Length of stay in long-term care facilities: a comparison of residents in six European countries. Results of the PACE cross-sectional study

BMJ Open
Danni Collingridge MooreKatherine Froggatt

Abstract

This paper aims to investigate resident, facility and country characteristics associated with length of stay in long-term care facilities (LTCFs) across six European countries. Data from a cross-sectional study of deceased residents, conducted in LTCFs in Belgium, England, Finland, Italy, the Netherlands and Poland. All residents aged 65 years and older at admission who died in a 3-month period residing in a proportional random sample of LTCFs were included. The primary outcome was length of stay in days, calculated from date of admission and date of death. Resident, facility and country characteristics were included in a proportional hazards model. The proportion of deaths within 1 year of admission was 42% (range 32%-63%). Older age at admission (HR 1.04, 95% CI 1.03 to 1.06), being married/in a civil partnership at time of death (HR 1.47, 95% CI 1.13 to 1.89), having cancer at time of death (HR 1.60, 95% CI 1.22 to 2.10) and admission from a hospital (HR 1.84, 95% CI 1.43 to 2.37) or another LTCF (HR 1.81, 95% CI 1.37 to 2.40) were associated with shorter lengths of stay across all countries. Being female (HR 0.72, 95% CI 0.57 to 0.90) was associated with longer lengths of stay. Length of stay varied significantly between co...Continue Reading

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Citations

Apr 23, 2020·International Journal of Environmental Research and Public Health·Danni Collingridge MooreLieve Van den Block

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