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Acute hospital admissions among nursing home residents: a population-based observational study

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dc.contributor.author Graverholt, Birgitte
dc.contributor.author Riise, Trond
dc.contributor.author Jamtvedt, Gro
dc.contributor.author Ranhoff, Anette Hylen
dc.contributor.author Krüger, Kjell
dc.contributor.author Nortvedt, Monica Wammen
dc.date.accessioned 2012-01-20T13:02:19Z
dc.date.available 2012-01-20T13:02:19Z
dc.date.issued 2011-05-26
dc.identifier.issn 1472-6963
dc.identifier.uri http://hdl.handle.net/1956/5479
dc.description.abstract <p>Background: Nursing home residents are prone to acute illness due to their high age, underlying illnesses and immobility. We examined the incidence of acute hospital admissions among nursing home residents versus the age-matched community dwelling population in a geographically defined area during a two years period. The hospital stays of the nursing home population are described according to diagnosis, length of stay and mortality. Similar studies have previously not been reported in Scandinavia.</p> <p>Methods: The acute hospitalisations of the nursing home residents were identified through ambulance records. These were linked to hospital patient records for inclusion of demographics, diagnosis at discharge, length of stay and mortality. Incidence of hospitalisation was calculated based on patient-time at risk.</p> <p>Results: The annual hospital admission incidence was 0.62 admissions per person-year among the nursing home residents and 0.26 among the community dwellers. In the nursing home population we found that dominant diagnoses were respiratory diseases, falls-related and circulatory diseases, accounting for 55% of the cases. The median length of stay was 3 days (interquartile range = 4). The in-hospital mortality rate was 16% and 30 day mortality after discharge 30%.</p> <p>Conclusion: Acute hospital admission rate among nursing home residents was high in this Scandinavian setting. The pattern of diagnoses causing the admissions appears to be consistent with previous research. The in-hospital and 30 day mortality rates are high.</p> en
dc.language.iso eng en
dc.publisher BioMed Central en
dc.relation.ispartof <a href="http://hdl.handle.net/1956/7868" target="blank">Acute hospital admissions from nursing homes. Rates and characteristics; unwarranted variation and effects of interventions to reduce them</a>
dc.rights Copyright 2011 Graverholt et al; licensee BioMed Central Ltd. en
dc.rights.uri http://creativecommons.org/licenses/by/2.0/ en
dc.subject Patient admission en
dc.subject Nursing home en
dc.title Acute hospital admissions among nursing home residents: a population-based observational study en
dc.type Journal article en
dc.subject.nsi VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 en
dc.type.version publishedVersion en
bora.peerreviewed Peer reviewed
bora.journalTitle BMC Health Services Research
bibo.volume 11
bora.cristinID 839035
bibo.number 126
bibo.doi http://dx.doi.org/10.1186/1472-6963-11-126


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Copyright 2011 Graverholt et al; licensee BioMed Central Ltd. Except where otherwise noted, this item's license is described as Copyright 2011 Graverholt et al; licensee BioMed Central Ltd.

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