Long-term care facilities to rehabilitation hospital transitions in the United States: principal diagnoses at admission and hospitalization outcomes with comorbid conditions.
Background and Objectives Hospitalization outcomes of long-term care facility (LTCF) residents aged 60 years or older who are admitted to rehabilitation hospitals may differ by diagnosis at admission. This study aimed to determine the relationship between principal admitting diagnoses and discharge...
| Publicado en: | Gerontologist Vol. 66; no. 7; pp. 1 - 12 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195281432&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195281432 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Jul2026 vid: 66 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195281432 10.1093/geront/gnag104 ppf: 1 ppct: 11 formats: tig: atl: Long-term care facilities to rehabilitation hospital transitions in the United States: principal diagnoses at admission and hospitalization outcomes with comorbid conditions. aug: au: Yin, Cheng Li, Xiaoli Mpofu, Elias Ntinda, Kayi Zhang, Bin affil: Department of Rehabilitation and Health Services, College of Public Affairs and Health Sciences, University of North Texas, Denton, Texas, United States School of Health Sciences, Southern Illinois University, Carbondale, Illinois, United States Department of Rehabilitation and Health Services, College of Public Affairs and Health Sciences, University of North Texas, Denton, Texas, United StatesDiscipline of Behavioural and Social Sciences in Health, School of Health Sciences, University of Sydney, Sydney, New South Wales, Australia School of Rehabilitation Services and Counseling, University of Texas Rio Grande Valley, Edinburg, Texas, United States Department of Rehabilitation, Shifo Town Health Center, Liaocheng, Shandong, China su: Texas United States Hospital care Retrospective studies Long-term health care Muscle diseases Discharge planning Rehabilitation centers Transitional care Neurological disorders Medical records Acquisition of data Length of stay in hospitals sug: subj: Hospital care Retrospective studies Texas United States Other Individual and Family Services Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities Long-term health care Muscle diseases Discharge planning Rehabilitation centers Transitional care Neurological disorders Medical records Acquisition of data Length of stay in hospitals keyword: Admitting diagnoses comorbidity copyrightHolder:The Gerontological Society of America copyrightYear:2026 diagnosis Discharge destination gender health insurance https://dx.doi.org/10.1093/geront/gnag104 inLanguage:en inpatients internship and residency length of stay long-term care Long-term care facilities medical residencies myopathy nervous system disorders Older adults publisher:Oxford University Press Rehabilitation hospitals sameAs:https://pubmed.ncbi.nlm.nih.gov/42133831/ Admitting diagnoses comorbidity copyrightHolder:The Gerontological Society of America copyrightYear:2026 diagnosis Discharge destination gender health insurance https://dx.doi.org/10.1093/geront/gnag104 inLanguage:en inpatients internship and residency length of stay long-term care Long-term care facilities medical residencies myopathy nervous system disorders Older adults publisher:Oxford University Press Rehabilitation hospitals sameAs:https://pubmed.ncbi.nlm.nih.gov/42133831/ ab: Background and Objectives Hospitalization outcomes of long-term care facility (LTCF) residents aged 60 years or older who are admitted to rehabilitation hospitals may differ by diagnosis at admission. This study aimed to determine the relationship between principal admitting diagnoses and discharge destination and the role of length of stay (LoS) and comorbid conditions. Research Design and Methods This retrospective cohort study utilized the Texas Inpatient Public Use Data File from October 2022 to June 2024. The cohort included 3,446 patients admitted to rehabilitation hospitals from LTCFs. Discharge destination (five-level) was modeled with multinomial logistic regression, adjusting for age, gender, race/ethnicity, and health insurance status. Results Neurological disorders (20.0%) and myopathies (20.2%) were the most common principal admitting diagnoses. Compared with neurological disorders, myopathies had a higher likelihood of transferring to subacute or short-term hospital care (RRR = 2.18, 95% CI: 1.41–3.37) and home under care (RRR = 1.69, 95% CI: 1.21–2.36). General symptoms or functional impairments were similarly associated with a higher relative risk of discharge from acute to short-term care hospitals (RRR = 2.05, 95% CI: 1.13–3.72) and home under care (RRR = 1.73, 95% CI: 1.08–2.77). Post-surgical or orthopedic aftercare had a lower relative risk of discharge to skilled nursing rather than rehabilitation hospital facilities (RRR = 0.50, 95% CI: 0.28–0.88). Discussion and Implications Among patients admitted to rehabilitation hospitals from LTCFs, a neurological principal admitting diagnosis and extended LoS with comorbid conditions carry a higher likelihood of discharge to an intensive care facility. These findings suggest a need for proactive admission diagnosis-tailored discharge planning and attention for patients with extended LoS. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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