Hospitalization risk factors of older cohorts of home health care patients: A systematic review.
Irene BickDawn DowdingPublished in: Home health care services quarterly (2019)
Nearly one million Medicare home health care beneficiaries are hospitalized annually of which one-quarter are considered preventable. Older hospitalized patients are at risk for nosocomial complications and poorer outcomes and incur higher health care costs. This paper reports the results of a systematic review of 28 studies on hospitalization risk factors of older home health care patients. It found that males, Blacks, and non-Asian minorities are at greater hospitalization risk. Factors associated with higher risk included skin ulcers, psychiatric conditions, dyspnea/COPD, cardiovascular conditions, diabetes, functional deficits, more comorbidities, and higher medication usage. These findings can inform practice, research, and policy.
Keyphrases
- healthcare
- risk factors
- ejection fraction
- newly diagnosed
- physical activity
- type diabetes
- primary care
- cardiovascular disease
- mental health
- prognostic factors
- traumatic brain injury
- emergency department
- chronic obstructive pulmonary disease
- adipose tissue
- cystic fibrosis
- pseudomonas aeruginosa
- social media
- insulin resistance
- adverse drug
- methicillin resistant staphylococcus aureus
- patient reported
- breast cancer risk