJ open · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND/
objectivesApproximately half of individuals newly admitted to long-term care (LTC) nursing homes (NHs) experienced a prior hospitalization followed by discharge to a skilled nursing facility (SNF). The objective was to examine characteristics associated with new institutionalizations of older adults on this care trajectory.
designRetrospective cohort study.
settingSNFs and LTC NHs. PATIENTS: Medicare fee-for-service beneficiaries admitted to 7,442 SNFs in 2013 (N = 597,986). MEASUREMENTS: We used demographic and clinical characteristics from Medicare data and the Minimum Data Set. We defined "new institutionalization" as LTC NH residence for longer than 90 non-SNF days, starting within 6 months of hospital discharge.
resultsFor individuals who survived 6 months after hospital discharge, the overall rate of new LTC institutionalizations was 10.0% (N = 59,736). Older age, white race, being unmarried, Medicaid eligibility, higher income, more comorbidities, cognitive impairment, depression, functional limitations, hallucinations and delusions, aggressive behavior, incontinence, and pressure ulcers were associated with higher adjusted odds of new LTC institutionalization. In analyses stratified according to race and ethnicity, higher income was associated with lower odds of LTC institutionalization for whites (odds ratio (OR) = 0.92, 95% confidence interval (CI) = 0.89-0.96) and greater odds for blacks (OR = 1.40, 95% CI = 1.27-1.55) and Hispanics (OR = 1.44, 95% CI = 1.25-1.66). Moderate or severe depression, functional limitations, hallucinations and delusions, aggressive behavior, and being unmarried were stronger risk factors for LTC for cognitively intact individuals than for those with moderate to severe cognitive impairment. Being unmarried and having more comorbidities were stronger predictors in those aged 66 to 70 than in those aged 81 to 85 and 91 and older.
conclusionAssociations between risk factors and new LTC institutionalizations varied according to race and ethnicity, age, and level of cognitive function. Programs that target older adults at greater risk may be an effective strategy for reducing new institutionalizations and fostering aging in place.
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Registered trials
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