Multilevel Comparisons of Hospital Discharge among Older Adults with a Fall-Related Hospitalization

Samuel D. Towne, Kayla Fair, Matthew Lee Smith, Diane M. Dowdy, Sang Nam Ahn, Obioma Nwaiwu, Marcia G. Ory

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Objective: We examined multilevel factors associated with hospital discharge status among older adults suffering a fall-related hospitalization. Data Sources: The 2011–2013 (n = 131,978) Texas Inpatient Hospital Discharge Public-Use File was used. Study Design/Methods: Multilevel logistic regression analyses estimated the likelihood of being discharged to institutional settings versus home. Principal Findings: Factors associated with a greater likelihood of being discharged to institutional settings versus home/self-care included being female, white, older, having greater risk of mortality, receiving care in a non-teaching hospital, having Medicare (versus Private) coverage, and being admitted from a non-health care facility (versus clinical referral). Conclusions: Understanding risk factors for costly discharges to institutional settings enables targeted fall-prevention interventions with identification of at-risk groups and allows for identifying policy-related factors associated with discharge status.

Original languageEnglish
Pages (from-to)2227-2248
Number of pages22
JournalHealth Services Research
Volume53
Issue number4
DOIs
StatePublished - Aug 2018

Keywords

  • Falls
  • Medicare
  • hospital discharge
  • older adults

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