Factors Associated With Remaining in a Skilled Nursing Facility for Over 90 Days from Admission: Residents' Participation in Therapy and Desire to Return to the Community
- Authors
- Yoo, Ji Won; Choi, Jong Bum; Kim, Sun Jung; Shin, Hyun P.; Kim, Kyudam; Ryu, Woo Sang; Min, Too Jae; Kim, Sulgi; Nakagawa, Shunichi
- Issue Date
- 9월-2013
- Publisher
- ELSEVIER SCIENCE INC
- Keywords
- Nursing home; patient participation; skilled nursing facility
- Citation
- JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, v.14, no.9
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
- Volume
- 14
- Number
- 9
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/102307
- DOI
- 10.1016/j.jamda.2013.05.022
- ISSN
- 1525-8610
- Abstract
- Background: To identify the factors associated with stay in a skilled nursing facility (SNF) among new enrollees who did not fully participate in therapy sessions. Methods: Data (n = 36,133) were obtained from the Minimum Data Set version 2.0 in the state of Michigan in 2009. Study participants were new SNF enrollees (n = 699) who did not fully participate in therapy sessions despite their desire to return to the community. Multivariate logistic regressions were performed to identify factors contributing to remaining in a nursing home for 91 days or longer. Results: New SNF enrollees were more likely to remain in nursing home when they were depressed (odds ratio [OR] 1.41; 95% confidence interval [CI], 1.09-2.08; P = .01), experiencing delirium (OR = 3.20; 95% CI, 1.48-5.92; P < .001), were not in pain (OR = 0.83; 95% CI, 0.60-0.95; P = .03), or in less complex care (OR = 0.57; 95% CI, 0.44-0.81; P < .01). Conclusions: A higher number of new SNF enrollees than previously reported were likely to stay in nursing homes (28.0%). Depression and delirium were associated with stay in an SNF, while pain and higher complexity of care were associated with returning to the community. Copyright (C) 2013 - American Medical Directors Association, Inc.
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