id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-333153-hjgf3ay8	Griffith, Matthew F.	Nursing Home Residents Face Severe Functional Limitation or Death After Hospitalization for Pneumonia	2020-10-21		.txt	text/plain	4161	197	35	15 Among patients with mild to moderate functional limitation at baseline, loss of 1 ADL could have a profound effect on a patient's health-related quality of life and lead to the perception that such a loss would be "worse than death." 16, 17 Although patients and their surrogates may be familiar with the risks of hospitalization for exacerbations of chronic diseases that they have suffered for many years (eg, chronic obstructive pulmonary disease or congestive heart failure), providing them with an estimate of functional outcomes following hospitalization for an unplanned acute illness like pneumonia allows for shared decision making through scenario planning. 42 Our study demonstrates that nursing home admission, particularly with individuals suffering from cognitive and physical limitations who are admitted for long-term care, is likely the right time to initiate advance care planning around the decision to hospitalize for COVID or other pneumonias, as we found that residents are more likely to experience functional decline or death at 60 days following hospitalization than individuals diagnosed with metastatic nonesmall cell lung cancer.	./cache/cord-333153-hjgf3ay8.txt	./txt/cord-333153-hjgf3ay8.txt