Describing Transfers Originating Out-of-Facility for Nursing Home Residents

Exploring Hospital Transfers for Long-Stay Nursing Home Residents With End-Stage Renal Disease

“…This study explored differences in contributing factors by transfer site (ie, nursing home or dialysis clinic). Similar to a recent study by Webb and colleagues10 suggesting nearly one-half of hospital transfers occurred while nursing home residents were in community-based dialysis clinics, we found approximately one-third of residents transferred to the hospital from the dialysis clinic. However, our analysis also found transfers from the clinic were twice as likely to end in observation or ED only visits compared with transfers from the nursing home.…”

“…6 Moreover, nursing home residents receiving HD are at risk of frequent hospital transfers. 9,10 Hospital transfers can disrupt and fragment care, reduce mobility, lead to functional decline, and expose people to contagions such as COVID-19 and influenzas. [11][12][13] Reducing unnecessary exposure to the hospital environment and disrupted care is particularly important for this vulnerable population.…”

“…Despite limited research, one clear finding across existing studies is that nursing home residents receiving chronic HD are at higher risk of poor outcomes than their home-bound counterparts, including higher mortality rates and risk of rapid functional decline 6. Moreover, nursing home residents receiving HD are at risk of frequent hospital transfers 9,10. Hospital transfers can disrupt and fragment care, reduce mobility, lead to functional decline, and expose people to contagions such as COVID-19 and influenzas 11-13.…”