Therapy use and discharge outcomes for elderly nursing home residents

Gregory Arling, A. R. Williams, D. Kopp

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

This study examines therapy use and discharge outcomes (community discharge, mortality, or remaining in the facility) over a 90-day period for 1,419 elderly, post-acute care nursing home admissions in South Dakota. Subjects met criteria as rehabilitation candidates (i.e., absence of serious behavioral or medical conditions that would limit rehabilitation potential). Receipt of therapies was related significantly to age (younger), Medicare coverage, hip fracture or stroke diagnosis, absence of cancer diagnosis, and resident or staff expectations for functional improvement. Therapy use was related positively to community discharge and negatively to mortality when controlling for covariates such as age, marital status, payment source, functional status, cognitive status, and major diagnoses. Also, community discharge was related positively to the facility's volume of therapy provision and percentage of Medicare-covered stays.

Original languageEnglish (US)
Pages (from-to)587-595
Number of pages9
JournalGerontologist
Volume40
Issue number5
StatePublished - 2000
Externally publishedYes

Fingerprint

Nursing Homes
Medicare
Subacute Care
Rehabilitation
Mortality
Hip Fractures
Marital Status
Therapeutics
Stroke
Neoplasms

Keywords

  • Community discharge
  • Medicare
  • Mortality
  • Polytomous regression
  • Rehabilitation

ASJC Scopus subject areas

  • Aging

Cite this

Therapy use and discharge outcomes for elderly nursing home residents. / Arling, Gregory; Williams, A. R.; Kopp, D.

In: Gerontologist, Vol. 40, No. 5, 2000, p. 587-595.

Research output: Contribution to journalArticle

Arling, G, Williams, AR & Kopp, D 2000, 'Therapy use and discharge outcomes for elderly nursing home residents', Gerontologist, vol. 40, no. 5, pp. 587-595.
Arling, Gregory ; Williams, A. R. ; Kopp, D. / Therapy use and discharge outcomes for elderly nursing home residents. In: Gerontologist. 2000 ; Vol. 40, No. 5. pp. 587-595.
@article{2ec92256d9a3416c866369e66714a5d7,
title = "Therapy use and discharge outcomes for elderly nursing home residents",
abstract = "This study examines therapy use and discharge outcomes (community discharge, mortality, or remaining in the facility) over a 90-day period for 1,419 elderly, post-acute care nursing home admissions in South Dakota. Subjects met criteria as rehabilitation candidates (i.e., absence of serious behavioral or medical conditions that would limit rehabilitation potential). Receipt of therapies was related significantly to age (younger), Medicare coverage, hip fracture or stroke diagnosis, absence of cancer diagnosis, and resident or staff expectations for functional improvement. Therapy use was related positively to community discharge and negatively to mortality when controlling for covariates such as age, marital status, payment source, functional status, cognitive status, and major diagnoses. Also, community discharge was related positively to the facility's volume of therapy provision and percentage of Medicare-covered stays.",
keywords = "Community discharge, Medicare, Mortality, Polytomous regression, Rehabilitation",
author = "Gregory Arling and Williams, {A. R.} and D. Kopp",
year = "2000",
language = "English (US)",
volume = "40",
pages = "587--595",
journal = "The Gerontologist",
issn = "0016-9013",
publisher = "Oxford University Press",
number = "5",

}

TY - JOUR

T1 - Therapy use and discharge outcomes for elderly nursing home residents

AU - Arling, Gregory

AU - Williams, A. R.

AU - Kopp, D.

PY - 2000

Y1 - 2000

N2 - This study examines therapy use and discharge outcomes (community discharge, mortality, or remaining in the facility) over a 90-day period for 1,419 elderly, post-acute care nursing home admissions in South Dakota. Subjects met criteria as rehabilitation candidates (i.e., absence of serious behavioral or medical conditions that would limit rehabilitation potential). Receipt of therapies was related significantly to age (younger), Medicare coverage, hip fracture or stroke diagnosis, absence of cancer diagnosis, and resident or staff expectations for functional improvement. Therapy use was related positively to community discharge and negatively to mortality when controlling for covariates such as age, marital status, payment source, functional status, cognitive status, and major diagnoses. Also, community discharge was related positively to the facility's volume of therapy provision and percentage of Medicare-covered stays.

AB - This study examines therapy use and discharge outcomes (community discharge, mortality, or remaining in the facility) over a 90-day period for 1,419 elderly, post-acute care nursing home admissions in South Dakota. Subjects met criteria as rehabilitation candidates (i.e., absence of serious behavioral or medical conditions that would limit rehabilitation potential). Receipt of therapies was related significantly to age (younger), Medicare coverage, hip fracture or stroke diagnosis, absence of cancer diagnosis, and resident or staff expectations for functional improvement. Therapy use was related positively to community discharge and negatively to mortality when controlling for covariates such as age, marital status, payment source, functional status, cognitive status, and major diagnoses. Also, community discharge was related positively to the facility's volume of therapy provision and percentage of Medicare-covered stays.

KW - Community discharge

KW - Medicare

KW - Mortality

KW - Polytomous regression

KW - Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=0034545148&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034545148&partnerID=8YFLogxK

M3 - Article

C2 - 11037938

AN - SCOPUS:0034545148

VL - 40

SP - 587

EP - 595

JO - The Gerontologist

JF - The Gerontologist

SN - 0016-9013

IS - 5

ER -