long-term acute care hospital (LTAC)
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Epidemiology
- fastest growing segment of postacute care in the U.S
Indications
- otherwise-stable respiratory patient who requires prolonged ventilator weaning
- skin infection, soft tissue infection, or joint infection
- central venous catheter
Notes
- higher intensity of care than SNF
- stepdown capability & higher nurse-to-patient ratios
- LTAC reimbursed at several-fold higher rate than SNF for same diagnosis
- strongest predictors LTAC vs SNF
- tracheostomy
- hospitalization within 2 miles of an LTAC
More general terms
References
- ↑ Winawer NH Where Do Hospitalized Elders Go When They're Too Sick to Go Home? NEJM Journal Watch. Feb 27, 2018 Massachusetts Medical Society (subscription needed) http://www.jwatch.org
Makam AN, Nguyen OK, Xuan L et al. Factors associated with variation in long-term acute care hospital vs skilled nursing facility use among hospitalized older adults. JAMA Intern Med 2017 Feb 5 PMID: https://www.ncbi.nlm.nih.gov/pubmed/29404575