ArticleMedical care2021
Continuity of Nursing Care in Home Health: Impact on Rehospitalization Among Older Adults With Dementia.
Article in Medical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 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.
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Who cites it
12 citing papers in PubMed, 26 citations in OpenAlex.
- Discontinuity of social support among US adults with cognitive impairment before and after the confirmed diagnosis of dementia: a matched ambidirectional cohort study.BMC medicine · 2025Article
- Association between Nurse Continuity and Mortality in the Intensive Care Unit.Annals of the American Thoracic Society · 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
- Skilled home healthcare utilization and outcomes for older adults with dementia: A scoping review.Journal of the American Geriatrics Society · 2025Article
- Association between discontinuity in clinicians and outcomes of nursing home residents.Health affairs scholar · 2024Article
- What about the fundamentals of nursing-its interventions and its continuity among older people in need of home- or facility-based care: a scoping review.BMC nursing · 2024Article
- Prevalence and predictors of incident ADRD diagnosis following a Medicare home health episode.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Fundamental nursing care focusing on older people's needs and continuity of long-term care: a scoping review protocol.BMJ open · 2023Article
- Assessing the influence of patient language preference on 30 day hospital readmission risk from home health care: A retrospective analysis.International journal of nursing studies · 2022Article
- The effect of extended continuous nursing strategy applied to patients with mild brain injury on their quality of life and self-efficacy.Frontiers in surgery · 2022Article
- Continuing Care Bundle in Elderly Patients with Rectal Cancer after Radical Resection with Permanent Stoma.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Internet+Continuous Nursing Mode in Home Nursing of Patients with T-Tube after Hepatolithiasis Surgery.Computational and mathematical methods in medicine · 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
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundHome health care (HHC) is a leading form of home and community-based services for persons with dementia (PWD). Nurses are the primary providers of HHC; however, little is known of nursing care delivery and quality.
objectiveThe objective of this study was to examine the association between continuity of nursing care in HHC and rehospitalization among PWD. RESEARCH
designThis is a retrospective cohort study using multiple years (2010-2015) of HHC assessment, administrative, and human resources data from a large urban not-for-profit home health agency. SUBJECTS: This study included 23,886 PWD receiving HHC following a hospitalization. MEASURES: Continuity of nursing care was calculated using the Bice and Boxerman method, which considered the number of total visits, nurses, and visits from each nurse during an HHC episode. The outcome was all-cause rehospitalization during HHC. Risk-adjusted logistic regression was used for analysis.
resultsApproximately 24% of PWD were rehospitalized. The mean continuity of nursing care score was 0.56 (SD=0.33). Eight percent of PWD received each nursing visit from a different nurse (no continuity), and 26% received all visits from one nurse during an HHC episode (full continuity). Compared with those receiving high continuity of nursing care (third tertile), PWD receiving low (first tertile) or moderate (second tertile) continuity of nursing care had an adjusted odds ratio of 1.33 (95% confidence interval: 1.25-1.46) and 1.30 (95% confidence interval: 1.22-1.43), respectively, for being rehospitalized.
conclusionsWide variations exist in continuity of nursing care to PWD. Consistency in nurse staff when providing HHC visits to PWD is critical for preventing rehospitalizations.
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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.