Mahsa Farzaei, Shahla Shahbazi, Neda Gilani, Alireza Ostadrahimi, Leila Gholizadeh
Nurses' knowledge, attitudes, and practice with regards to nutritional management of diabetes mellitus
BMC medical education
older adults socioeconomic disadvantage develop greater burden disability critical illness without socioeconomic disadvantage delivery inhospital rehabilitation mitigate functional decline may influenced social determinants health sdoh whether rehabilitation delivery differs sdoh critical illness hospitalization known evaluate whether sdoh associated delivery skilled rehabilitation critical illness hospitalization among older adults cohort study used data national health aging trends study linked medicare claims 20112018 participants included older adults hospitalized stay intensive care unit icu data analyzed august 2022 september 2023 dual eligibility medicare medicaid education income limited english proficiency lep rural residence primary outcome delivery physical therapy pt andor occupational therapy ot icu hospitalization characterized inhospital pt ot rate inhospital pt ot calculated total number units divided length stay sample 1618 icu hospitalizations median iqr patient age 810 750860 years 842 520 female 371 hospitalizations 229 among patients dual medicare medicaid eligibility 523 hospitalizations 326 among patients less high school education 320 hospitalizations 198 patients rural residence 56 hospitalizations 35 among patients lep total 1076 hospitalized patients 685 received pt ot mean rate 094 95 ci 086102 unitsd adjustment age sex prehospitalization disability mechanical ventilation organ dysfunction factors associated lower odds receipt pt ot included dual medicare medicaid eligibility adjusted odds ratio 070 95 ci 050097 rural residence adjusted odds ratio 065 95 ci 048087 lep associated lower rate pt ot adjusted rate ratio 055 95 ci 032094 findings highlight need consider sdoh efforts promote rehabilitation delivery icu hospitalization investigate factors underlying inequities practice