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Recent research shows an increase in drug and alcohol-related hospitalizations in the USA, especially among older adults. However, no studyexaminestrends indischarges to askilled nursing facility(SNF)after adrug or alcohol-related hospitalization. Older adults are more likely to need post-hospital care in a SNF after a hospitalization due to an increased presence of chronic diseases and functional limitations.Therefore, the objective of this study was to estimate trends indrug or alcohol-related hospitalizations with discharge to a SNFamo