The Changing Profile of Nursing Home Residents: 1985-1997

Sahyoun, Nadine R.; Pratt, Laura A.; Lentzner, Harold R.; Dey, Anup; Robinson, Kristen

doi:10.1037/e620662007-001

Cited by 67 publications

(59 citation statements)

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“…For example, Schoeni and colleagues found that among the noninstitutionalized population aged 70 and older, the disability rate fell between 1982 and 1986 but fluctuated between 1986 and 1996, ending the period essentially unchanged. Other studies found increases in the use of formal long-term care services (Liu, Manton, and Aragon 2000;Spillman and Pezzin 2000) and the level of disability among those receiving help with chronic disabilities, including residents of institutions (Rhoades and Krauss 1999;Sahyoun et al 2001;Spillman and Pezzin 2000). These findings could suggest higher average long-term care costs among the disabled, which could offset savings due to a declining prevalence of disabilities.…”

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confidence: 50%

Changes in Elderly Disability Rates and the Implications for Health Care Utilization and Cost

2004

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Recent research indicates declining age-adjusted chronic disability among older Americans, which might moderate health care costs in the coming decades. This study examines the trend's underlying components using data from the 1984-1999 National Long-Term Care Surveys to better understand the reasons for the declines and potential implications for acute and long-term care. The reductions occurred primarily for activities like financial management and shopping. Assistance with personal care activities associated with greater frailty fell less, and independence with assistive devices rose. Institutional residence was stable. More needs to be known about the extent to which these declines reflect environmental improvements allowing greater independence at any level of health, rather than improvements in health, before concluding that the declines will mean lower costs.

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confidence: 50%

Changes in Elderly Disability Rates and the Implications for Health Care Utilization and Cost

2004

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“…High quality complete discharge communication is especially critical for the highly vulnerable sub-acute care (skilled nursing, rehabilitation, long-term care facility) population 6,7 , the largest categories of whom have primary diagnoses of hip fracture and stroke 8,9 . These individuals are often unable to advocate for themselves and have complex medical problems that need to be followed closely 10 . These patients may have more lab tests performed because of their complex medical problems, and more dire consequences if abnormal results are not addressed.…”

Section: Introductionmentioning

confidence: 99%

Pending Laboratory Tests and the Hospital Discharge Summary in Patients Discharged To Sub-Acute Care

et al. 2010

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BACKGROUND:Previous studies have noted a high (41%) prevalence and poor discharge summary communication of pending laboratory (lab) tests at the time of hospital discharge for general medical patients. However, the prevalence and communication of pending labs within a high-risk population, specifically those patients discharged to sub-acute care (i.e., skilled nursing, rehabilitation, long-term care), remains unknown. OBJECTIVE: To determine the prevalence and nature of lab tests pending at hospital discharge and their inclusion within hospital discharge summaries, for common sub-acute care populations. DESIGN: Retrospective cohort study. PARTICIPANTS: Stroke, hip fracture, and cancer patients discharged from a single large academic medical center to sub-acute care, 2003-2005 (N=564) MAIN MEASURES: Pending lab tests were abstracted from the laboratory information system (LIS) and from each patient's discharge summary, then grouped into 14 categories and compared. Microbiology tests were subdivided by culture type and number of days pending prior to discharge. KEY RESULTS: Of sub-acute care patients, 32% (181/ 564) were discharged with pending lab tests per the LIS; however, only 11% (20/181) of discharge summaries documented these. Patients most often left the hospital with pending microbiology tests (83% [150/181]), particularly blood and urine cultures, and reference lab tests (17% [30/181]). However, 82% (61/74) of patients' pending urine cultures did not have 24-hour preliminary results, and 19% (13/70) of patients' pending blood cultures did not have 48-hour preliminary results available at the time of hospital discharge. CONCLUSIONS: Approximately one-third of the subacute care patients in this study had labs pending at discharge, but few were documented within hospital discharge summaries. Even after considering the availability of preliminary microbiology results, these omissions remain common. Future studies should focus on improving the communication of pending lab tests at discharge and evaluating the impact that this improved communication has on patient outcomes.KEY WORDS: laboratory tests; hospital discharge; sub-acute care.

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“…By the year 2050, the number of women likely to experience UI will increase by 46% (Romanzi, 2010). The increasing prevalence of UI in long term-care facilities from 55% to 65% over the past 10 years is alarming, and requires careful consideration by healthcare providers and policy-makers (MacDonald & Butler, 2007;Sahyoun, et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Elderly Women and Urinary Incontinence in Long-Term Care

Macdonald¹

2012

Urinary Incontinence

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The Changing Profile of Nursing Home Residents: 1985-1997

Cited by 67 publications

References 0 publications

Changes in Elderly Disability Rates and the Implications for Health Care Utilization and Cost

Changes in Elderly Disability Rates and the Implications for Health Care Utilization and Cost

Pending Laboratory Tests and the Hospital Discharge Summary in Patients Discharged To Sub-Acute Care

Elderly Women and Urinary Incontinence in Long-Term Care

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