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Successful Discharge to Community Gap of FFS Medicare Beneficiaries With and Without ADRD Narrowed
Barbara H Bardenheier, Momotazur Rahman, Cyrus Kosar, Rachel M Werner, Vincent Mor. Journal of the American Geriatrics Society, 2020-12-10
Topic: Health services, long-term care and technology
Successful discharge of beneficiaries with ADRD increased from 43.4% in 2007 to 53.9% in 2015 (average annual percent change (AAPC) = 2.1 (95% CI = 2.0-2.2)); those without ADRD also increased (from 59.1% to 63.6%, AAPC = 0.9 (95% CI = 0.7-1.1)) but not as fast as those with ADRD (P < .01). The proportion of all beneficiaries who became long-stay or were readmitted to the hospital decreased (P < .05). The proportion with ADRD who became long-stay was nearly three times higher than those without throughout the study (15.0% vs 5.5% in 2007; 11.3% vs 4.3% in 2015). Though disparity in ADRD in becoming long-stay residents remains, the increase in successful discharges among those with ADRD also stresses the increasing importance of community as a care setting for adults with ADRD.
Key findings
- Successful discharge of beneficiaries with ADRD increased from 43.4% in 2007 to 53.9% in 2015 (average annual percent change (AAPC) = 2.1 (95% CI = 2.0-2.2)); those without ADRD also increased (from 59.1% to 63.6%, AAPC = 0.9 (95% CI = 0.7-1.1)) but not as fast as those with ADRD (P < .01).
- The proportion of all beneficiaries who became long-stay or were readmitted to the hospital decreased (P < .05).
- The proportion with ADRD who became long-stay was nearly three times higher than those without throughout the study (15.0% vs 5.5% in 2007; 11.3% vs 4.3% in 2015).
- Though disparity in ADRD in becoming long-stay residents remains, the increase in successful discharges among those with ADRD also stresses the increasing importance of community as a care setting for adults with ADRD.
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Study details
- Study designcross-sectional
- Participants17,043
- Effect size43.4%; 53.9%; 59.1% to 63.6%
- Evidence strengthLow
How this study scored 64/100
Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record, multi-centre collaboration and free to read, so those were left out: it earned 36 of the 56 points we could judge it on, which is 64 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 3 / 5 | 2021 — within 6 year(s) of the newest study here |
| Sample size | 4 / 4 | 17,043 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 | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 33300605) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 36 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 36 of the 56 points we could judge it on is 64 out of 100. |
| Total | 64 / 100 | — |
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Cite this study APA, Vancouver, BibTeX · download .bib or .ris
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APA 7th
Bardenheier, B. H., Rahman, M., Kosar, C., Werner, R. M., & Mor, V. (2021). Successful Discharge to Community Gap of FFS Medicare Beneficiaries With and Without ADRD Narrowed. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.16965
Vancouver
Bardenheier BH, Rahman M, Kosar C, Werner RM, Mor V. Successful Discharge to Community Gap of FFS Medicare Beneficiaries With and Without ADRD Narrowed. Journal of the American Geriatrics Society. 2021. doi:10.1111/jgs.16965. PMID: 33300605.
BibTeX
@article{bardenheier2021-33300605,
author = {Bardenheier, Barbara H and Rahman, Momotazur and Kosar, Cyrus and Werner, Rachel M and Mor, Vincent},
title = {{Successful Discharge to Community Gap of FFS Medicare Beneficiaries With and Without ADRD Narrowed}},
journal = {Journal of the American Geriatrics Society},
year = {2021},
doi = {10.1111/jgs.16965},
pmid = {33300605},
url = {https://doi.org/10.1111/jgs.16965}
}
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