[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-427578-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-427578-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","a-multi-outcome-prognostic-model-for-older-adults-admitted-to-skilled-nursing-facilities-for-hip-fracture-and-stroke","A MULTI-OUTCOME PROGNOSTIC MODEL FOR OLDER ADULTS ADMITTED TO SKILLED NURSING FACILITIES FOR HIP FRACTURE AND STROKE","","Older adults hospitalized after hip/femur fracture or stroke often transition to skilled nursing facilities (SNFs) for short-term rehabilitation, yet mortality is high and many never return home. To support shared decision-making, investigators built multi-outcome prognostic models using a 20% Medicare sample (2017–2019) of adults aged 66+ admitted to SNFs, predicting 6-month mortality and successful community discharge (community discharge without rehospitalization or death within 30 days). Predictors were prespecified from literature and evaluated with discrimination and calibration, including bootstrapped internal validation. 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Internal validation was conducted using bootstrapping.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},427578,1790816775,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":30},7971461741311,"https://ap-avatar.wpscdn.com/avatar/74000253aff267980c6?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779345379180704826","718 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.2445  \nA MULTI-OUTCOME PROGNOSTIC MODEL FOR OLDER ADULTS ADMITTED TO SKILLED NURSING FACILITIES FOR HIP FRACTURE AND STROKE  \nW. James Deardorff, Siqi Gan, Bocheng Jing, John Boscardin, Alex Smith, and Sei Lee, University of California, San Francisco, San Francisco, California, United States  \nMany hospitalized older adults are discharged to a skilled nursing facility (SNF) for short-term rehabilitation following a hip/femur fracture or stroke. Mortality rates are high, and many never return home (i.e., high risk of “rehabbed to death”) . To inform shared decision-making, we developed prognostic models using a 20% Medicare sample from 2017-2019 of community-dwelling adults aged ≥66 admitted to a SNF for hip/ femur fracture or stroke. Within each cohort, we developed a prognostic model to predict 2 outcomes: 6-month mortality and“successful community discharge”(discharge to the community without subsequent rehospitalization or death within 30 days) . Model predictors were pre-specified based on literature review: age, sex, hospital length of stay, Medicaid status, comorbidities, and hospitalizations in the past year. Model performance was assessed by discrimination (c-statistic) and calibration (calibration plots). Internal validation was performed via bootstrapping. The hip/femur fracture cohort included 52,843 individuals (mean age 83.4 years, 73% female, 3.3% Black), and the stroke cohort included 20,599 individuals (mean age 81.7 years, 60.1% female, 11.4% Black) . Overall, in the hip/femur fracture and stroke cohorts, 15.5% and 24.6% died within 6 months and 60. 1% and 45.4% experienced a successful community discharge, respectively. For the hip/femur fracture and stroke cohorts, the optimism-corrected c-statistics were 0.74 and 0.70 for 6-month mortality and 0.68 and 0.67 for successful community discharge, respectively. Calibration plots showed that the models were well-calibrated for both outcomes in both cohorts. Risk predictions from these models can help guide shared decision-making and future planning between SNF clinicians, patients, and caregivers.","cbCaimnosGcp52tG","https://ap.wps.com/l/cbCaimnosGcp52tG","pdf",651279,"English","# Purpose\n# Data and Cohorts\n## Predictable Outcomes\n# Model Construction\n## Predictors\n## Performance Evaluation\n# Results and Interpretation\n## Mortality and Community Discharge\n# Practical Implications","[{\"question\":\"What outcomes do the prognostic models predict?\",\"answer\":\"The models predict 6-month mortality and successful community discharge, defined as discharge to the community without rehospitalization or death within 30 days.\"},{\"question\":\"What data were used to develop the models?\",\"answer\":\"The study used a 20% Medicare sample from 2017–2019, covering community-dwelling adults aged 66+ admitted to SNFs for hip/femur fracture or stroke.\"},{\"question\":\"How were the models assessed for performance and reliability?\",\"answer\":\"Performance was evaluated using discrimination (c-statistic) and calibration (calibration plots). Internal validation was conducted using bootstrapping.\"}]","A MULTI-OUTCOME PROGNOSTIC MODEL FOR OLDER ADULTS ADMITTED TO SKILLED NURSING FACILITIES FOR HIP FRACTURE AND STROKE | PDF",1790644271]