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Dementia, home care and institutionalisation from hospitals in older people

This study examines the relationship between dementia and institutionalisation directly after hospital discharges in older people and explores potential mediators of the association. Our analyses are based on linked Scottish administrative health and social care data, including 79,983 hospital stays...

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Detalles Bibliográficos
Autores principales: Bu, Feifei, Rutherford, Alasdair
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6728402/
https://www.ncbi.nlm.nih.gov/pubmed/31543723
http://dx.doi.org/10.1007/s10433-018-0493-0
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author Bu, Feifei
Rutherford, Alasdair
author_facet Bu, Feifei
Rutherford, Alasdair
author_sort Bu, Feifei
collection PubMed
description This study examines the relationship between dementia and institutionalisation directly after hospital discharges in older people and explores potential mediators of the association. Our analyses are based on linked Scottish administrative health and social care data, including 79,983 hospital stays for 43,753 patients aged 65 or over. Our results show that dementia patients are more likely to be discharged to care institutions compared with non-dementia patients (odds ratio = 17). Further analyses reveal that this can be partially explained by the fact that dementia patients are more likely to have injury-related admissions and long hospital stays. This indirect effect accounts for around 6% of the total effect. We also investigate the effect of receiving home care, finding no evidence that it influences the likelihood of institutionalisation from hospitals in older people.
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spelling pubmed-67284022019-09-20 Dementia, home care and institutionalisation from hospitals in older people Bu, Feifei Rutherford, Alasdair Eur J Ageing Original Investigation This study examines the relationship between dementia and institutionalisation directly after hospital discharges in older people and explores potential mediators of the association. Our analyses are based on linked Scottish administrative health and social care data, including 79,983 hospital stays for 43,753 patients aged 65 or over. Our results show that dementia patients are more likely to be discharged to care institutions compared with non-dementia patients (odds ratio = 17). Further analyses reveal that this can be partially explained by the fact that dementia patients are more likely to have injury-related admissions and long hospital stays. This indirect effect accounts for around 6% of the total effect. We also investigate the effect of receiving home care, finding no evidence that it influences the likelihood of institutionalisation from hospitals in older people. Springer Netherlands 2018-11-28 /pmc/articles/PMC6728402/ /pubmed/31543723 http://dx.doi.org/10.1007/s10433-018-0493-0 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.
spellingShingle Original Investigation
Bu, Feifei
Rutherford, Alasdair
Dementia, home care and institutionalisation from hospitals in older people
title Dementia, home care and institutionalisation from hospitals in older people
title_full Dementia, home care and institutionalisation from hospitals in older people
title_fullStr Dementia, home care and institutionalisation from hospitals in older people
title_full_unstemmed Dementia, home care and institutionalisation from hospitals in older people
title_short Dementia, home care and institutionalisation from hospitals in older people
title_sort dementia, home care and institutionalisation from hospitals in older people
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6728402/
https://www.ncbi.nlm.nih.gov/pubmed/31543723
http://dx.doi.org/10.1007/s10433-018-0493-0
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