Effects of Dementia Diagnosis on Hospital Readmission After Discharge from a Skilled Nursing Home
Author Information
Author(s): Carnahan Jennifer, Slaven James, Ludden Emily Fox, Bowditch Corinne, Ryan Healey, Jiangqiong Li, Tu Wanzhu, Torke Alexia
Primary Institution: Indiana University/Regenstrief Institute
Hypothesis
Does dementia increase the risk of hospital readmission after discharge from a skilled nursing home?
Conclusion
People with dementia may be at greater risk of readmission after skilled nursing home discharge, but this risk diminishes when accounting for other factors.
Supporting Evidence
- There were 5,912 discharges to the community from an SNH and 941 hospital readmissions.
- ICD codes for dementia were present in 1,754 of the SNH-to-home transitions.
- In bivariate analysis, people with dementia were more likely to be readmitted (p=0.0074).
- Post-SNH readmissions were more likely among people who were Black, male, and had higher comorbidity indices.
Takeaway
This study looked at whether people with dementia go back to the hospital more often after leaving a nursing home. It found that while they might, other health issues also play a big role.
Methodology
The study analyzed hospital readmission events using logistic regression, controlling for repeated within-subject readmissions.
Limitations
The significance of dementia's impact on readmission was attenuated when controlling for other factors.
Participant Demographics
Participants included individuals discharged from skilled nursing homes, with a notable representation of Black individuals, males, and dual eligible beneficiaries.
Statistical Information
P-Value
p=0.0074
Confidence Interval
(0.90, 1.32)
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website