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Trends and Factors Associated With Extremity Fractures and Post-Acute Care Utilization of Nevada Older Adults: Insights of Age-Friendly State Planning in U.S.

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Title: Trends and Factors Associated With Extremity Fractures and Post-Acute Care Utilization of Nevada Older Adults: Insights of Age-Friendly State Planning in U.S.
Authors: Kang, Soo Hwan1,2,3, Shen, Jay J.4, Kim, Yonsu4, Ioanitoaia-Chaudhry, Iulia1,5, Lee, Se Won6,7, Chung, Tae Ha1,8,9, Choe, Ian1,10, Jeong, Connor11, Kwon, Songe1,12, Lim, Daniel1, Hwang, Yena1, Frimer, Leora1, Yoo, Ji Won1 ji.yoo@unlv.edu
Source: Inquiry (00469580). 10/23/2024, p1-8. 8p.
Subject Terms: *Retrospective studies, *Labor supply, Leg injuries, Injuries of the anatomical extremities, Medical care use, Cross-sectional method, Statistical models, Research funding, T-test (Statistics), Sex distribution, Medicare, Multiple regression analysis, Age distribution, Descriptive statistics, Chi-squared test, Subacute care, Bone fractures, Health planning, Rehabilitation centers, Nursing care facilities, Burden of care, Odds ratio, Medical records, Acquisition of data, Statistics, Home rehabilitation, Confidence intervals, Data analysis software, Comorbidity, Nosology, Obesity, Old age
Geographic Terms: Nevada, United States
Abstract: Along with the trend of a steady utilization decline in the U.S. nursing home beds, post-acute care (PAC) utilization at the skilled nursing facilities has declined. This study was a cross-sectional, retrospective review of hospital discharge-based claim data. We evaluate the factors associated with utilizing post-acute care at rehabilitation facilities among those with extremity fractures in the state of Nevada. All Nevada hospital discharges of aged ≥65 years with extremity fractures between 2018 and 2021 were divided to post-acute care locations by (1) rehabilitation facilities (skilled nursing facility and inpatient rehabilitation facility) and (2) homes (with and without services). PAC utilization at facilities declined from 55.1% in 2018 to 49.7% in 2021 (P <.001). In response, PAC utilization at homes continuously upwards, particularly, homes with services from 18.8% in 2018 to 24.5% in 2021 (P <.001). Older age, female, lower extremity fractures, comorbidities, and Medicare beneficiaries were associated with higher probabilities of utilizing post-acute rehabilitation facilities. Racial minorities, COVID-19 pandemic, upper extremities, Medicaid beneficiaries, rural hospitals, and prolonged hospital length of stay were associated with lower probabilities of PAC utilization at facilities. Caregiver burdens and workforce training is urgently warranted to respond to this utilization shift. Effective geriatrics workforce training might advance care efficiency of older adults with extremity fractures and guide to the insights of establishing the age-friendly state of Nevada in response to this utilization shift trends. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Trends and Factors Associated With Extremity Fractures and Post-Acute Care Utilization of Nevada Older Adults: Insights of Age-Friendly State Planning in U.S.
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  Data: Along with the trend of a steady utilization decline in the U.S. nursing home beds, post-acute care (PAC) utilization at the skilled nursing facilities has declined. This study was a cross-sectional, retrospective review of hospital discharge-based claim data. We evaluate the factors associated with utilizing post-acute care at rehabilitation facilities among those with extremity fractures in the state of Nevada. All Nevada hospital discharges of aged ≥65 years with extremity fractures between 2018 and 2021 were divided to post-acute care locations by (1) rehabilitation facilities (skilled nursing facility and inpatient rehabilitation facility) and (2) homes (with and without services). PAC utilization at facilities declined from 55.1% in 2018 to 49.7% in 2021 (P &lt;.001). In response, PAC utilization at homes continuously upwards, particularly, homes with services from 18.8% in 2018 to 24.5% in 2021 (P &lt;.001). Older age, female, lower extremity fractures, comorbidities, and Medicare beneficiaries were associated with higher probabilities of utilizing post-acute rehabilitation facilities. Racial minorities, COVID-19 pandemic, upper extremities, Medicaid beneficiaries, rural hospitals, and prolonged hospital length of stay were associated with lower probabilities of PAC utilization at facilities. Caregiver burdens and workforce training is urgently warranted to respond to this utilization shift. Effective geriatrics workforce training might advance care efficiency of older adults with extremity fractures and guide to the insights of establishing the age-friendly state of Nevada in response to this utilization shift trends. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=180473246
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1177/00469580241290318
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
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        PageCount: 8
        StartPage: 1
    Subjects:
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Labor supply
        Type: general
      – SubjectFull: Leg injuries
        Type: general
      – SubjectFull: Injuries of the anatomical extremities
        Type: general
      – SubjectFull: Medical care use
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      – SubjectFull: Cross-sectional method
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      – SubjectFull: Statistical models
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      – SubjectFull: Research funding
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      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Medicare
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Age distribution
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Subacute care
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      – SubjectFull: Bone fractures
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      – SubjectFull: Rehabilitation centers
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      – SubjectFull: Burden of care
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      – SubjectFull: Odds ratio
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      – SubjectFull: Medical records
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      – SubjectFull: Statistics
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      – SubjectFull: Home rehabilitation
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Nosology
        Type: general
      – SubjectFull: Obesity
        Type: general
      – SubjectFull: Old age
        Type: general
      – SubjectFull: Nevada
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Trends and Factors Associated With Extremity Fractures and Post-Acute Care Utilization of Nevada Older Adults: Insights of Age-Friendly State Planning in U.S.
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