TY - JOUR
T1 - Hospitalization risk factors of older cohorts of home health care patients: a systematic review
AU - Bick, Irene
AU - Dowding, Dawn
PY - 2019
Y1 - 2019
N2 - Nearly one million Medicare home health care beneficiaries are hospitalized annually of which one-quarter are considered preventable. Older hospitalized patients are at risk for nosocomial complications and poorer outcomes and incur higher healthcare costs. This paper reports the results of a systematic review of 28 studies on hospitalization risk factors of older home health care patients. It found that males, Blacks and non-Asian minorities are at greater hospitalization risk. Factors associated with higher risk included skin ulcers, psychiatric conditions, dyspnea/COPD, cardiovascular conditions, diabetes, functional deficits, more comorbidities and higher medication usage. These findings can inform practice, research and policy.
AB - Nearly one million Medicare home health care beneficiaries are hospitalized annually of which one-quarter are considered preventable. Older hospitalized patients are at risk for nosocomial complications and poorer outcomes and incur higher healthcare costs. This paper reports the results of a systematic review of 28 studies on hospitalization risk factors of older home health care patients. It found that males, Blacks and non-Asian minorities are at greater hospitalization risk. Factors associated with higher risk included skin ulcers, psychiatric conditions, dyspnea/COPD, cardiovascular conditions, diabetes, functional deficits, more comorbidities and higher medication usage. These findings can inform practice, research and policy.
KW - home health care
KW - older people
KW - hospitalization
KW - rehospitalization
KW - readmission
KW - risk factors
UR - https://www.scopus.com/pages/publications/85066064220
U2 - 10.1080/01621424.2019.1616026
DO - 10.1080/01621424.2019.1616026
M3 - Article
SN - 0162-1424
JO - Home Health Care Services Quarterly
JF - Home Health Care Services Quarterly
ER -
