{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:03:09Z","timestamp":1791399789911,"version":"4.3.3"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,12,21]],"date-time":"2016-12-21T00:00:00Z","timestamp":1482278400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>\n                      To identify factors predicting unplanned hospitalization of new home care clients using the Resident Assessment Instrument for Home Care (\n                      <jats:styled-content style=\"fixed-case\">RAI<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      A register\u2010based study based on\n                      <jats:styled-content style=\"fixed-case\">RAI<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>\n                      assessments and nationwide hospital discharge records.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Municipal home care services in Finland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>New Finnish home care clients aged 63 and older (N = 15,700).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>\n                      Information from home care clients\u2019 first\n                      <jats:styled-content style=\"fixed-case\">RAI<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>\n                      assessment was connected to information regarding their first hospitalization over 1 year of follow\u2010up. Multivariate regression analyses were used to evaluate the independent risk factors for hospitalization.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010three percent (n = 6,812) of participants were hospitalized at least once. The strongest independent risk factors were hospitalization during the year preceding the\n                      <jats:styled-content style=\"fixed-case\">RAI<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>\n                      assessment (odds ratio (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      ) = 2.01, 95% confidence interval (\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      ) = 1.87\u20132.16), aged 90 and older (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 1.69, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.48\u20131.92), renal insufficiency (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 1.44, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.22\u20131.69) and using 10 or more drugs (\n                      <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\n                      = 1.41, 95%\n                      <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\n                      = 1.26\u20131.58). Other independent risk factors were male sex, previous emergency department visits or other acute outpatient care use, daily urinary incontinence, fecal incontinence, history of falls, cognitive impairment, chronic skin ulcer, pain, unstable health status, housing\u2010related problems, and poor self\u2010rated health. Parkinson's disease, coronary artery disease, congestive heart failure, chronic obstructive pulmonary disease, and cancer were independent prognostic indicators. A body mass index of 24 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      or greater and the client's own belief that functional capacity could improve had a protective role.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Assessing new home care clients using the\n                      <jats:styled-content style=\"fixed-case\">RAI<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">HC<\/jats:styled-content>\n                      reveals modifiable risk factors for unplanned hospitalization. Systematic assessment by a multidisciplinary team at the beginning of the service and targeting modifiable risk factors could reduce the risk of unplanned hospitalization.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14486","type":"journal-article","created":{"date-parts":[[2016,12,21]],"date-time":"2016-12-21T15:28:50Z","timestamp":1482334130000},"page":"407-414","source":"Crossref","is-referenced-by-count":34,"title":["Predictors for Unplanned Hospitalization of New Home Care Clients"],"prefix":"10.1111","volume":"65","author":[{"given":"Jukka K.","family":"R\u00f6nneikk\u00f6","sequence":"first","affiliation":[{"name":"Yl\u00f6j\u00e4rvi Health Care Centre Yl\u00f6j\u00e4rvi Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matti","family":"M\u00e4kel\u00e4","sequence":"additional","affiliation":[{"name":"National Institute for Health and Welfare Helsinki 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