Fakeye, OludolapoRana, PrashantHan, FeiHenderson, MorganStockwell, Ian2025-04-012025-04-012024-09-26Fakeye, Oludolapo, Prashant Rana, Fei Han, Morgan Henderson, and Ian Stockwell. "Behavioral, Cognitive, and Functional Risk Factors for Repeat Hospital Episodes Among Medicare" Medicaid Dually Eligible Adults Receiving Long-Term Services and Supports. Journal of Applied Gerontology, September 26, 2024, 07334648241286608. https://doi.org/10.1177/07334648241286608.https://doi.org/10.1177/07334648241286608http://hdl.handle.net/11603/37855Repeat hospitalizations adversely impact the well-being of adults dually eligible for Medicare and Medicaid in the United States. This study aimed to identify behavioral, cognitive, and functional characteristics associated with the risk of a repeat hospital episode (HE) among the statewide population of dually eligible adults in Maryland receiving long-term services and supports prior to an HE between July 2018 and May 2020. The odds of experiencing a repeat HE within 30 days after an initial HE were positively associated with reporting difficulty with hearing (adjusted odds ratio, AOR: 1.10 [95% confidence interval: 1.02-1.19]), being easily distractible (AOR: 1.09 [1.00-1.18]), being self-injurious (AOR: 1.33 [1.09-1.63]), and exhibiting verbal abuse (AOR: 1.15 [1.02-1.30]). Conversely, displaying inappropriate public behavior (AOR: 0.62 [0.42-0.92]) and being dependent for eating (AOR: 0.91 [0.83-0.99]) or bathing (AOR: 0.79 [0.67-0.92]) were associated with reduced odds of a repeat HE. We also observed differences in the magnitude and direction of these associations among adults 65 years of age or older relative to younger counterparts.35 pagesen-US© 2025 by Southern Gerontological Society. Use is restricted to non-commercial and no derivatives.UMBC Health Data LabText