Morbidity and mortality among older people admitted to nursing home

Mette Reilev*, Carina Lundby, John Jensen, Søren Post Larsen, Helene Hoffmann, Anton Pottegård

*Kontaktforfatter for dette arbejde

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

BACKGROUND: the increasing number of multimorbid older people places high demands on future health care systems. To inform the discussion on how to structure future care strategies, we aimed to describe the temporal relationship between admission, and morbidity and mortality in nursing home residents.

METHODS: data on 5,179 older individuals admitted to 94 Danish nursing homes in 12 municipalities during 2015-2017 were linked to the nationwide Danish health registries to retrieve information on the temporal relation between nursing home admission and morbidity and mortality.

RESULTS: at the time of nursing home admission, the majority were women (63%). Male residents were younger than women (median 82 vs 85 years) and had a higher prevalence of comorbidities (median Charlson score 2 vs 1 among women). The median survival after nursing home admission was 25.8 months, with the 3-year survival being 37%. Three-year survival was lower among men (29 vs 43% among women) and among the oldest residents (23% among those aged ≥90 years vs 64% among individuals ≤65 years). In addition to age and sex, predictors of mortality included hospitalisations prior to nursing home admission and a high burden of comorbidity. The rate of hospitalisations, primarily for reasons related to frailty, increased substantially during the 9 months prior to nursing home admission.

CONCLUSION: we provide detailed information on differences in morbidity and mortality across age span and sex at the time of nursing home admission, thereby contributing to the ongoing discussion of how to structure the future health care system.

OriginalsprogEngelsk
TidsskriftAge and Ageing
Vol/bind49
Udgave nummer1
Sider (fra-til)67-73
ISSN0002-0729
DOI
StatusUdgivet - 1. jan. 2020

Fingeraftryk

Nursing Homes
Comorbidity
Delivery of Health Care
Registries
Health

Bibliografisk note

© The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

Citer dette

Reilev, Mette ; Lundby, Carina ; Jensen, John ; Larsen, Søren Post ; Hoffmann, Helene ; Pottegård, Anton. / Morbidity and mortality among older people admitted to nursing home. I: Age and Ageing. 2020 ; Bind 49, Nr. 1. s. 67-73.
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Morbidity and mortality among older people admitted to nursing home. / Reilev, Mette; Lundby, Carina; Jensen, John; Larsen, Søren Post; Hoffmann, Helene; Pottegård, Anton.

I: Age and Ageing, Bind 49, Nr. 1, 01.01.2020, s. 67-73.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Morbidity and mortality among older people admitted to nursing home

AU - Reilev, Mette

AU - Lundby, Carina

AU - Jensen, John

AU - Larsen, Søren Post

AU - Hoffmann, Helene

AU - Pottegård, Anton

N1 - © The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

PY - 2020/1/1

Y1 - 2020/1/1

N2 - BACKGROUND: the increasing number of multimorbid older people places high demands on future health care systems. To inform the discussion on how to structure future care strategies, we aimed to describe the temporal relationship between admission, and morbidity and mortality in nursing home residents.METHODS: data on 5,179 older individuals admitted to 94 Danish nursing homes in 12 municipalities during 2015-2017 were linked to the nationwide Danish health registries to retrieve information on the temporal relation between nursing home admission and morbidity and mortality.RESULTS: at the time of nursing home admission, the majority were women (63%). Male residents were younger than women (median 82 vs 85 years) and had a higher prevalence of comorbidities (median Charlson score 2 vs 1 among women). The median survival after nursing home admission was 25.8 months, with the 3-year survival being 37%. Three-year survival was lower among men (29 vs 43% among women) and among the oldest residents (23% among those aged ≥90 years vs 64% among individuals ≤65 years). In addition to age and sex, predictors of mortality included hospitalisations prior to nursing home admission and a high burden of comorbidity. The rate of hospitalisations, primarily for reasons related to frailty, increased substantially during the 9 months prior to nursing home admission.CONCLUSION: we provide detailed information on differences in morbidity and mortality across age span and sex at the time of nursing home admission, thereby contributing to the ongoing discussion of how to structure the future health care system.

AB - BACKGROUND: the increasing number of multimorbid older people places high demands on future health care systems. To inform the discussion on how to structure future care strategies, we aimed to describe the temporal relationship between admission, and morbidity and mortality in nursing home residents.METHODS: data on 5,179 older individuals admitted to 94 Danish nursing homes in 12 municipalities during 2015-2017 were linked to the nationwide Danish health registries to retrieve information on the temporal relation between nursing home admission and morbidity and mortality.RESULTS: at the time of nursing home admission, the majority were women (63%). Male residents were younger than women (median 82 vs 85 years) and had a higher prevalence of comorbidities (median Charlson score 2 vs 1 among women). The median survival after nursing home admission was 25.8 months, with the 3-year survival being 37%. Three-year survival was lower among men (29 vs 43% among women) and among the oldest residents (23% among those aged ≥90 years vs 64% among individuals ≤65 years). In addition to age and sex, predictors of mortality included hospitalisations prior to nursing home admission and a high burden of comorbidity. The rate of hospitalisations, primarily for reasons related to frailty, increased substantially during the 9 months prior to nursing home admission.CONCLUSION: we provide detailed information on differences in morbidity and mortality across age span and sex at the time of nursing home admission, thereby contributing to the ongoing discussion of how to structure the future health care system.

KW - descriptive study

KW - epidemiology

KW - morbidity

KW - mortality

KW - nursing home residents

KW - older people

U2 - 10.1093/ageing/afz136

DO - 10.1093/ageing/afz136

M3 - Journal article

C2 - 31763682

VL - 49

SP - 67

EP - 73

JO - Age and Ageing

JF - Age and Ageing

SN - 0002-0729

IS - 1

ER -