Publications by authors named "E Neil Schachter"
Risk of Death Among Nursing Home Residents: A Cross-National Perspective.
J Am Med Dir Assoc
September 2024
Article Synopsis
- The study aimed to analyze death rates among nursing home residents over a year and improve the CHESS scale for better risk categorization.
- Using data from over a million residents in Canada and the US, the researchers developed the DeathRisk-NH scale based on predictors identified through logistic regression.
- Findings showed a significant increase in death rates from 10.5% at 3 months to 30.7% at 12 months, highlighting the necessity of the DeathRisk-NH tool for effective patient care planning and monitoring.
Objectives: Examine cognitive changes over time among nursing home residents and develop a risk model for identifying predictors of cognitive decline.
Design: Using secondary analysis design with Minimum Data Set data, cognitive status was based on the Cognitive Performance Scale (CPS).
Setting And Participants: Baseline and 7 quarterly follow-up analyses of US and Canadian interRAI data (N = 1,257,832) were completed.
Article Synopsis
- The study aimed to create a model to identify key factors that influence hospital readmission within 90 days for patients discharged to three types of post-acute care (PAC) sites: home with home care services, skilled nursing facilities (SNF), and inpatient rehabilitation facilities (IRF).
- A retrospective analysis of data from over 3.5 million Medicare beneficiaries was conducted to assess demographic characteristics and compare readmission rates across these PAC sites.
- The findings revealed that patients discharged to IRFs had the lowest readmission rates, while those receiving home care had the highest; however, SNF patients generally exhibited the lowest readmission rates across most risk groups, suggesting that the choice of PAC site plays a significant role in outcomes.
We present a rationale and method for taking an idiographic approach to study the role religion plays in adolescent development. We theorize that adolescents harness qualitatively different aspects of religion to address idiosyncratic developmental needs. Therefore, analyzing religion's role in adolescent development necessitates a case-by-case holistic analysis.
View Article and Find Full Text PDFBackground: This paper describes an integrated series of functional, clinical, and discharge post-acute care (PAC) quality indicators (QIs) and an examination of the distribution of the QIs in skilled nursing facilities (SNF) across the US. The indicators use items available in interRAI based assessments including the MDS 3.0 and are designed for use in in-patient post-acute environments that use the assessments.
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