Table 3.
Admission Source, Comorbidities, Prognosis, Cognitive, and Physical Function Among Patients Newly Admitted to Nursing Homes (2011–2014)
| Admission Source n (%) | ||
| Community | 11052 | 4.3 |
| Another NH/swing bed | 1895 | 0.7 |
| Acute care hospital | 239409 | 93.2 |
| Inpatient rehab | 2010 | 0.8 |
| Other | 2581 | 1.0 |
| Comorbid Conditions n (%) | ||
| Stroke | 22233 | 8.7 |
| Congestive Heart Failure | 41237 | 16.0 |
| Hip Fracture | 16317 | 6.4 |
| Alzheimer’s Disease/Dementia | 37461 | 14.6 |
| Diabetes | 78609 | 30.6 |
| Depression Severity n (%) | ||
| Minimal or none | 184404 | 71.8 |
| Mild | 37280 | 14.5 |
| Moderate | 11614 | 4.5 |
| Moderately Severe | 3637 | 1.4 |
| Severe | 932 | 0.4 |
| Cognitive Impairment n (%) | ||
| Cognitively Intact | 149,776 | 58.3 |
| Mild Impairment | 59,240 | 23.1 |
| Moderate Impairment | 41,002 | 16.0 |
| Severe Impairment | 353 | 0.1 |
| Functional Impairment | ||
| Severely impaired (ADL Score 23+) − n (%) | 22,823 | 8.9 |
| ADL Score (0=total independence−28 total dependence) − mean (sd) | 17.2 | 5.0 |
|
End of Life Status n (%) Prognosis for survival< 6 months |
8511 | 3.3 |
| Ever received hospice service in NH | 7292 | 2.8 |
Note. Depression severity measured with the Patient Health Questionnaire 9-Item Screener (PHQ-9 and PHQ-9-OV); Cognitive impairment measured with the Cognitive Function Scale; Functional Impairment measured with the 28-point Activities of Daily Living Scale.
NH=Nursing Home; ADL=Activities of Daily Living