Mortality in nursing home residents: A longitudinal study over three years

PloS One
Corinna VossiusSverre Bergh

Abstract

Nursing home (NH) stay is the highest level of formal care. With the expected demographic changes ahead, the need for NH placement will put an increasing socioeconomic strain on the society. Survival in NHs and factors predicting survival are important knowledge in order to evaluate NH admission policies and plan future NH capacity. We followed 690 NH residents included at admission to NH over a period of three years. Participants were examined at baseline (BL) and every six months. Demographic and clinical data were collected, including comorbidity, severity of cognitive impairment, dependency in activities of daily living (ADL) and neuropsychiatric symptoms. Median survival was calculated by the Kaplan-Meier analysis, and factors associated with mortality were identified by Cox models with baseline and time-dependent covariates. Median survival in NH was 2.2 years (95% confidence interval [CI]: 1.9-2.4). Yearly mortality rate throughout the three-year observation period was 31.8%. Mortality was associated with higher age and comorbidity at BL, and more severe dementia, higher ADL-dependency, less severe psychotic symptoms, and a lower BMI throughout the study period. Of the organizational variables, living on a ward with more...Continue Reading

References

Jun 1, 1982·The British Journal of Psychiatry : the Journal of Mental Science·C P HughesR L Martin
Apr 15, 1999·Journal of the American Geriatrics Society·C G LyketsosJ Brandt
May 11, 1999·Journal of Clinical Epidemiology·J Cohen-MansfieldP Werner
Jun 17, 1999·Journal of Neurology, Neurosurgery, and Psychiatry·G GambassiR Bernabei
Feb 17, 2001·International Journal of Geriatric Psychiatry·M C DaleJ Morris
Aug 13, 2008·Archives of Neurology·Sid E O'BryantUNKNOWN Texas Alzheimer's Research Consortium
Jan 17, 2009·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·C VossiusJ P Larsen
Apr 1, 2010·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Darryl WielandBruce Kinosian
Feb 22, 2011·Journal of the American Medical Directors Association·Emanuele CeredaRiccardo Caccialanza
Apr 22, 2011·BMC Health Services Research·Ingibjörg HjaltadóttirPer Nyberg
Nov 13, 2012·Journal of the American Medical Directors Association·Nicola VeroneseGiuseppe Sergi
Mar 15, 2015·Journal of the American Medical Directors Association·Maturin Tabue-TeguoMatteo Cesari
Oct 21, 2015·Dementia and Geriatric Cognitive Disorders Extra·Jon N WergelandØyvind Kirkevold
Nov 8, 2017·Journal of the American Medical Directors Association·Shuang LiJames S Goodwin

❮ Previous
Next ❯

Citations

Nov 12, 2019·JAMA Internal Medicine·Lauren J HuntAlexander K Smith
Dec 16, 2019·Age and Ageing·Wilco P AchterbergAdam L Gordon
Sep 3, 2020·European Geriatric Medicine·Nicholas C Harvey, Cyrus Cooper
Jan 3, 2020·Aging Clinical and Experimental Research·Marco BraggionUgo Fedeli
Feb 16, 2020·Aging Clinical and Experimental Research·Karen SverdrupGro G Tangen
Apr 17, 2020·European Geriatric Medicine·Violetta KijowskaKatarzyna Szczerbińska
Apr 23, 2020·International Journal of Environmental Research and Public Health·Danni Collingridge MooreLieve Van den Block
Mar 16, 2021·Frontiers in Public Health·Ari R Joffe
Apr 2, 2021·Journal of Pain and Symptom Management·Pauli J LamppuKaisu H Pitkälä
Apr 14, 2020·Journal of the American Medical Directors Association·Aaron M OgletreeDeborah Perfetto
May 26, 2021·Journal of Applied Research in Intellectual Disabilities : JARID·Stuart ToddKatherine Hunt
Jun 10, 2021·Health & Place·Alyona Artamonova, Astri Syse
Jun 25, 2021·BMJ Supportive & Palliative Care·Annelien Wendrich-van DaelLieve Van den Block
Jun 13, 2021·Journal of Infection and Public Health·Ebrahim MahmoudMohammed Aldohayan
Aug 2, 2020·Journal of the American Medical Directors Association·Alice L HolmesJoseph E Ibrahim
Aug 20, 2021·Archives of Gerontology and Geriatrics·Anna KańtochBarbara Gryglewska

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.