ArticleJournal of the American Geriatrics Society2023
Hospital-associated disability due to avoidable hospitalizations among older adults.
Article in Journal of the American Geriatrics Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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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
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison of hospitalisation settings and exercise interventions in acute care: a systematic review and meta-analysis.Age and ageing · 2025Pooled it
- Outcomes of 72-hour emergency department return visits requiring hospital admission in older adults: a nationally representative analysis.BMC geriatrics · 2026Article
- Medication Burden and Its Escalation Predict Incidence of Hospital-associated Disability in Older Inpatients: A Prospective Cohort Study.Progress in rehabilitation medicine · 2026Article
- Development and validation of a nomogram for predicting hospitalization-associated disability in older patients with acute heart failure.Frontiers in cardiovascular medicine · 2026Article
- Older Adults' Experiences of Emergency Department Admission Decisions: A Qualitative Study in a Public Safety Net Hospital.Journal of general internal medicine · 2025Article
- Use of a Technology-Based Fall Prevention Program With Visual Feedback in the Setting of Early Geriatric Rehabilitation: Controlled and Nonrandomized Study.JMIR formative research · 2025Article
- Family Involvement in the Care of Hospitalized Older Adults: Protocol for a Qualitative Evidence Synthesis.JMIR research protocols · 2024Article
- Cost of care pathways before and after appropriate and inappropriate transfers to the emergency department among nursing home residents: results from the FINE study.BMC geriatrics · 2024Observational
- Care challenges of home health patients living with dementia: a pathway forward with palliative care.BMC palliative care · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundHospital-associated disability (HAD) is a common complication during the course of acute care hospitalizations in older adults. Many admissions are for ambulatory care sensitive conditions (ACSCs), considered potentially avoidable hospitalizations-conditions that might be treated in outpatient settings to prevent hospitalization and HAD. We compared the incidence of HAD between older adults hospitalized for ACSCs versus those hospitalized for other diagnoses.
methodsWe conducted a retrospective cohort study in inpatient (non-ICU) medical and surgical units of a large southeastern regional academic medical center. Participants were 38,960 older adults
resultsWe found that 10% of older adults were admitted for an ACSC, with rates of HAD in those admitted for ACSCs lower than those admitted for other conditions (16% vs. 20.7%, p < 0.001). Age, comorbidity, admission functional status, and admission cognitive impairment were significant predictors for development of HAD. ACSC admissions to medical and medical/surgical services had lower odds of HAD compared with admissions for other conditions, with no significant differences between ACSC and non-ACSC admissions to surgical services.
conclusionsRates of HAD among older adults hospitalized for ACSCs are substantial, though lower than rates of HAD with hospitalization for other conditions, reflecting that acute care hospitalization is not a benign event in this population. Treatment of ACSCs in the outpatient setting could be an important component of efforts to reduce HAD.
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