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

Bergen Open Research Archive

Show simple item record Graverholt, Birgitte eng Riise, Trond eng Jamtvedt, Gro eng Ranhoff, Anette Hylen eng Krüger, Kjell eng Nortvedt, Monica Wammen eng 2012-01-20T13:02:19Z 2012-01-20T13:02:19Z 2011-05-26 eng
dc.identifier.issn 1472-6963 eng
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 eng
dc.publisher BioMed Central eng
dc.relation.ispartof <a href="" target="blank">Acute hospital admissions from nursing homes. Rates and characteristics; unwarranted variation and effects of interventions to reduce them</a> eng
dc.rights Attribution CC BY eng
dc.rights.uri eng
dc.subject Patient admission eng
dc.subject Nursing home eng
dc.title Acute hospital admissions among nursing home residents: a population-based observational study eng
dc.type Journal article eng
dc.subject.nsi VDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806 eng
dc.rights.holder Copyright 2011 Graverholt et al; licensee BioMed Central Ltd.
dc.type.version publishedVersion eng
bora.peerreviewed Peer reviewed eng
bora.journalTitle BMC Health Services Research eng
bibo.volume 11 eng
bora.cristinID 839035 eng
bibo.number 126 eng
bibo.doi eng
dc.identifier.cristinID 839035 eng

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