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

Comments

Supplementary Materials

PMID: 37982679

DOI

10.1177/07334648231203161

PMID

37982679

PMCID

PMC10768323

PubMedCentral® Posted Date

November 2023

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes