ArticleArchives of physical medicine and rehabilitation2020
Function and Caregiver Support Associated With Readmissions During Home Health for Individuals With Dementia.
Article in Archives of physical medicine and rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
18 citing papers in PubMed, 23 citations in OpenAlex.
- Impact of pre-operative dementia or cognitive impairment on outcomes after elective primary total shoulder arthroplasty.Journal of shoulder and elbow arthroplasty · 2026Article
- Patient-Driven Grouping Model and Home Health Use Among Traditional Medicare Beneficiaries.Journal of the American Medical Directors Association · 2026Article
- Hospital-to-Home Neurological Transition Care: A Scoping Review Across Selected Chronic Neurological Disorders.Medical sciences (Basel, Switzerland) · 2026Article
- Virtual health coaching to improve self-care among informal caregivers of hospitalized older adults during a transition in care: Randomized controlled trial study protocol.Contemporary clinical trials · 2026Article
- Characteristics associated with first anti-seizure medication prescribed in a cohort of adults with newly diagnosed epilepsy.Seizure · 2026Article
- Dementia Severity Associated With Unmet Caregiving Needs During Skilled Home Health Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Factors Associated With an Elder Mistreatment Diagnosis Among Medicare Home Health Care Recipients.Journal of the American Medical Directors Association · 2025Article
- Post-Acute Care Admissions Among Medicare Beneficiaries With Disabilities During Payment Reform and the COVID-19 Pandemic.The Gerontologist · 2025Article
- Racial and Ethnic Disparities in Accessing High-Quality Home Health Care among Older Adults with and Without Dementia.Journal of the American Medical Directors Association · 2025Article
- Changes in skilled nursing and home health admissions associated with Medicare payment reforms and the COVID-19 pandemic.Journal of the American Geriatrics Society · 2025Article
- Skilled home healthcare utilization and outcomes for older adults with dementia: A scoping review.Journal of the American Geriatrics Society · 2025Article
- Crosswalk Algorithms for Cognitive and Functional Outcomes Among 2013-2018 Medicare Beneficiaries With Dementia.Journal of the American Medical Directors Association · 2024Article
- Determinants of hospital readmissions in older people with dementia: a narrative review.BMC geriatrics · 2024Review
- Home health utilization association with discharge to community for people with dementia.Alzheimer's & dementia (New York, N. Y.) · 2022Article
- 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
- Care-Partner Support and Hospitalization in Assisted Living During Transitional Home Health Care.Journal of the American Geriatrics Society · 2021Article
- Utilization and Functional Outcomes Among Medicare Home Health Recipients Varied Across Living Situations.Journal of the American Geriatrics Society · 2021Article
- Volunteer-supported Care Transition Interventions for People Living with Dementia: A Secondary Analysis of a Scoping Review.International journal of integrated careArticle
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 3 institutions in 1 country.
Funding
Abstract
objectiveThe purpose of this study was to determine the association between mobility, self-care, cognition, and caregiver support and 30-day potentially preventable readmissions (PPR) for individuals with dementia.
designThis retrospective study derived data from 100% national Centers for Medicare and Medicaid Services data files from July 1, 2013, through June 1, 2015.
participantsCriteria from the Home Health Claims-Based Rehospitalization Measure and the Potentially Preventable 30-Day Post Discharge Readmission Measure for the Home Health Quality Reporting Program were used to identify a cohort of 118,171 Medicare beneficiaries.
main outcome measureThe 30-day PPR rates with associated 95% CIs were calculated for each patient characteristic. Multilevel logistic regression was used to study the relationship between mobility, self-care, caregiver support, and cognition domains and 30-day PPR during home health, adjusting for patient demographics and clinical characteristics.
resultsThe overall rate of 30-day PPR was 7.6%. In the fully adjusted models, patients who were most dependent in mobility (odds ratio [OR], 1.59; 95% CI, 1.47-1.71) and self-care (OR, 1.73; 95% CI, 1.61-1.87) had higher odds for 30-day PPR. Patients with unmet caregiving needs had 1.11 (95% CI, 1.05-1.17) higher odds for 30-day PPR than patients whose caregiving needs were met. Patients with cognitive impairment had 1.23 (95% CI, 1.16-1.30) higher odds of readmission than those with minimal to no cognitive impairment.
conclusionsDecreased independence in mobility and self-care tasks, unmet caregiver needs, and impaired cognitive processing at admission to home health are associated with risk of 30-day PPR during home health for individuals with dementia. Our findings indicate that deficits in mobility and self-care tasks have the greatest effect on the risk for PPR.
Indexed as
Identifiers
What OpenQuestion holds
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.