Risk Factors for Post-Discharge Adverse Outcomes Following Hospitalization Among Older Adults Diagnosed With Elder Mistreatment

Authors

Monique R Pappadis
Leila Wood
Allen Haas
Jordan Westra
Yong-Fang Kuo
Charles P Mouton

Publication Date

2-1-2024

Journal

Journal of Applied Gerontology

Abstract

Using 100% Medicare data files, this study explored whether primary elder mistreatment (EM) diagnosis, EM type, and facility type were associated with 3-year mortality and 1-year unplanned hospital readmission among older patients diagnosed with EM with hospital discharge from 10/01/2015 through 12/31/2018 (n = 11,023). We also examined outcome differences between older patients diagnosed with EM and matched non-EM patient controls. Neglect by others was the most common EM diagnosis. Three-year mortality was 56.7% and one-year readmission rate was 53.8%. Compared to matched non-EM patient controls, older EM patients were at an increased risk of mortality and readmission. Among patients diagnosed with EM, patients with a secondary (vs. primary) diagnosis and those discharged from a skilled nursing facility (vs. acute hospital) were at an increased risk for both mortality and readmission. Compared to other EM types, patients diagnosed with neglect by others had a greater risk for mortality following discharge.

Keywords

Humans, Aged, United States, Patient Discharge, Elder Abuse, Aftercare, Medicare, Hospitalization, Risk Factors, abuse and neglect, risk factors, hospitalizations, mortality

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Supplementary Materials

PMID: 37982679