東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Factors Associated with 30-day Hospi...

Lemon, Lynell Patten.

Linked to FindBook

Google Book

Amazon

博客來

Factors Associated with 30-day Hospital Readmissions Among Older Adults with Dementia.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Factors Associated with 30-day Hospital Readmissions Among Older Adults with Dementia./
Author:	Lemon, Lynell Patten.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
Description:	90 p.
Notes:	Source: Dissertations Abstracts International, Volume: 81-04, Section: B.
Contained By:	Dissertations Abstracts International81-04B.
Subject:	Nursing. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=13884418
ISBN:	9781088331415

Factors Associated with 30-day Hospital Readmissions Among Older Adults with Dementia.
Lemon, Lynell Patten.

Factors Associated with 30-day Hospital Readmissions Among Older Adults with Dementia. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 90 p.

Source: Dissertations Abstracts International, Volume: 81-04, Section: B.

Thesis (Ph.D.)--University of San Diego, 2019.

This item is not available from ProQuest Dissertations & Theses.

Background: Dementia represents a global health priority; there were 46.8 million diagnosed older adults reported worldwide in 2015, a number will likely double every 20 years. The costs of treatment and care for older adults with dementia are expected to rise since patients often require frequent hospitalizations to treat symptoms related to comorbid conditions. The increased frequency of hospitalization results in more care transitions that create strain upon patients, their families, and the overall health care system with a poorer recovery outlook for rehospitalizations. Purpose: The purpose of this study is to identify biological and other factors that contribute to 30-day hospital readmissions (HR) among older adults with any type of diagnosed dementia.Methods: This descriptive cross-sectional correlation study used an existing electronic health record (EHR) database of adults aged 50 years or older who received care from a 444-bed acute care community hospital in southern California. Demographic factors included age, gender, and race/ethnicity. Co-morbidities, fall risk, skin risk, discharge destination, length of stay (LOS), payer source, primary language, and Palliative Care (PC) consultations were also considered. Relationships between study factors and 30-day hospital readmissions (HR) were calculated. Variables that showed statistically significant correlation were included in a logistic regression model analysis to calculate odds ratios related to 30-day HR. Results: Readmitted older adults were 84.9 years old, vs. 85.7 years for those not readmitted. Among the readmitted, a majority were female (75.5%) and white (89.7%). Nominal statistical significance in fall risk (p < .05), skin risk (p < .05), LOS (p < .05), and number of comorbidities (p < .05) predicted 30-day HR. However, PC consultation use decreased odds of 30-day HR by 41.4%, 95% CI [0.43, 0.80]. The overall model showed an 89.4% accuracy rate for predicting 30-day HR.Conclusions: Identifying factors associated with 30-day HR for older adults with dementia may lead to nursing care delivery model innovations to improve care transitions and prevent 30-day hospital readmissions. Implications for further research include how to optimize EHR functionality and documentation strategies in order to identify patients at risk for 30-day HR.

ISBN: 9781088331415Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Dementia

Factors Associated with 30-day Hospital Readmissions Among Older Adults with Dementia.
LDR:03601nmm a2200373 4500 001 2269506
005 20200911122831.5
008 220629s2019 ||||||||||||||||| ||eng d
020 $a 9781088331415
035 $a (MiAaPQ)AAI13884418
035 $a AAI13884418
040 $a MiAaPQ $c MiAaPQ
100 1 $a Lemon, Lynell Patten. $3 3546844
245 1 0 $a Factors Associated with 30-day Hospital Readmissions Among Older Adults with Dementia.
260 1 $a Ann Arbor : $b ProQuest Dissertations & Theses, $c 2019
300 $a 90 p.
500 $a Source: Dissertations Abstracts International, Volume: 81-04, Section: B.
500 $a Advisor: Roth, Patricia A.
502 $a Thesis (Ph.D.)--University of San Diego, 2019.
506 $a This item is not available from ProQuest Dissertations & Theses.
506 $a This item must not be sold to any third party vendors.
506 $a This item must not be added to any third party search indexes.
520 $a Background: Dementia represents a global health priority; there were 46.8 million diagnosed older adults reported worldwide in 2015, a number will likely double every 20 years. The costs of treatment and care for older adults with dementia are expected to rise since patients often require frequent hospitalizations to treat symptoms related to comorbid conditions. The increased frequency of hospitalization results in more care transitions that create strain upon patients, their families, and the overall health care system with a poorer recovery outlook for rehospitalizations. Purpose: The purpose of this study is to identify biological and other factors that contribute to 30-day hospital readmissions (HR) among older adults with any type of diagnosed dementia.Methods: This descriptive cross-sectional correlation study used an existing electronic health record (EHR) database of adults aged 50 years or older who received care from a 444-bed acute care community hospital in southern California. Demographic factors included age, gender, and race/ethnicity. Co-morbidities, fall risk, skin risk, discharge destination, length of stay (LOS), payer source, primary language, and Palliative Care (PC) consultations were also considered. Relationships between study factors and 30-day hospital readmissions (HR) were calculated. Variables that showed statistically significant correlation were included in a logistic regression model analysis to calculate odds ratios related to 30-day HR. Results: Readmitted older adults were 84.9 years old, vs. 85.7 years for those not readmitted. Among the readmitted, a majority were female (75.5%) and white (89.7%). Nominal statistical significance in fall risk (p < .05), skin risk (p < .05), LOS (p < .05), and number of comorbidities (p < .05) predicted 30-day HR. However, PC consultation use decreased odds of 30-day HR by 41.4%, 95% CI [0.43, 0.80]. The overall model showed an 89.4% accuracy rate for predicting 30-day HR.Conclusions: Identifying factors associated with 30-day HR for older adults with dementia may lead to nursing care delivery model innovations to improve care transitions and prevent 30-day hospital readmissions. Implications for further research include how to optimize EHR functionality and documentation strategies in order to identify patients at risk for 30-day HR.
590 $a School code: 6260.
650 4 $a Nursing. $3 528444
650 4 $a Older people. $3 761975
650 4 $a Dementia. $3 568139
650 4 $a Patient admissions. $3 3546845
650 4 $a Hospitalization. $3 825068
650 4 $a Palliative care. $3 3543701
650 4 $a Medicine. $3 641104
650 4 $a Health care management. $3 2122906
653 $a Dementia
653 $a Palliative Care
653 $a Readmissions
690 $a 0569
690 $a 0564
690 $a 0769
710 2 $a University of San Diego. $b Nursing. $3 3189659
773 0 $t Dissertations Abstracts International $g 81-04B.
790 $a 6260
791 $a Ph.D.
792 $a 2019
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=13884418