ArticleJournal of the American Medical Directors Association2025
Social Connectedness and Successful Nursing Home Discharge After Heart Failure Hospitalization.
Article in Journal of the American Medical Directors Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- The nine hallmarks of mental health and wellbeing as a watershed framework for resilient living and healthspan optimization.Frontiers in psychology · 2026Article
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Authors and funding
10 authors.
Funding
Abstract
objectivesSocial connectedness is associated with positive health outcomes. Patients discharged to skilled nursing facilities (SNFs) after heart failure (HF) hospitalization face a high risk of hospital readmission, but the association between social connectedness and successful discharge from postacute SNF care is unknown. This study aimed to quantify the association between social connectedness and successful discharge from postacute SNF care among veterans with HF.
designThis retrospective cohort study's primary outcome was successful discharge, defined as discharge to the community within 90 days of admission to the SNF, and survival 30 days after discharge without hospitalization or institutionalization. Social connectedness was measured by the Social Connectedness Index [SCI, range 0-5: binarized into low (SCI = 0-4) or high social connectedness (SCI = 5)]. SETTING AND
participantsVeterans admitted to a Department of Veterans Affairs Medical Center for HF and subsequently discharged to a SNFs between January 2011 and June 2019.
methodsWe estimated the association of high SCI with successful discharge using a modified Poisson regression with robust error variance.
resultsA total of 29,725 veterans were included. Veterans with high social connectedness (SCI = 5) in SNF settings were more likely to have successful discharge than those with lower social connectedness [adjusted relative risk (95% CI): 1.21 (1.13-1.31)]. This association was seen in patients with Alzheimer disease or Alzheimer disease and related dementias (AD/ADRD) [1.32 (1.16-1.49)] and without ADRD [1.14 (1.04-1.25)] cohorts. CONCLUSIONS AND IMPLICATIONS: Veterans with HF who were more socially connected in the SNF setting had higher rates of successful discharge than those with lower social connectedness. Low social connectedness may be an indicator of care needs that make discharge from SNF to home more challenging. Clinical social isolation measurement may be a useful tool in identifying successful discharge candidates.
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