Understanding the Relationship Between Nursing Home Experience With Human Immunodeficiency Virus and Patient Outcomes

Bibliographic Data

ID9101452
AuthorsDavid J Meyers (0000-0002-4081-1751, Brown University, corresponding author), Ira B Wilson (0000-0002-0246-738X, Brown University), Yoojin Lee (0000-0003-2475-5857, Brown University), Momotazur Rahman (0000-0002-8592-3511, Brown University)
Year2021
Volume59
Issue1
Pages46-52
Publication date2021-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001426
PMID33027238
OpenAlexW3092433205
LanguageEN
References cited42

BACKGROUND: As the population with human immunodeficiency virus (HIV) continues to age, the need for nursing home (NH) care is increasing. OBJECTIVES: To assess whether NH's experience in treating HIV is related to outcomes. RESEARCH DESIGN: We used claims and assessment data to identify individuals with and without HIV who were admitted to NHs in 9 high HIV prevalent states. We classified NHs into HIV experience categories and estimate the effects of NH HIV experience on patient's outcomes. We applied an instrumental variable using distances between each individual's residence and NHs with different HIV experience. SUBJECTS: In all, 5,929,376 admissions for those without HIV and 53,476 admissions for residents with HIV. MEASURES: Our primary outcomes were 30-day hospital readmissions, likelihood of becoming a long stay resident, and 180-day mortality posthospital discharge. RESULTS: Residents with HIV tended to have poorer outcomes than residents without HIV, regardless of the NH they were admitted to. Residents with HIV admitted to high HIV experience NHs were more likely to be readmitted to the hospital than those admitted to NHs with lower HIV experience (19.6% in 0% HIV NHs, 18.7% in 05% HIV NHs and 22.9% in 5%-50% HIV NHs). CONCLUSIONS: Residents with HIV experience worse outcomes in NHs than residents without HIV. Increased HIV experience was not related to improved outcomes

Family medicine · Human immunodeficiency virus (HIV) · Nursing homes · Geriatric Care and Nursing Homes · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions · Medicine · Nursing · Psychology

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