POST-ACUTE FUNCTION IN NURSING HOMES RESIDENTS WITH DEMENTIA: A PREDICTIVE MODEL FOR DISCHARGE DISPOSITION. (11th November 2018)

• Record Type: Journal Article
• Authors: Boltz, M; Flanagan, J; Ji, M
• Is Part Of: Innovation in aging. Volume 2(2018)Supplement 1
• Page Start: 824
• Page End: 824
• Publication Date: 2018-11-11
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igy023.3069
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: After hospitalization, the rehabilitative care provided in skilled nursing facilities (SNFs) aims to restore the person to their pre-hospitalization functional status and assist the person to return home. This study used MDS assessment data of individuals (N=22, 426), age 65 years and older, admitted to SNFs in 2013 from acute care hospitals in Massachusetts, to develop a predictive model of discharge disposition. Residents discharged to home and other locations demonstrated improved activity in daily living (ADL) function three months after admission to the SNF. A dichotomous logistic regression for predicting remaining in SNF included dementia diagnosis (p<0.0001), severity of cognitive impairment (p=0.0050), ADL function (p<0.0001), age (p<0.0001), gender (p<0.0001), widowed status (p=0.0001), vision loss (p<0.0001), hearing loss (p<0.0001), and delirium (p<0.0001) (ROC curve of 0.68.) Results can be used to identify residents at high risk for remaining at SNF, and can be used to target rehabilitative interventions to promote functional recovery.