Evidence map›Paper›PMID 32844434›Full record

ArticleHealth services research2021

Patients discharged from higher-quality skilled nursing facilities spend more days at home.

Adam Simning, Jessica Orth, Helena Temkin-Greener, Yue Li

Abstract read
In one paragraph

Article in Health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. The association between social risks and days at home for older veterans.Journal of the American Geriatrics Society · 2024
    Article
  3. Article
  4. Frailty and Time at Home After Post-Acute Care in Skilled Nursing Facilities.Journal of the American Medical Directors Association · 2023
    Article
  5. Article
  6. Article
  7. Development of an Injury Burden Prediction Model in Professional Baseball Pitchers.International journal of sports physical therapy · 2022
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Adam SimningDepartment of Psychiatry, University of Rochester Medical Center (URMC), Rochester, New York.ORCID 0000-0003-1293-3521
Jessica OrthDepartment of Public Health Sciences, URMC, Rochester, New York.
Helena Temkin-GreenerDepartment of Public Health Sciences, URMC, Rochester, New York.
Yue LiDepartment of Public Health Sciences, URMC, Rochester, New York.

Funding

K23 Study 3: A Feasibility Study of CAPABLE Transitions for Older Adults with ADRDK23AG058757 · NIA · UNIVERSITY OF ROCHESTER · PI SIMNING, ADAM C · 2018 to 2022
$985k
NIA NIH HHS K23 AG058757
6 · The paper itself

Abstract

objectiveTo evaluate the association of skilled nursing facility (SNF) quality with days spent alive in nonmedical settings ("home time") after SNF discharge to the community. DATA SOURCES: Secondary data are from Medicare claims for New York State (NYS) Medicare beneficiaries, the Area Health Resources File, and Nursing Home Compare. STUDY

designWe estimate home time in the 30- and 90-day periods following SNF discharge. Two-part zero-inflated negative binomial regression models characterize the association of SNF quality with home time. DATA EXTRACTION

methodsWe use Medicare claims data to identify 25 357 NYS fee-for-service Medicare beneficiaries aged 65 years and older with an SNF admission for postacute care who were subsequently discharged to home in 2014. PRINCIPAL

findingsFollowing 30 and 90 days after SNF discharge, the average home time is 28.0 (SD = 6.1) and 81.6 (SD = 20.2) days, respectively. A number of patient- and SNF-level factors are associated with home time. In particular, within 30 and 90 days of discharge, respectively, patients discharged from 2- to 5-star SNFs spend 1.2-1.5 (P < .001) and 3.2-4.3 (P < .001) more days at home than those discharged from 1-star (lowest quality) SNFs.

conclusionsImproved understanding of what is contributing to differences in home time could help guide efforts into optimizing post-SNF discharge outcomes.

Indexed as

AgedAged, 80 and overHumansMaleNew YorkPatient DischargePatient ReadmissionQuality of Health CareRetrospective StudiesSkilled Nursing FacilitiesSubacute CareUnited Statesaging in placecare transitionspostacute carequality of carerehabilitation

Identifiers

PMID32844434
PMCPMC7839646

What OpenQuestion holds

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Registered trials

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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.