{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:53:51Z","timestamp":1767707631691,"version":"3.38.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2003,2,1]],"date-time":"2003-02-01T00:00:00Z","timestamp":1044057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2003,2]]},"abstract":"<jats:p> Background: Identifying patients who need Nursing Home (NH) care following a hospital admission is important. <\/jats:p><jats:p> Objective: To identify the factors that predispose to an NH discharge. <\/jats:p><jats:p> Design: Prospective observational study with blinded end-point evaluation. <\/jats:p><jats:p> Setting: A non-acute geriatric hospital. <\/jats:p><jats:p> Subjects: Two hundred consecutive elderly patients who were admitted for rehabilitation following treatment for an acute illness. <\/jats:p><jats:p> Main outcome measures: Discharge to an NH or home. <\/jats:p><jats:p> Results: Thirty-five out of the 150 live discharges (23.3%) were to an NH. NH discharges had a longer length of stay (38.5 versus 19.8 days; p &lt; 0001). They were more likely to have visual impairment (p = 0.0009), confusion (p &lt; 0.0001), wandering behaviour (p = 0.003), incontinence (p &lt; 0.0001 or unsafe gait (p = 0.0005), to be on tranquillizers (p = 0.003), to be at risk of falls (p = 0.02) and to have sustained a fall while in hospital (p = 0.001). Multiple logistic regression identified confusion (p = 0.001), incontinence (p = 0.02), falls in hospital (p = 0.01), gait abnormalities (p &lt; 0.001), tranquillizers (p &lt; 0.001), impaired distant vision (p = 0.01) and living alone (p &lt; 0.001) as independently associated with the risk of an NH discharge. This risk proportionately increased with the number of risk factors present: 4.28% for 0\u20132 factors, 25.8% for 3\u20134 factors and 81.8% for 5\u20136 factors (p &lt; 0.0001). <\/jats:p><jats:p> Conclusion: These factors should be the target of specific rehabilitation in an attempt to reduce the risk of discharge to a nursing home and improve patient outcome. <\/jats:p>","DOI":"10.1191\/0269215503cr567oa","type":"journal-article","created":{"date-parts":[[2003,11,12]],"date-time":"2003-11-12T13:28:06Z","timestamp":1068643686000},"page":"108-113","source":"Crossref","is-referenced-by-count":56,"title":["Predictors of a nursing home placement from a non-acute geriatric hospital"],"prefix":"10.1177","volume":"17","author":[{"given":"B S","family":"Aditya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J C","family":"Sharma","sequence":"additional","affiliation":[{"name":"Ashfield Community Hospital, Portland Street, Kirkby-in-Ashfield, Bournemouth, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S C","family":"Allen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Vassallo","sequence":"additional","affiliation":[{"name":"Royal Bournemouth Hospital, Castle Lane East, Bournemouth BH7 7DW, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,2,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(98)90042-9"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199708000-00002"},{"key":"atypb3","first-page":"1946","volume":"124","author":"Stucki A","year":"1998","journal-title":"J Suisse Med"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/28.5.429"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1177\/003693306901400705"},{"key":"atypb6","first-page":"45","volume":"45","author":"Watanabe M","year":"1998","journal-title":"Jpn J Pub Health"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/26.6.475"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/26.5.367"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.3143\/geriatrics.36.479"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1080\/13607869956451"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1988.tb04259.x"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1983.tb04872.x"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-198311000-00002"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(84)90039-0"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1997.tb03204.x"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1159\/000026150"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1136\/jech.51.2.192"},{"volume-title":"Oxford textbook of geriatric medicine","year":"1992","author":"Rowe JW","key":"atypb18"},{"key":"atypb19","first-page":"387","volume":"67","author":"Matthias S","year":"1986","journal-title":"Arch Phys Med Rehabil"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/3.3.152"},{"key":"atypb21","unstructured":"Downton JH.Falls in the elderly. 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