@article{
 title = {Repeated Hospital Transfers and Associated Outcomes by Residency Time Among Nursing Home Residents in Taiwan},
 type = {article},
 year = {2016},
 identifiers = {[object Object]},
 keywords = {Repeated hospital transfer,nursing home residency},
 month = {7},
 publisher = {AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc},
 day = {30},
 city = {School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan; Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan.; School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan; Departme},
 id = {cee939a0-3ec1-3801-92bd-8f0830ef8f34},
 created = {2016-08-21T22:19:08.000Z},
 file_attached = {false},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {true},
 hidden = {false},
 source_type = {JOUR},
 notes = {LR: 20160803; CI: Copyright (c) 2016; JID: 100893243; OTO: NOTNLM; 2016/03/18 [received]; 2016/06/19 [revised]; 2016/06/20 [accepted]; aheadofprint},
 folder_uuids = {809a91fc-da14-473e-901b-e5536fc82da6},
 private_publication = {false},
 abstract = {BACKGROUND: Nursing home residents' repeated transfers to hospital are costly and can lead to in-hospital complications and high mortality for frail residents. However, no research has examined the trajectory of residents' symptoms over their nursing home residency and its relationship to hospital transfer. AIM: The purpose of this retrospective chart-review study was to examine associations between nursing home residents' characteristics, including length of residency, and repeated hospital transfers as well as the trajectory of transfers during residency. DESIGN: For this retrospective study, we reviewed 583 residents' charts in 6 randomly selected nursing homes from northern Taiwan. Data were analyzed by descriptive statistics, chi-squared tests, and 1-way analysis of variance. RESULTS: About half of nursing home residents who had been transferred to hospital (n = 320) were transferred more than twice during their residency (50.97%). Residents who had been transferred 1, 2, 3, or >/=4 times differed significantly in length of residency (F = 3.85, P = .01), physical status (F = 2.65, P = .05), medical history of pneumonia (chi2 = 13.03, P = .01), and fractures (chi2 = 8.52, P = .04). Residents with different numbers of transfers differed significantly in their reasons for transfer, that is, falls (chi2 = 13.01, P = .01) and tube problems (chi2 = 8.87, P = .03). Among 705 total transfers, fever was the top reason for transfer, and transfer prevalence increased with nursing home residency. CONCLUSION: To decrease the chance of residents' hospital transfer, nursing home staff should be educated about recognizing and managing fever symptoms, infection-control programs such as influenza vaccination should be initiated, and fall-prevention/education programs should be started when residents first relocate to nursing homes.},
 bibtype = {article},
 author = {Tsai, H H and Tsai, Y F and Liu, C Y},
 journal = {Journal of the American Medical Directors Association}
}

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Published by Elsevier Inc","day":"30","city":"School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan; Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan.; School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan; Departme","id":"cee939a0-3ec1-3801-92bd-8f0830ef8f34","created":"2016-08-21T22:19:08.000Z","file_attached":false,"profile_id":"217ced55-4c79-38dc-838b-4b5ea8df5597","group_id":"408d37d9-5f1b-3398-a9f5-5c1a487116d4","last_modified":"2017-03-14T09:54:45.334Z","read":false,"starred":false,"authored":false,"confirmed":"true","hidden":false,"source_type":"JOUR","notes":"LR: 20160803; CI: Copyright (c) 2016; JID: 100893243; OTO: NOTNLM; 2016/03/18 [received]; 2016/06/19 [revised]; 2016/06/20 [accepted]; aheadofprint","folder_uuids":"809a91fc-da14-473e-901b-e5536fc82da6","private_publication":false,"abstract":"BACKGROUND: Nursing home residents' repeated transfers to hospital are costly and can lead to in-hospital complications and high mortality for frail residents. However, no research has examined the trajectory of residents' symptoms over their nursing home residency and its relationship to hospital transfer. AIM: The purpose of this retrospective chart-review study was to examine associations between nursing home residents' characteristics, including length of residency, and repeated hospital transfers as well as the trajectory of transfers during residency. DESIGN: For this retrospective study, we reviewed 583 residents' charts in 6 randomly selected nursing homes from northern Taiwan. Data were analyzed by descriptive statistics, chi-squared tests, and 1-way analysis of variance. RESULTS: About half of nursing home residents who had been transferred to hospital (n = 320) were transferred more than twice during their residency (50.97%). Residents who had been transferred 1, 2, 3, or >/=4 times differed significantly in length of residency (F = 3.85, P = .01), physical status (F = 2.65, P = .05), medical history of pneumonia (chi2 = 13.03, P = .01), and fractures (chi2 = 8.52, P = .04). Residents with different numbers of transfers differed significantly in their reasons for transfer, that is, falls (chi2 = 13.01, P = .01) and tube problems (chi2 = 8.87, P = .03). Among 705 total transfers, fever was the top reason for transfer, and transfer prevalence increased with nursing home residency. CONCLUSION: To decrease the chance of residents' hospital transfer, nursing home staff should be educated about recognizing and managing fever symptoms, infection-control programs such as influenza vaccination should be initiated, and fall-prevention/education programs should be started when residents first relocate to nursing homes.","bibtype":"article","author":"Tsai, H H and Tsai, Y F and Liu, C Y","journal":"Journal of the American Medical Directors Association","bibtex":"@article{\n title = {Repeated Hospital Transfers and Associated Outcomes by Residency Time Among Nursing Home Residents in Taiwan},\n type = {article},\n year = {2016},\n identifiers = {[object Object]},\n keywords = {Repeated hospital transfer,nursing home residency},\n month = {7},\n publisher = {AMDA - The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc},\n day = {30},\n city = {School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan; Department of Psychiatry, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan.; School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan; Departme},\n id = {cee939a0-3ec1-3801-92bd-8f0830ef8f34},\n created = {2016-08-21T22:19:08.000Z},\n file_attached = {false},\n profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},\n group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},\n last_modified = {2017-03-14T09:54:45.334Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {JOUR},\n notes = {LR: 20160803; CI: Copyright (c) 2016; JID: 100893243; OTO: NOTNLM; 2016/03/18 [received]; 2016/06/19 [revised]; 2016/06/20 [accepted]; aheadofprint},\n folder_uuids = {809a91fc-da14-473e-901b-e5536fc82da6},\n private_publication = {false},\n abstract = {BACKGROUND: Nursing home residents' repeated transfers to hospital are costly and can lead to in-hospital complications and high mortality for frail residents. However, no research has examined the trajectory of residents' symptoms over their nursing home residency and its relationship to hospital transfer. AIM: The purpose of this retrospective chart-review study was to examine associations between nursing home residents' characteristics, including length of residency, and repeated hospital transfers as well as the trajectory of transfers during residency. DESIGN: For this retrospective study, we reviewed 583 residents' charts in 6 randomly selected nursing homes from northern Taiwan. Data were analyzed by descriptive statistics, chi-squared tests, and 1-way analysis of variance. RESULTS: About half of nursing home residents who had been transferred to hospital (n = 320) were transferred more than twice during their residency (50.97%). Residents who had been transferred 1, 2, 3, or >/=4 times differed significantly in length of residency (F = 3.85, P = .01), physical status (F = 2.65, P = .05), medical history of pneumonia (chi2 = 13.03, P = .01), and fractures (chi2 = 8.52, P = .04). Residents with different numbers of transfers differed significantly in their reasons for transfer, that is, falls (chi2 = 13.01, P = .01) and tube problems (chi2 = 8.87, P = .03). Among 705 total transfers, fever was the top reason for transfer, and transfer prevalence increased with nursing home residency. CONCLUSION: To decrease the chance of residents' hospital transfer, nursing home staff should be educated about recognizing and managing fever symptoms, infection-control programs such as influenza vaccination should be initiated, and fall-prevention/education programs should be started when residents first relocate to nursing homes.},\n bibtype = {article},\n author = {Tsai, H H and Tsai, Y F and Liu, C Y},\n journal = {Journal of the American Medical Directors Association}\n}","author_short":["Tsai, H., H.","Tsai, Y., F.","Liu, C., Y."],"bibbaseid":"tsai-tsai-liu-repeatedhospitaltransfersandassociatedoutcomesbyresidencytimeamongnursinghomeresidentsintaiwan-2016","role":"author","urls":{},"keyword":["Repeated hospital transfer","nursing home residency"],"downloads":0},"search_terms":["repeated","hospital","transfers","associated","outcomes","residency","time","nursing","home","residents","taiwan","tsai","tsai","liu"],"keywords":["repeated hospital transfer","nursing home residency"],"authorIDs":[]}