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Nurs Outlook ; 71(6): 102050, 2023.
Article in English | MEDLINE | ID: mdl-37757614

ABSTRACT

BACKGROUND: Home health care (HHC) patients with diabetes are at high risk for inpatient admissions. PURPOSE: To identify variables associated with inpatient admissions among adults age ≥50 with diabetes receiving HHC in the community and in assisted living (AL). METHODS: Retrospective HHC data (collected October 2021 to March 2022 in the Southern United States) from the Outcome and Assessment Information Set D were analyzed with logistic regression (n = 5,308 patients). DISCUSSION: The inpatient admission rate was 29.5%. For community-dwelling patients, multiple hospitalizations, depression, limited cognitive function, decreased activities of daily living (ADL) performance, and unhealed pressure ulcer or injury ≥stage 2 were significantly associated with inpatient admission. For those in AL, multiple prior hospitalizations and decreased ability to perform ADLs were associated with inpatient admission. CONCLUSION: Understanding risk factors for inpatient admissions among patients with diabetes can support the identification of at-risk patients and inform interventions.


Subject(s)
Diabetes Mellitus , Home Care Services , Adult , Humans , United States/epidemiology , Activities of Daily Living , Inpatients , Retrospective Studies , Hospitalization , Risk Factors , Diabetes Mellitus/epidemiology , Diabetes Mellitus/therapy
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