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Centre for Policy on Ageing | |
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| Predicting discharge outcomes of VA [Veterans Affairs] nursing home residents | | Author(s) | David R Mehr, Brent C Williams, Brant E Fries |
| Journal title | Journal of Aging and Health, vol 9, no 2,, May 1997 |
| Pages | pp 244-265 |
| Keywords | Discharge [nursing homes] ; Death ; Longitudinal surveys ; United States of America. |
| Annotation | The aim of this study was to identify predictors of discharge outcomes of VA (Veterans Affairs) nursing home stays. Using data tapes, diagnostic and assessment data were assembled on older individuals admitted to VA nursing homes throughout the United States (US) during 1987. Six-month outcomes for 3 groups were considered: all residents and those remaining in care after 6 and 12 months, respectively. Logistic regression was used to evaluate predictors of death and community discharge. Limited activities of daily living (ADL) dependency, younger age, and receipt of rehabilitation services most consistently predicted community discharge. ADL dependency, older age, oxygen use, terminally ill prognosis, malignancy, and congestive heart failure most consistently predicted mortality. For both dependent variables, predictive ability declined as stay length increased. Predicting death and community discharge become increasingly problematic as stay lengthens. Comparing observed versus expected discharge outcomes has limited usefulness as a quality-improvement tool. (AKM). |
| Accession Number | CPA-980407219 A |
| Classmark | LHB:QKJ: CW: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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