Volume 53 | Number 4 | August 2018

Abstract List

Samuel D. Towne Ph.D., M.P.H., C.P.H., Kayla Fair Dr.P.H., Matthew Lee Smith Ph.D., M.P.H., C.H.E.S., Diane M. Dowdy Ph.D., M.S., B.S.N., SangNam Ahn Ph.D., M.P.S.A., Obioma Nwaiwu Ph.D., M.D., Marcia G. Ory Ph.D., M.P.H.


We examined multilevel factors associated with hospital discharge status among older adults suffering a fall‐related hospitalization.

Data Sources

The 2011–2013 ( = 131,978) Texas Inpatient Hospital Discharge Public‐Use File was used.

Study Design/Methods

Multilevel logistic regression analyses estimated the likelihood of being discharged to institutional settings versus home.

Principal Findings

Factors associated with a greater likelihood of being discharged to institutional settings versus home/self‐care included being female, white, older, having greater risk of mortality, receiving care in a non‐teaching hospital, having Medicare (versus Private) coverage, and being admitted from a non‐health care facility (versus clinical referral).


Understanding risk factors for costly discharges to institutional settings enables targeted fall‐prevention interventions with identification of at‐risk groups and allows for identifying policy‐related factors associated with discharge status.