@entity308 and nursing home admission among hospitalized older adults with XXXX : a propensity score analysis.

@entity1 @entity453 @entity308
Admission to a nursing home is considered a poor outcome for community-dwelling older adults. The objective of this study was to determine whether @entity308 increased the risk of nursing home admission. Using the National Hospital Discharge Survey 2001-2003 datasets, the authors identified 28,172 community-dwelling older adults, 65 years and older, discharged alive with a primary discharge diagnosis of @entity453 . The objective of this study was to determine the association between @entity308 and subsequent nursing home admissions in these @entity1 . Propensity scores for @entity308 , calculated for each @entity1 using a multivariable logistic regression model, were used to match 686 @entity308 @entity1 with 2058 nondepressed @entity1 who had similar propensity scores. Logistic regression analyses were used to determine the association between @entity308 and nursing home admission. @entity1 had a mean age +/- SD of 77+/-8 years, and 61% were @entity1 . Compared with 9% of nondepressed @entity1 , 13% of @entity308 @entity1 were admitted to nursing homes (relative risk, 1.42; 95% confidence interval, 1.12-1.78). When adjusted for various demographic, clinical, and care-related covariates, the association became somewhat stronger (adjusted relative risk, 1.55; 95% confidence interval, 1.21-1.99). In ambulatory older adults hospitalized with @entity453 , a secondary diagnosis of @entity308 was associated with a significantly increased risk of nursing home admission.
