Retrospective analysis reveals lower infection hospitalizations in nursing homes with timely goals of care discussions, suggesting improved outcomes.
Key Points
This research aims to explore the link between timely goals of care discussions and the rate of hospitalization due to infections in nursing home residents.
Conducted a retrospective cross-sectional analysis using data from 892 nursing homes in the U.S.
Measured timely goals of care (TGOC) using a facility-level index scored from 0 to 18.
Identified infection-related hospitalizations through CMS claims data.
Utilized multivariable logistic regression to analyze the relationship between TGOC levels and hospitalizations.
Analyzed data from 867 nursing homes with over 988,000 resident observations.
Residents in higher TGOC score facilities (6-18) had 16% lower odds of being hospitalized for infections compared to those in lower TGOC score facilities (0-5).
Mean TGOC index was 13.6, with 10% of facilities falling into the lower category.