Addressing avoidable hospitalizations in terminally ill nursing home residents

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Addressing avoidable hospitalizations in terminally ill nursing home residents
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Hospitalizations and emergency department (ED) visits can be distressing and costly for nursing home residents – especially those who are severely impaired or terminally ill.

Florida Atlantic UniversityJul 25 2025 Hospitalizations and emergency department visits can be distressing and costly for nursing home residents – especially those who are severely impaired or terminally ill. Despite their vulnerability, these individuals are frequently transferred to hospitals, even though up to 40% of such transfers over the past 25 years are considered potentially avoidable by health care professionals.

In one of the largest studies of its kind, researchers from Florida Atlantic University's Schmidt College of Medicine and Christine E. Lynn College of Nursing, and collaborators, conducted a secondary analysis of data from 264 nursing homes across the U.S. to dive deeper into this issue. Among more than 5,800 terminally ill residents, hospitalizations and ED visits were less common but even more likely to be unnecessary. Notably, 80% of ED visits in this group could potentially have been avoided.

For terminally ill residents, pneumonia, UTIs, acute kidney failure, and heart failure were most often linked to avoidable hospitalizations. Other common diagnoses across both groups included infections, breathing difficulties, and altered mental status.

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