Skilled Nursing Facility-to-Home Trajectories for Older Adults With Mental Illness or Dementia
Copyright © 2021 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved..
OBJECTIVES: To examine how mental illness (MI) and Alzheimer's disease and related dementias (ADRD) were associated with whether skilled nursing facility (SNF) residents returned to and remained in the community and if receipt of home health services was associated with post-SNF home time.
DESIGN: Retrospective cohort study based on secondary data analyses.
SETTING: New York State Medicare beneficiaries who were admitted to an SNF in 2014.
PARTICIPANTS: Total of 46,137 older adults admitted to SNFs and 25,357 discharged from SNFs to home.
MEASUREMENTS: We used Medicare claims and assessment databases to derive our outcomes (discharge to the community and home time [i.e., days alive in the community]), determine MI/ADRD status, and obtain socio-demographic and clinical characteristics.
RESULTS: Among SNF admissions, 22.9% had MI, 22.6% had ADRD, and 59.0% were discharged to the community. In analyses adjusting for socio-demographic and clinical characteristics, MI and ADRD were associated with decreased odds of community discharge and less home time during 90-days of follow-up. However, when we included depressive symptoms, aggressive behaviors, and daily functioning in the analyses, these associations were attenuated. Receipt of post-SNF home health services was associated with increased home time among those with MI or ADRD.
CONCLUSION: Newly admitted SNF residents with MI or ADRD were less likely to be discharged and, if discharged, spent less time in the community. Interventions targeting depressive symptoms, aggressive behaviors, and functioning and improving linkage with home health services may help decrease differences in post-acute care trajectories between those with and without MI and ADRD.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
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| Enthalten in: |
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry - 30(2022), 2 vom: 09. Feb., Seite 223-234 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Simning, Adam [VerfasserIn] |
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| Links: |
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| Themen: |
Care transitions |
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| Anmerkungen: |
Date Completed 11.03.2022 Date Revised 02.02.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jagp.2021.06.013 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM328300152 |
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| 100 | 1 | |a Simning, Adam |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Skilled Nursing Facility-to-Home Trajectories for Older Adults With Mental Illness or Dementia |
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| 500 | |a Date Completed 11.03.2022 | ||
| 500 | |a Date Revised 02.02.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2021 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVES: To examine how mental illness (MI) and Alzheimer's disease and related dementias (ADRD) were associated with whether skilled nursing facility (SNF) residents returned to and remained in the community and if receipt of home health services was associated with post-SNF home time | ||
| 520 | |a DESIGN: Retrospective cohort study based on secondary data analyses | ||
| 520 | |a SETTING: New York State Medicare beneficiaries who were admitted to an SNF in 2014 | ||
| 520 | |a PARTICIPANTS: Total of 46,137 older adults admitted to SNFs and 25,357 discharged from SNFs to home | ||
| 520 | |a MEASUREMENTS: We used Medicare claims and assessment databases to derive our outcomes (discharge to the community and home time [i.e., days alive in the community]), determine MI/ADRD status, and obtain socio-demographic and clinical characteristics | ||
| 520 | |a RESULTS: Among SNF admissions, 22.9% had MI, 22.6% had ADRD, and 59.0% were discharged to the community. In analyses adjusting for socio-demographic and clinical characteristics, MI and ADRD were associated with decreased odds of community discharge and less home time during 90-days of follow-up. However, when we included depressive symptoms, aggressive behaviors, and daily functioning in the analyses, these associations were attenuated. Receipt of post-SNF home health services was associated with increased home time among those with MI or ADRD | ||
| 520 | |a CONCLUSION: Newly admitted SNF residents with MI or ADRD were less likely to be discharged and, if discharged, spent less time in the community. Interventions targeting depressive symptoms, aggressive behaviors, and functioning and improving linkage with home health services may help decrease differences in post-acute care trajectories between those with and without MI and ADRD | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Post-acute care | |
| 650 | 4 | |a care transitions | |
| 650 | 4 | |a epidemiology | |
| 650 | 4 | |a rehabilitation | |
| 700 | 1 | |a Orth, Jessica |e verfasserin |4 aut | |
| 700 | 1 | |a Temkin-Greener, Helena |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Yue |e verfasserin |4 aut | |
| 700 | 1 | |a Simons, Kelsey V |e verfasserin |4 aut | |
| 700 | 1 | |a Conwell, Yeates |e verfasserin |4 aut | |
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