PURPOSE: To determine whether a fall, as an adverse event in combination with other risk factors, influences nursing home placement (NHP). METHOD: A retrospective longitudinal study of 6,515 high-risk, community-dwelling, dually eligible (Medicare/Medicaid) participants in a waiver program during 2002-2007 are examined. Data are obtained from the Minimum Data Set-Home Care linked with Medicaid claim files. The authors fit multiple factors to a logistic curve, using generalized linear modeling to predict increased risk of NHP when a fall occurred. RESULTS: Prior NHP and an increased rate of falls (Odds Ratio [OR] = 1.52, 95% Confidence Interval [CI] = 1.25-1.84) and prior NHP and the same rate of falls (OR = 1.55, 95% CI = 1.26-1.91) both increased NHP. CONCLUSION: An adverse event such as a fall and prior NHP is a strong predictor of future NHP and should be taken into consideration while developing care plans for community-dwelling older adults.
PURPOSE: To determine whether a fall, as an adverse event in combination with other risk factors, influences nursing home placement (NHP). METHOD: A retrospective longitudinal study of 6,515 high-risk, community-dwelling, dually eligible (Medicare/Medicaid) participants in a waiver program during 2002-2007 are examined. Data are obtained from the Minimum Data Set-Home Care linked with Medicaid claim files. The authors fit multiple factors to a logistic curve, using generalized linear modeling to predict increased risk of NHP when a fall occurred. RESULTS: Prior NHP and an increased rate of falls (Odds Ratio [OR] = 1.52, 95% Confidence Interval [CI] = 1.25-1.84) and prior NHP and the same rate of falls (OR = 1.55, 95% CI = 1.26-1.91) both increased NHP. CONCLUSION: An adverse event such as a fall and prior NHP is a strong predictor of future NHP and should be taken into consideration while developing care plans for community-dwelling older adults.
Authors: Edgar Ramos Vieira; Fabricia Azevedo da Costa Cavalcanti; Fernanda Civitella; Monica Hollifield; Stephanie Caceres; Jorge Carreno; Trudy Gaillard; Fatma G Huffman; Jorge Camilo Mora; Marcos Roberto Queiroga Journal: Int J Environ Res Public Health Date: 2021-07-29 Impact factor: 3.390