==== Front
Innov Aging
Innov Aging
innovateage
Innovation in Aging
2399-5300 Oxford University Press US 

10.1093/geroni/igaa057.2307
igaa057.2307
Abstracts
Session 6000 (Symposium)
AcademicSubjects/SOC02600
Racial Differences in Post-Acute Transition After Hip Fracture in Medicare Patients With ADRD
Roy Indrakshi 1 Karmarkar Amol 2 Kumar Amit 3 Warren Meghan 3 Pohl Patricia 4 Shaibi Stefany 3 Rivera-Hernandez Maricruz 5 Rudolph James 6 1 
Northern Arizona University, flagstaff, Arizona, United States
2 
Virginia Commonwealth University Health, Richmond, Virginia, United States
3 
Northern Arizona University, Flagstaff, Arizona, United States
4 
Northern Arizona University, Phoenix, Arizona, United States
5 
Brown University School of Public Health, Providence, Rhode Island, United States
6 
U.S. Department of Veterans Affairs Medical Center, Providence, Rhode Island, United States
2020 
16 12 2020 
16 12 2020 
4 Suppl 1 Program Abstracts from The GSA 2020 Annual Scientific Meeting “Turning 75: Why Age Matters”666 667
© The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America.2020This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.Abstract
The incidence of hip fractures in patients with Alzheimer’s disease and related dementias (ADRD) is 2.7 times higher than it is in those without ADRD. However, there are no standardized post-acute transition models for patients with ADRD after hip fracture. Additionally, there is a lack of knowledge on how post-acute transitions vary by race/ethnicity. Using 100% Medicare data (2016-2017) for 120,179 older adults with ADRD, we conduct multinomial logistic regression, to examine the association between race and post-acute discharge locations (proportion discharged to skilled nursing facility [SNF], inpatient rehabilitation facility [IRF], and Home with Home Health Care [HHC]), after accounting for patient characteristics. Compared to non-Hispanic Whites, Hispanics have a significantly lower odds ratio for discharge to HHC 0.62 (95%CI=0.53-0.73), IRF 0.44 (CI=0.39-0.51), and SNF 0.26 (CI=0.23-0.30). Improving care in patients with ADRD and reducing racial and ethnic disparities in quality of care and health outcomes will be discussed.