Skilled Nursing Facilities Modify the Relationship Between Depressive Symptoms and Hospital Readmissions but Not Health Outcomes Among Older Adults
Bibliographic Data
| ID | 12797765 |
|---|---|
| Authors | Leah Abrams (0000-0002-8766-0903, Harvard Center for Population and Development Studies, Harvard T.H. Chan School of Public Health, Cambridge, MA, USA, corresponding author), Geoffrey J Hoffman (0000-0002-3583-6532, Department of Systems, Populations and Leadership, University of Michigan School of Nursing, Ann Arbor, MI, USA) |
| Year | 2021 |
| Volume | 33 |
| Issue | 10 |
| Pages | 817-827 |
| Publication date | 2021-04-30 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Aging and Health (JOURNAL) |
| Journal identifiers | ISSN: 1552-6887 • E-ISSN: 0898-2643 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/08982643211013127 |
| PMID | 33929271 |
| OpenAlex | W3159200458 |
| Language | EN |
| References cited | 46 |
Objectives: Despite detrimental effects of depressive symptoms on self-care and health, hospital discharge practices and the benefits of different discharge settings are poorly understood in the context of depression. Methods: This retrospective cohort study comprised 23,485 hospitalizations from Medicare claims linked to the Health and Retirement Study (2000-2014). Results: Respondents with depressive symptoms were no more likely to be referred to home health, whereas the probability of discharge to skilled nursing facilities (SNFs) went up a half percentage point with each increasing symptom, even after adjusting for family support and health. Rehabilitation in SNFs, compared to routine discharges home, reduced the positive association between depressive symptoms and 30-day hospital readmissions (OR = 0.95, p = 0.029) but did not prevent 30-day falls, 1-year falls, or 1-year mortality associated with depressive symptoms. Discussion: Depressive symptoms were associated with discharges to SNFs, but SNFs do not appear to address depressive symptoms to enhance functioning and survival
Cognition · Cohort · Context (archaeology · Depression (economics · Depressive symptoms · Health and Retirement Study · Health care · Hospital discharge · Intensive care medicine · Nursing homes · Physical therapy · Psychiatry · Retrospective cohort study · Dementia and Cognitive Impairment Research · Frailty in Older Adults · Geriatric Care and Nursing Homes · Medicine · Nursing · Gerontology · Rehabilitation
Validation of the Eight-Item Center for Epidemiologic Studies Depression Scale (CES-D) Among Older Adults
The Care Transitions Intervention
Cohort Profile
A Revised CES-D Measure of Depressive Symptoms and a DSM-Based Measure of Major Depressive Episodes in the Elderly
Depression Is a Risk Factor for Noncompliance With Medical Treatment
Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults.
Caregiver Reward and Burden
Educational Differentials in Life Expectancy With Cognitive Impairment Among the Elderly in the United States
Life Expectancy With Cognitive Impairment in the Older Population of the United States
Receipt of Caregiving and Fall Risk in US Community-dwelling Older Adults
Depressive symptomatology and fall risk among community-dwelling older adults
Childlessness, Parenthood, and Depressive Symptoms Among Middle-Aged and Older Adults
| Highly cited | No |
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