DISCHARGE DISPOSITION AND NEED FOR ONGOING CARE FOLLOWING HOSPITALIZATION OF HIGH-RISK PATIENTS WITH HOSPITALACQUIREDPRESSURE INJURIES(HAPIS)
Author(s)
Justin Gray, MS, MBA1, Rafael Squitieri, MD2, Linda Seaman, MSN, RN2, Rachel Schwingler, MHA2, Chaitanya Badwe, PhD3, Pruthviraj Shivanna, BS4, Chantal Branco, DNP, RN, BS, CCRN, NEA-BC5;
1Northwestern Memorial Hospital, Chicago, IL, USA, 2TurnCare, Palo Alto, CA, USA, 3Definitive Healthcare, Framingham, MA, USA, 4Definitive Healthcare, Bengaluru, Karnataka, India, 5Lehigh Valley Health Network/Jefferson Health, Bethlehem, PA, USA
1Northwestern Memorial Hospital, Chicago, IL, USA, 2TurnCare, Palo Alto, CA, USA, 3Definitive Healthcare, Framingham, MA, USA, 4Definitive Healthcare, Bengaluru, Karnataka, India, 5Lehigh Valley Health Network/Jefferson Health, Bethlehem, PA, USA
OBJECTIVES: Hospital acquired pressure injuries (HAPIs) have been shown to impact hospital length of stay (LOS) and costs. However, it is important to understand the ongoing needs of affected patients following hospital discharge. This study assessed the discharge disposition, emergency department (ED) visits, and utilization of hospice services for select high-risk patients who developed HAPIs during their hospital stay.
METHODS: Definitive Healthcare’s Atlas All-Payor claims during 2023 were used for this retrospective analysis. Patients included were high-risk patients who experienced a HAPI during their hospital stay in 2023. Diagnosis-related groups (DRGs) with the highest prevalence of HAPIs were reported. Discharges to home, skilled or other nursing facilities were assessed via the first outpatient claim following hospital discharge. Emergency department (ED) visits and hospice care following hospitalization were also reported. All results were reported descriptively.
RESULTS: A total of 8154 high risk patients experienced a HAPI during their hospital stay in 2023. Hospital DRGs with the highest prevalence of HAPIs were septicemia with mechanical ventilation for ≥ 96 hours (DRG 870,14.4%), ECMO with mechanical ventilation ≥ 96 hours (DRG 3, 14.1%) and septicemia without mechanical ventilation ≥ 96 hours (DRG 871, 5.7%). Numerically more patients were discharged to a skilled or other nursing facility (36.6%) than were discharged home (29.7%). ED visits occurred in 5.0% of patients following discharge and 1.6% of patients discharged to hospice care.
CONCLUSIONS: This analysis demonstrates that high-risk patients who develop HAPIs require ongoing care after hospitalization with more patients discharged to nursing facilities than home. In addition, while a smaller percentage experienced visits to the ED and used hospice care, these findings suggest the ongoing complexity and medical needs of these patients. Novel strategies are needed to prevent HAPIs amongst high-risk patients to reduce burden on patients and the health system.
METHODS: Definitive Healthcare’s Atlas All-Payor claims during 2023 were used for this retrospective analysis. Patients included were high-risk patients who experienced a HAPI during their hospital stay in 2023. Diagnosis-related groups (DRGs) with the highest prevalence of HAPIs were reported. Discharges to home, skilled or other nursing facilities were assessed via the first outpatient claim following hospital discharge. Emergency department (ED) visits and hospice care following hospitalization were also reported. All results were reported descriptively.
RESULTS: A total of 8154 high risk patients experienced a HAPI during their hospital stay in 2023. Hospital DRGs with the highest prevalence of HAPIs were septicemia with mechanical ventilation for ≥ 96 hours (DRG 870,14.4%), ECMO with mechanical ventilation ≥ 96 hours (DRG 3, 14.1%) and septicemia without mechanical ventilation ≥ 96 hours (DRG 871, 5.7%). Numerically more patients were discharged to a skilled or other nursing facility (36.6%) than were discharged home (29.7%). ED visits occurred in 5.0% of patients following discharge and 1.6% of patients discharged to hospice care.
CONCLUSIONS: This analysis demonstrates that high-risk patients who develop HAPIs require ongoing care after hospitalization with more patients discharged to nursing facilities than home. In addition, while a smaller percentage experienced visits to the ED and used hospice care, these findings suggest the ongoing complexity and medical needs of these patients. Novel strategies are needed to prevent HAPIs amongst high-risk patients to reduce burden on patients and the health system.
Conference/Value in Health Info
2026-05, ISPOR 2026, Philadelphia, PA, USA
Value in Health, Volume 29, Issue S6
Code
HSD6
Topic
Health Service Delivery & Process of Care
Disease
SDC: Injury & Trauma, STA: Multiple/Other Specialized Treatments