Identifying the clinical characteristics of older people living in care homes using a novel approach in a primary care database

Age and Ageing
Sunil M ShahDerek G Cook

Abstract

to enhance identification of older nursing and residential home residents in a national sample and describe their chronic disease prevalence. cross-sectional analysis of an established primary care database (The Health Improvement Network). 326 English and Welsh general practices. 435,568 patients aged > or = 65. Care home residents were identified by either a Read code for care home residence or multiple care home residence markers (postcode linkage, household size identifier and location of consultation). COMPARISONS: nursing and residential home residents were compared with a community control group with no markers of care home residence using age and sex standardised chronic disease prevalence ratios. chronic disease prevalence using definitions from the national primary care contract. 11,547 (2.7%) older people were identified as care home residents, of whom only 4,403 (38.1%) were directly identified by their primary care record. Mean age for nursing and residential homes was 84.9 and 86.1 years compared to 74.7 for controls. Prevalence ratios for dementia were 14.8 (95% CI 13.4-16.4) for nursing and 13.5 (12.4-14.8) for residential homes compared to controls. Stroke and severe mental illness were commoner in nursing and ...Continue Reading

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Citations

Jan 12, 2013·Age and Ageing·Sunil M ShahDerek G Cook
Apr 20, 2013·American Journal of Public Health·Sunil M ShahDerek G Cook
Feb 1, 2011·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Tess HarrisDerek G Cook
May 2, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Sunil M ShahDerek G Cook
Feb 3, 2016·International Journal of Geriatric Psychiatry·Sunil M ShahDerek G Cook
Apr 1, 2011·Journal of the American Medical Directors Association·Tess HarrisDerek G Cook
Apr 3, 2012·Journal of the American Geriatrics Society·Kelly L MooreJanice B Schwartz
Sep 30, 2010·International Journal of Geriatric Psychiatry·S M ShahD G Cook
Dec 7, 2013·International Journal of Geriatric Psychiatry·Sarah AmadorMartin Knapp
May 18, 2016·Iranian Red Crescent Medical Journal·Majid RahimiHeidar Ali Abedi
Feb 23, 2019·Systematic Reviews·Danni Collingridge MooreKatherine Froggatt
Jun 23, 2021·Social Science & Medicine·Ferran Espuny PujolMarcello Morciano

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