Risk factors for hospitalization in a national sample of medicare home health care patients.
Risk factors for hospitalization in a national sample of medicare home health care patients.
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DOI：
10.1177/0733464812454007
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发表时间：
2014-06
期刊：
影响因子：
--
通讯作者：
Kleppinger A
中科院分区：
文献类型：
--
作者：
Fortinsky RH;Madigan EA;Sheehan TJ;Tullai-McGuinness S;Kleppinger A
Acute care hospitalization during or immediately following a Medicare home health care (HHC) episode is a major adverse outcome, but little has been published about HHC patient-level risk factors for hospitalization. We determined risk factors at HHC admission associated with subsequent acute care hospitalization in a nationally representative Medicare patient sample (n=374,123). Hospitalization was measured using Medicare claims data; risk factors were measured using Outcome Assessment and Information Set data. Seventeen percent of sample members were hospitalized. Multivariate logistic regression analysis found that the most influential risk factors (all p<.001) were: skin wound as primary HHC diagnosis; clinician-judged guarded rehabilitation prognosis; congestive heart failure as primary HHC diagnosis; presence of depressive symptoms; dyspnea severity; and Black, compared to White. HHC initiatives that minimize chronic condition exacerbations, and that actively treat depressive symptoms, might help reduce Medicare patient hospitalizations. Unmeasured reasons for higher hospitalization rates among Black HHC patients deserve further investigation.
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影响因子：
5.7
作者：
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通讯作者：
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影响因子：
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通讯作者：
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