Home › Research › Disparities
Frequency and Risk Factors for Live Discharge from Hospice
Russell D, Diamond EL, Lauder B, Dignam RR, Dowding DW, Peng TR, Prigerson HG, Bowles KH.. Journal of the American Geriatrics Society, 2017-03-13
Topic: Risk, prevention and care in population studies
Objectives To report frequencies and associated risk factors for 4 distinct causes of live discharge from hospice. Design Retrospective cohort study using electronic medical records of hospice patients who received care from a large urban not-for-profit hospice agency in New York City during a 3-year period between 2013 and 2015 (n = 9,190). Results Roughly one in five hospice patients were discharged alive (21%; n = 1911). Acute hospitalization was the most frequent reason for live discharge (42% of all live discharges; n = 802). Additional reasons included elective revocation to resume disease-directed treatments (18%; n = 343), disqualification (14%; n = 271), and service transfers or moves (26%; n = 495). Multinomial logistic regression analyses revealed that risk for acute hospitalization was higher among younger patients (age AOR = 0.98 [95% CI = 0.98-0.99] P Conclusion Further research into factors that underlie live discharge events, especially acute hospitalization, is warranted given their cost and burden for patients/families. Hospices should develop strategies to address acute medical crises and thoroughly evaluate patients' suitability, unmet needs, and knowledge about end-of-life issues at the time of hospice enrollment, especially for those with non-cancer diagnoses.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Russell, D., Diamond, E. L., Lauder, B., Dignam, R. R., Dowding, D. W., Peng, T. R., et al. (2017). Frequency and Risk Factors for Live Discharge from Hospice. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.14859
Vancouver
Russell D, Diamond EL, Lauder B, Dignam RR, Dowding DW, Peng TR, et al. Frequency and Risk Factors for Live Discharge from Hospice. Journal of the American Geriatrics Society. 2017. doi:10.1111/jgs.14859. PMID: 28295138.
BibTeX
@article{russell2017-28295138,
author = {Russell, D. and Diamond, E. L. and Lauder, B. and Dignam, R. R. and Dowding, D. W. and Peng, T. R. and Prigerson, H. G. and Bowles, K. H.},
title = {{Frequency and Risk Factors for Live Discharge from Hospice}},
journal = {Journal of the American Geriatrics Society},
year = {2017},
doi = {10.1111/jgs.14859},
pmid = {28295138},
url = {https://doi.org/10.1111/jgs.14859}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 8 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- Results Roughly one in five hospice patients were discharged alive (21%; n = 1911).
- Multinomial logistic regression analyses revealed that risk for acute hospitalization was higher among younger patients (age AOR = 0.98 [95% CI = 0.98-0.99] P < .01), racial/ethnic minorities (Hispanic AOR = 2.23 [CI = 1.82-2.73] P < .001; African American OR = 2.46 [CI = 2.00-3.03] P < .001; Asian/other OR = 1.63 [CI = 1.25-2.11] P < .001), and patients without advance directives (AOR = 1.41 [95% CI = 0.98-0.99] P < .001).
Why it matters
This study looked at hospice patients who were discharged alive rather than dying in hospice, and found that acute hospitalization was the most common reason. It does not test any treatment for Alzheimer's disease, so it offers no direct information about curing or preventing the disease.
New to this subject? Start with our plain-English guide: Disparities →
Study details
- Study designcohort study
- Participants9,190
- Effect sizeAOR = 0.98
- Evidence strengthModerate
How this study scored 61/100
Published in a peer-reviewed journal, and it is a cohort study following people over time. Scored zero for randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society) |
| Journal's citation record | 3 / 4 | Journal of the American Geriatrics Society: journal h-index 344 (OpenAlex, 2026-10-29) |
| Study design | 7 / 12 | A cohort study following people over time |
| Strength of evidence | 3 / 5 | Rated “moderate” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 2 / 5 | 2017 — within 10 year(s) of the newest study here |
| Sample size | 3 / 4 | 9,190 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 4 / 7 | Cited 66 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 6.0 citations a year over 11 year(s) since 2017 |
| Impact for its field and year | 3 / 6 | Cited 3.8× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 2 / 6 | Cited by 9 other studies in this library |
| Still being cited | 2 / 4 | Cited 25 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author Kathryn H. Bowles: h-index 46 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Memorial Sloan Kettering Cancer Center: institution h-index 1,931 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 5 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 28295138) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 61 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1111/jgs.14859
- PubMed: 28295138
- Original source →
- Free full text: Research Explorer (The University of Manchester) →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Later studies that cite this one
9 studies in the alzhub library list this one in their references. Showing the 8 highest-scoring.
Related studies in Disparities
Also tagged “delirium”
858 studies in the library carry the topic tag “delirium”; these are this study's neighbours in a fixed, alphabetical-by-hash tour of them, not the closest in content. All 858 tagged studies.