ArticleMedical care2019
Functional Status Is Associated With 30-Day Potentially Preventable Readmissions Following Home Health Care.
Article in Medical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 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.
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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
18 citing papers in PubMed.
- Characterization of the Change in Physical Function in Adults From Acute Hospitalization to Home Health Care Across Diagnostic Categories.Archives of rehabilitation research and clinical translation · 2026Article
- Understanding Patient and Care Partner Experiences With Rehabilitation After Hospitalization for Advanced Heart Failure: "I Was Thinking I'd Just Be Like I Was Before I Got This".Physical therapy · 2026Article
- Medication Discrepancies among Older Hospitalized Adults Discharged from Post-Acute Care Facilities to Home.Journal of the American Medical Directors Association · 2024Article
- Claims-Based vs Agency-Reported Patient Outcomes Among Home Health Agencies, 2013-2019.JAMA network open · 2024Article
- Association Between Hospital Participation in Value-Based Programs and Timely Initiation of Post-Acute Home Health Care, Functional Recovery, and Hospital Readmission After Joint Replacement.Physical therapy · 2023Article
- Association of Function, Symptoms, and Social Support Reported in Standardized Outpatient Clinic Questionnaires With Subsequent Hospital Discharge Disposition and 30-Day Readmissions.Archives of physical medicine and rehabilitation · 2022Article
- Global Risk Indicator and Therapy for Older Patients With Diffuse Large B-Cell Lymphoma: A Population-Based Study.JCO oncology practice · 2022Article
- Clinical characteristics and risk factors of preventable hospital readmissions within 30 days.Scientific reports · 2021Observational
- Mobility and Self-Care are Associated With Discharge to Community After Home Health for People With Dementia.Journal of the American Medical Directors Association · 2021Article
- Association of cognitive impairment severity with potentially avoidable readmissions: A retrospective cohort study of 8897 older patients.Alzheimer's & dementia (Amsterdam, Netherlands) · 2021Article
- Variation in Acute Care Rehabilitation and 30-Day Hospital Readmission or Mortality in Adult Patients With Pneumonia.JAMA network open · 2020Article
- Function and Caregiver Support Associated With Readmissions During Home Health for Individuals With Dementia.Archives of physical medicine and rehabilitation · 2020Article
- Dementia Severity Associated With Increased Risk of Potentially Preventable Readmissions During Home Health Care.Journal of the American Medical Directors Association · 2020Article
- In Pursuit of Meaningful Performance Measures for Postacute Care.JAMA network open · 2019Article
- Functional Status Is Associated With 30-Day Potentially Preventable Readmissions Following Home Health Care: Erratum.Medical care · 2019Article
- Identifying unmet needs of older adults transitioning from home health care to independence at home: A qualitative study.Geriatric nursing (New York, N.Y.)Article
- Identifying Targets to Improve Heart Failure Outcomes for Patients Receiving Home Healthcare Services: The Relationship of Functional Status and Pain.Home healthcare nowArticle
- Characterizing symptom clusters for older adults with urinary incontinence in home healthcare.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
Abstract
backgroundBeginning in 2019, home health agencies' rates of potentially preventable hospital readmissions over the 30 days following discharge will be publicly reported.
objectivesOur primary objective was to determine the association between patients' functional status at discharge from home health care and 30-day potentially preventable readmissions. A secondary objective was to identify the most common conditions resulting in potentially preventable readmissions.
designThis was a retrospective cohort study.
participantsA total of 1,510,297 Medicare fee-for-service beneficiaries discharged from home health care in 2013-2015. Average age was 75.9 (SD, 10.9) years, 60.0% were female, and 84.2% non-Hispanic white. MEASUREMENTS: Thirty-day potentially preventable readmissions following home health discharge. Functional status measures included mobility, self-care, and impaired cognition.
resultsThe overall rate of 30-day potentially preventable readmissions was 2.6% (N=39,452), which accounted for 40% of all 30-day readmissions. After adjusting for sociodemographic and clinical characteristics, the odds ratios for the most dependent score quartile versus the most independent was 1.58 [95% confidence interval (CI), 1.53-1.63] for mobility and 1.65 (95% CI, 1.59-1.69) for self-care. The odds ratios for impaired versus intact cognition was 1.21 (95% CI, 1.18-1.24). The 5 most common conditions resulting in a potentially preventable readmission were congestive heart failure (23.6%), septicemia (16.7%), bacterial pneumonia (9.8%), chronic obstructive pulmonary disease (9.4%), and renal failure (7.5%).
conclusionsFunctional limitations at discharge from home health are associated with increased risk for potentially preventable readmissions. Future research is needed to determine whether improving functional independence decreases the risk for potentially preventable readmissions following home health care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.