From: Beyond section Q: prioritizing nursing home residents for transition to the community
Resident Characteristics | Three states, combined | Individual states LOS1 > =90,NFT | |||||||
---|---|---|---|---|---|---|---|---|---|
Full sample2 | LOS > =90 | ||||||||
LOS < 90 days | LOS > =90 day | Controls | NFT | Significance3 | Arkansas | Illinois | Michigan | Significance3 | |
Number of observations | 57,464 | 17,476 | 17,149 | 327 | 56 | 91 | 180 | ||
Age category | ** | * | |||||||
Under 55 years | 4.9% | 6.6% | 6.2% | 29.1% | 50.9% | 33.0% | 20.6% | ||
55 to 64 years | 6.4% | 7.0% | 6.6% | 23.0% | 20.0% | 26.4% | 22.2% | ||
65 to 74 years | 17.4% | 13.4% | 13.3% | 21.5% | 12.7% | 20.9% | 24.4% | ||
75 to 84 years | 36.9% | 31.2% | 31.5% | 18.4% | 9.1% | 11.0% | 25.0% | ||
85 or more years | 34.5% | 41.8% | 42.5% | 8.0% | 7.3% | 8.8% | 7.8% | ||
ADL Hierarchy category | ** | ** | |||||||
Independent (0, 1) | 9.4% | 15.0% | 14.7% | 34.3% | 42.9% | 56.0% | 20.6% | ||
Somewhat dependent (2, 3, 4) | 66.1% | 50.9% | 50.9% | 55.1% | 50.0% | 39.6% | 64.4% | ||
Dependent | 24.5% | 34.0% | 34.5% | 10.7% | 7.1% | 4.4% | 15.0% | ||
Task segmentation | 58.3% | 57.7% | 58.2% | 34.6% | ** | 26.8% | 48.4% | 30.0% | ** |
Quadriplegia/hemiplegia/paraplegia | 6.2% | 9.0% | 8.8% | 21.1% | ** | 28.6% | 8.8% | 25.0% | * |
CPS category | ** | ** | |||||||
Intact (0, 1) | 52.3% | 28.6% | 27.8% | 66.7% | 83.9% | 74.7% | 57.2% | ||
Impaired (2, 3, 4) | 42.5% | 57.2% | 57.6% | 31.8% | 16.1% | 25.3% | 40.0% | ||
Severely impaired (5, 6) | 5.2% | 14.3% | 14.5% | 1.5% | 0.0% | 0.0% | 2.8% | ||
Cognitive improvement | 0.7% | 2.0% | 1.9% | 3.7% | * | 7.1% | 2.2% | 3.3% | |
Cognitive deterioration | 4.3% | 7.3% | 7.3% | 2.8% | * | 0.0% | 7.7% | 1.1% | * |
Communication problem | 32.4% | 55.8% | 56.5% | 19.9% | ** | 14.3% | 11.0% | 26.1% | * |
Involved in activities >1/3 of time | 90.5% | 84.7% | 84.5% | 96.0% | ** | 92.9% | 94.5% | 97.8% | |
Behavior problem (any) | 14.5% | 34.4% | 34.6% | 25.1% | * | 32.1% | 33.0% | 18.9% | * |
Severe behavior problem | 2.4% | 7.8% | 7.3% | 2.5% | * | 1.8% | 5.5% | 1.1% | |
Depression (DRS > =2) | 19.8% | 31.0% | 30.9% | 36.1% | * | 26.8% | 45.1% | 34.4% | |
Bipolar disease | 1.9% | 3.6% | 3.5% | 6.1% | * | 7.1% | 7.7% | 5.0% | |
Schizophrenia | 2.0% | 8.4% | 8.5% | 6.7% | 3.6% | 15.4% | 3.3% | * | |
Hearing problem | 9.5% | 18.9% | 19.0% | 10.1% | * | 10.7% | 6.6% | 11.7% | |
Vision problem | 21.5% | 34.6% | 34.9% | 19.3% | ** | 8.9% | 19.8% | 2.2% | |
Bowel incontinence | 22.6% | 39.4% | 39.9% | 16.5% | * | 17.9% | 7.7% | 20.6% | * |
Bladder incontinence | 24.1% | 43.7% | 44.1% | 22.9% | ** | 16.1% | 11.0% | 31.1% | * |
Dehydrated | 0.6% | 0.5% | 0.5% | 0.0% | 0.0% | 0.0% | 0.0% | ||
Pain (severe) | 4.0% | 2.0% | 2.0% | 3.7% | * | 5.4% | 5.5% | 2.2% | |
Pressure ulcer stage > =2 | 19.0% | 16.2% | 16.3% | 10.1% | * | 10.7% | 9.9% | 10.0% | |
Terminal illness | 1.3% | 2.0% | 2.0% | 1.5% | 0.0% | 0.0% | 2.8% | ||
Diabetes | 32.3% | 30.4% | 30.2% | 38.5% | * | 16.1% | 31.0009% | 48.9% | ** |
Cancer diagnosis | 4.5% | 4.3% | 4.3% | 2.5% | * | 1.8% | 5.5% | 1.1% | |
Parkinson disease | 1.9% | 4.4% | 4.4% | 3.4% | 1.8% | 1.1% | 5.0% | ||
Any cardiac diagnosis | 57.9% | 64.8% | 64.7% | 69.2% | 54.7% | 62.4% | 76.7% | * | |
Physically restrained | 2.4% | 8.6% | 8.8% | 1.5% | ** | 3.6% | 2.2% | 0.6% | |
RUG-III CMI category | ** | ** | |||||||
.46 to .57 | 2.7% | 15.4% | 15.1% | 32.4% | 53.6% | 47.3% | 18.3% | ||
.58 to .72 | 2.4% | 16.3% | 16.5% | 8.0% | 3.6% | 6.6% | 10.0% | ||
.73 to .91 | 16.5% | 20.4% | 20.3% | 29.1% | 16.1% | 23.1% | 36.1% | ||
.92 to 1.09 | 50.4% | 23.6% | 23.7% | 19.0% | 19.6% | 16.5% | 20.0% | ||
1.10 to 1.25 | 5.7% | 5.0% | 5.0% | 3.4% | 1.8% | 2.2% | 4.4% | ||
1.26 to 1.70 | 22.4% | 19.2% | 19.4% | 8.3% | 5.4% | 4.4% | 11.1% | ||
LOS category | ** | ||||||||
Under 60 days | 96.4% | NA | NA | NA | NA | NA | NA | ||
60 to 89 days | 3.7% | NA | NA | NA | NA | NA | NA | ||
90 to 179 days | NA | 13.2% | 13.1% | 19.7% | 20.0% | 25.3% | 17.2% | ||
180 to 364 days | NA | 19.1% | 18.8% | 32.4% | 24.0% | 32.9% | 34.4% | ||
365 to 729 days | NA | 24.7% | 24.6% | 29.8% | 30.0% | 30.4% | 29.4% | ||
730 days or more | NA | 43.0% | 43.6% | 18.1% | 26.0% | 11.4% | 18.9% | ||
Admitted from home | 4.0% | 7.3% | 7.3% | 5.8% | 8.9% | 7.7% | 3.9% | ||
Residents prefers return to community (Q1a) | 78.2% | 19.8% | 18.1% | 63.9% | ** | 55.4% | 55.0% | 71.1% | * |
Support person positive about discharge (Q1b) | 29.5% | 3.6% | 3.1% | 30.3% | ** | 25.0% | 16.5% | 38.9% | * |
Arkansas-narrow criteria4 | 0.3% | 6.1% | 5.3% | 43.4% | ** | 67.9% | 42.9% | 36.1% | ** |
Arkansas-broad criteria4 | 12.9% | 23.8% | 23.0% | 64.2% | ** | 91.1% | 70.3% | 52.8% | ** |