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

Ji Won Yoo, Jong Bum Choi, Sun Jung Kim, Hyun P. Shin, Kyudam Kim, Woo Sang Ryu, Too Jae Min, Sulgi Kim, Shunichi Nakagawa

Research output: Contribution to journalArticle

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)710.e1-710.e4
JournalJournal of the American Medical Directors Association
Volume14
Issue number9
DOIs
Publication statusPublished - 2013 Sep

Keywords

  • Nursing home
  • Patient participation
  • Skilled nursing facility

ASJC Scopus subject areas

  • Nursing(all)
  • Health Policy
  • Geriatrics and Gerontology

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