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Published on: September 30, 2020
Multilevel Comparisons of Hospital Discharge among Older Adults with a Fall-Related Hospitalization
Samuel D Towne1, Kayla Fair2, Matthew Lee Smith1,3
1Department of Health Promotion & Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX.
Objective:
We examined multilevel factors associated with hospital discharge status among older adults suffering a fall-related hospitalization.
Data Sources:
The 2011-2013 (n = 131,978) Texas Inpatient Hospital Discharge Public-Use File was used.
Study Design/Methods:
Multilevel logistic regression analyses estimated the likelihood of being discharged to institutional settings versus home.
Principal Findings:
Factors associated with a greater likelihood of being discharged to institutional settings versus home/self-care included being female, white, older, having greater risk of mortality, receiving care in a non-teaching hospital, having Medicare (versus Private) coverage, and being admitted from a non-health care facility (versus clinical referral).
Conclusions:
Understanding risk factors for costly discharges to institutional settings enables targeted fall-prevention interventions with identification of at-risk groups and allows for identifying policy-related factors associated with discharge status.
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