Evidence map›Paper›PMID 38798097›Full record

ArticleJournal of applied gerontology : the official journal of the Southern Gerontological Society2024

Fragmented Readmissions From a Nursing Facility in Medicare Beneficiaries.

Sara D Turbow, Molly M Perkins, Camille P Vaughan, Terry Klemensen, Steven D Culler, Kimberly J Rask, Carolyn K Clevenger, Mohammed K Ali

Abstract read
In one paragraph

Article in Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Sara D TurbowDivision of General Internal Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0002-5228-9606
Molly M PerkinsDivision of Geriatrics & Gerontology, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-5993-8712
Camille P VaughanDivision of Geriatrics & Gerontology, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-6713-794X
Terry KlemensenDivision of Geriatrics & Gerontology, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Steven D CullerDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Kimberly J RaskAlliant Health Solutions, Atlanta, GA, USA.ORCID 0000-0001-6806-4666
Carolyn K ClevengerNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Mohammed K AliDepartment of Family & Preventive Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Translational Research Core - Engagement and Behavior ChangeP30DK111024 · NIDDK · EMORY UNIVERSITY · PI Mohammed Kumail Ali · 2016 to 2026
$13.4M
iCAREFOR: Interhospital Care Fragmentation in Older Adults with DementiaK23AG065505 · NIA · EMORY UNIVERSITY · PI TURBOW, SARA DIANE · 2020 to 2024
$732k
NCATS NIH HHS UL1 TR002378NIA NIH HHS K23 AG065505NIDDK NIH HHS P30 DK111024
6 · The paper itself

Abstract

Over one-third of Medicare beneficiaries discharged to nursing facilities require readmission. When those readmissions are to a different hospital than the original admission, or "fragmented readmissions," they carry increased risks of mortality and subsequent readmissions. This study examines whether Medicare beneficiaries readmitted from a nursing facility are more likely to have a fragmented readmission than beneficiaries readmitted from home among a 2018 cohort of Medicare beneficiaries, and examined whether this association was affected by a diagnosis of Alzheimer's Disease (AD). In fully adjusted models, readmissions from a nursing facility were 19% more likely to be fragmented (AOR 1.19, 95% CI 1.16, 1.22); this association was not affected by a diagnosis of AD. These results suggest that readmission from nursing facilities may contribute to care fragmentation for older adults, underscoring it as a potentially modifiable pre-hospital risk factor for fragmented readmissions.

Indexed as

Alzheimer DiseaseMedicareNursing HomesPatient ReadmissionAgedAged, 80 and overFemaleHumansMalePatient DischargeRisk FactorsUnited Statescare coordinationcare fragmentationhospitalizationsnursing homesreadmission

Identifiers

PMID38798097
PMCPMC11473236

What OpenQuestion holds

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Registered trials

None linked

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.