Risk Factors of Skilled Nursing Facility Admissions and the Interrelation With Hospitalization and Amount of Informal Caregiving Received

BACKGROUND: The correlations between skilled nursing facility (SNF) admissions, number of hospitalizations, and informal caregiving hours received after adjusting for physical and cognitive function and sociodemographic covariates are not well understood. OBJECTIVE: The objective of this study was to better understand risk factors for SNF admissions and the interrelation with hospitalizations and amount of informal caregiving received, this study applied a novel joint modeling analysis to simultaneously explore the correlation and shared information between the 3 outcomes. RESEARCH DESIGN: This was an observational follow-up study. SUBJECTS: Data from 4836 older Americans included in the 2011-2015 rounds of the National Health and Aging Trends Study were linked with Centers for Medicare & Medicaid Services. MEASURES: We jointly modeled SNF admission, hospital admissions, and informal caregiving hours received while accounting for possible risk factors. We addressed missing values by multiple imputation with chained equations. RESULTS: SNF admission evidenced a strong positive correlation with hospital admission, and SNF admission evidenced a weak positive correlation with the informal caregiving hours received after adjustment for important risk factors. Non-Hispanic White race/ethnicity, living alone, not being Medicaid eligible, Alzheimer disease and related dementias diagnosis, activities of daily living disabilities, and frailty were associated with increased risk of SNF admissions and any/number of hospital admission. Lower educational level was also associated with the latter. Medicaid eligibility was the only factor not associated with any nor numbers of informal caregiving hours received. CONCLUSIONS: Sociodemographic and health factors were important for predicting SNF admissions. After adjustment for important risk factors, SNF evidenced a strong positive correlation with the number of hospitalizations and a weak positive correlation with the hours of informal caregiving received

Correlation · Health facility · MEDLINE · Positive correlation · Skilled Nursing Facility · Frailty in Older Adults · Geriatric Care and Nursing Homes · Intergenerational Family Dynamics and Caregiving

• A Joint Model for Disability, Self-Rated Health, and Mortality Among Medicare Beneficiaries—Differences by Chronic Disease and Race/Ethnicity

  Open Access•Ana Quinones, GAIL MCAVAY et al.•Journal of Aging and Health•2024

  Incluir item

• Longitudinal Care Network Changes and Associated Healthcare Utilization Among Care Recipients

  Open Access•Ruotong Liu, Brent Vander Wyk et al.•Research on Aging•2024

  Incluir item

• The role of residence tenure on rural Medicare beneficiaries’ health outcomes

  Open Access•Kaleigh Ligus, Keith M Bellizzi et al.•The Journal of Rural Health•2026

  Incluir item

• Racial and Ethnic Differences in Extended Family, Friendship, Fictive Kin, and Congregational Informal Support Networks

  Open Access•R J Taylor, Linda Chatters et al.•Family Relations•2013

  Incluir item

• Separate And Unequal

  DAVID BARTON SMITH, Zhanlian Feng et al.•Health Affairs•2007

  Incluir item

• Defining and Measuring Chronic Conditions

  Open Access•Richard A Goodman, Samuel F Posner et al.•Preventing Chronic Disease•2013

  Incluir item

• Predicting nursing home admission in the U.S

  Open Access•Joseph E Gaugler, Sue Duval et al.•BMC Geriatrics•2007

  Incluir item

• Prediction of institutionalization in the elderly. A systematic review

  M Luppa, T Luck et al.•Age and Ageing•2010

  Incluir item

• Fully conditional specification in multivariate imputation

  S van Buuren, J P L Brand et al.•Journal of Statistical…•2006

  Incluir item

• Findings From the 1st Round of the National Health and Aging Trends Study (NHATS)

  Judith D Kasper, Vicki A Freedman•The Journals of Gerontology…•2014

  Incluir item