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Characteristics and predictors for hospitalizations of home-dwelling older persons receiving community care: a cohort study from Norway
BACKGROUND: Older persons are substantial consumers of both hospital- and community care, and there are discussions regarding the potential for preventing hospitalizations through high quality community care. The present study report prevalence and factors associated with admissions to hospital for...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122216/ https://www.ncbi.nlm.nih.gov/pubmed/30176794 http://dx.doi.org/10.1186/s12877-018-0887-z |
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author | Gjestsen, Martha Therese Brønnick, Kolbjørn Testad, Ingelin |
author_facet | Gjestsen, Martha Therese Brønnick, Kolbjørn Testad, Ingelin |
author_sort | Gjestsen, Martha Therese |
collection | PubMed |
description | BACKGROUND: Older persons are substantial consumers of both hospital- and community care, and there are discussions regarding the potential for preventing hospitalizations through high quality community care. The present study report prevalence and factors associated with admissions to hospital for community-dwelling older persons (> 67 years of age), receiving community care in a Norwegian municipality. METHODS: This was a cohort study of 1531 home-dwelling persons aged ≥67 years, receiving community care. We retrospectively scrutinized admissions to hospital for the study cohort over a one-year period in 2013. The frequency of admissions was evaluated with regard to association with age (age groups 67–79 years, 80–89 years and ≥ 90 year) and gender. The hospital admission incidence was calculated by dividing the number of admissions by the number of individuals included in the study cohort, stratified by age and gender. The association between age and gender as potential predictors and hospitalization (outcome) was first examined in univariate analyses followed by multinomial regression analyses in order to investigate the associations between age and gender with different causes of hospitalization. RESULTS: We identified a total of 1457 admissions, represented by 739 unique individuals, of which 64% were women, and an estimated mean age of 83 years. Mean admission rate was 2 admissions per person-year (95% confidence interval (CI): 1.89–2.11). The admission rate varied with age, and hospital incidents rates were higher for men in all age groups. The overall median length of stay was 4 days. The most common reason for hospitalization was the need for further medical assessment (23%). We found associations between increasing age and hospitalizations due to physical general decline, and associations between male gender and hospitalizations due to infections (e.g., airways infections, urinary tract infections). CONCLUSIONS: We found the main reasons for hospitalizations to be related to falls, infections and general decline/pain/unspecified dyspnea. Men were especially at risk for hospitalization as they age. Our study have identified some clinically relevant factors that are vital in understanding what health care personnel in community care need to be especially aware of in order to prevent hospitalizations for this population. |
format | Online Article Text |
id | pubmed-6122216 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-61222162018-09-05 Characteristics and predictors for hospitalizations of home-dwelling older persons receiving community care: a cohort study from Norway Gjestsen, Martha Therese Brønnick, Kolbjørn Testad, Ingelin BMC Geriatr Research Article BACKGROUND: Older persons are substantial consumers of both hospital- and community care, and there are discussions regarding the potential for preventing hospitalizations through high quality community care. The present study report prevalence and factors associated with admissions to hospital for community-dwelling older persons (> 67 years of age), receiving community care in a Norwegian municipality. METHODS: This was a cohort study of 1531 home-dwelling persons aged ≥67 years, receiving community care. We retrospectively scrutinized admissions to hospital for the study cohort over a one-year period in 2013. The frequency of admissions was evaluated with regard to association with age (age groups 67–79 years, 80–89 years and ≥ 90 year) and gender. The hospital admission incidence was calculated by dividing the number of admissions by the number of individuals included in the study cohort, stratified by age and gender. The association between age and gender as potential predictors and hospitalization (outcome) was first examined in univariate analyses followed by multinomial regression analyses in order to investigate the associations between age and gender with different causes of hospitalization. RESULTS: We identified a total of 1457 admissions, represented by 739 unique individuals, of which 64% were women, and an estimated mean age of 83 years. Mean admission rate was 2 admissions per person-year (95% confidence interval (CI): 1.89–2.11). The admission rate varied with age, and hospital incidents rates were higher for men in all age groups. The overall median length of stay was 4 days. The most common reason for hospitalization was the need for further medical assessment (23%). We found associations between increasing age and hospitalizations due to physical general decline, and associations between male gender and hospitalizations due to infections (e.g., airways infections, urinary tract infections). CONCLUSIONS: We found the main reasons for hospitalizations to be related to falls, infections and general decline/pain/unspecified dyspnea. Men were especially at risk for hospitalization as they age. Our study have identified some clinically relevant factors that are vital in understanding what health care personnel in community care need to be especially aware of in order to prevent hospitalizations for this population. BioMed Central 2018-09-03 /pmc/articles/PMC6122216/ /pubmed/30176794 http://dx.doi.org/10.1186/s12877-018-0887-z Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Gjestsen, Martha Therese Brønnick, Kolbjørn Testad, Ingelin Characteristics and predictors for hospitalizations of home-dwelling older persons receiving community care: a cohort study from Norway |
title | Characteristics and predictors for hospitalizations of home-dwelling older persons receiving community care: a cohort study from Norway |
title_full | Characteristics and predictors for hospitalizations of home-dwelling older persons receiving community care: a cohort study from Norway |
title_fullStr | Characteristics and predictors for hospitalizations of home-dwelling older persons receiving community care: a cohort study from Norway |
title_full_unstemmed | Characteristics and predictors for hospitalizations of home-dwelling older persons receiving community care: a cohort study from Norway |
title_short | Characteristics and predictors for hospitalizations of home-dwelling older persons receiving community care: a cohort study from Norway |
title_sort | characteristics and predictors for hospitalizations of home-dwelling older persons receiving community care: a cohort study from norway |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122216/ https://www.ncbi.nlm.nih.gov/pubmed/30176794 http://dx.doi.org/10.1186/s12877-018-0887-z |
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