Volume 52 | Number 2 | April 2017

Abstract List

Christine D. Jones M.D., M.S., Heidi L. Wald M.D., M.P.H., Rebecca S. Boxer M.D., M.S., Frederick A. Masoudi M.D., M.S.P.H., Robert E. Burke M.D., M.P.H., Roberta Capp M.D., M.H.S., Eric A. Coleman M.D., M.P.H., Adit A. Ginde M.D., M.P.H.


To assess patient‐ and hospital‐level factors associated with home health care () referrals following nonelective U.S. patient hospitalizations in 2012.

Data Source

The 2012 National Inpatient Sample ().

Study Design

Retrospective, cross‐sectional multivariable logistic regression modeling to assess patient‐ and hospital‐level variables in patient discharges with versus without referrals.

Data Collection

Analysis included 1,109,905 discharges in patients ≥65 years with Medicare.

Principal Findings

About 29.2 percent of discharges were referred to , which were more likely with older age, female sex, urban location, low income, longer length of stay, higher severity of illness scores, diagnoses of heart failure or sepsis, and hospital location in New England (referent: Pacific).


As health policy changes influence postacute , defining specific diagnoses and regional patterns associated with is a first step to optimize postacute services.