@article{dc117a3bc9934692a15abc7c075802f8,
title = "Multilevel Comparisons of Hospital Discharge among Older Adults with a Fall-Related Hospitalization",
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.",
keywords = "Falls, Medicare, hospital discharge, older adults",
author = "Towne, {Samuel D.} and Kayla Fair and Smith, {Matthew Lee} and Dowdy, {Diane M.} and Ahn, {Sang Nam} and Obioma Nwaiwu and Ory, {Marcia G.}",
note = "Funding Information: Joint Acknowledgment/Disclosure Statement: We would like to acknowledge these affiliated institutions: Texas A&M University; the University of Georgia; the University of Memphis; University of Texas Southwestern Medical Center; and the University of Arkansas for Medical Sciences as listed on our respective affiliations. All authors declare no relevant financial interests, activities, relationships, and affiliations (other than those affiliations listed in the title page of the manuscript) including, but not limited to, employment, affiliation, funding, and grants received or pending, consultancies, honoraria or payment, speakers? bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. Disclosures: None. Declaimer: None. Publisher Copyright: {\textcopyright} Health Research and Educational Trust",
year = "2018",
month = aug,
doi = "10.1111/1475-6773.12763",
language = "English",
volume = "53",
pages = "2227--2248",
journal = "Health Services Research",
issn = "0017-9124",
publisher = "Wiley-Blackwell Publishing Ltd",
number = "4",
}