Department of Population Health and Health Disparities, School of Public and Population Health, University of Texas Medical Branch (UTMB) at Galveston, Galveston, TX, USA.
Sealy Center on Aging, UTMB, Galveston, TX, USA.
J Appl Gerontol. 2024 Feb;43(2):194-204. doi: 10.1177/07334648231203161. Epub 2023 Nov 20.
Using 100% Medicare data files, this study explored whether primary elder mistreatment (EM) diagnosis, EM type, and facility type were associated with 3-year mortality and 1-year unplanned hospital readmission among older patients diagnosed with EM with hospital discharge from 10/01/2015 through 12/31/2018 ( = 11,023). We also examined outcome differences between older patients diagnosed with EM and matched non-EM patient controls. Neglect by others was the most common EM diagnosis. Three-year mortality was 56.7% and one-year readmission rate was 53.8%. Compared to matched non-EM patient controls, older EM patients were at an increased risk of mortality and readmission. Among patients diagnosed with EM, patients with a secondary (vs. primary) diagnosis and those discharged from a skilled nursing facility (vs. acute hospital) were at an increased risk for both mortality and readmission. Compared to other EM types, patients diagnosed with neglect by others had a greater risk for mortality following discharge.
本研究利用 100% 的医疗保险数据文件，探讨了初级老年人虐待（EM）诊断、EM 类型和医疗机构类型是否与 2015 年 10 月 1 日至 2018 年 12 月 31 日期间因 EM 住院出院的老年患者（n=11023）的 3 年死亡率和 1 年非计划性住院再入院相关。我们还检查了被诊断为 EM 的老年患者与匹配的非 EM 患者对照之间的结果差异。他人忽视是最常见的 EM 诊断。3 年死亡率为 56.7%，1 年再入院率为 53.8%。与匹配的非 EM 患者对照相比，被诊断为 EM 的老年患者的死亡率和再入院率更高。在被诊断为 EM 的患者中，二级（而非一级）诊断和从护理机构出院（而非急性医院）的患者的死亡率和再入院率均更高。与其他 EM 类型相比，被诊断为他人忽视的患者出院后死亡风险更高。
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