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Length of stay in long-term care facilities: a comparison of residents in six European countries. Results of the PACE cross-sectional study
OBJECTIVES: This paper aims to investigate resident, facility and country characteristics associated with length of stay in long-term care facilities (LTCFs) across six European countries. SETTING: Data from a cross-sectional study of deceased residents, conducted in LTCFs in Belgium, England, Finla...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064078/ https://www.ncbi.nlm.nih.gov/pubmed/32152166 http://dx.doi.org/10.1136/bmjopen-2019-033881 |
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author | Collingridge Moore, Danni Payne, Sheila Keegan, Thomas Van den Block, Lieve Deliens, Luc Gambassi, Giovanni Heikkila, Rauha Kijowska, Viola Pasman, H Roeline Pivodic, Lara Froggatt, Katherine |
author_facet | Collingridge Moore, Danni Payne, Sheila Keegan, Thomas Van den Block, Lieve Deliens, Luc Gambassi, Giovanni Heikkila, Rauha Kijowska, Viola Pasman, H Roeline Pivodic, Lara Froggatt, Katherine |
author_sort | Collingridge Moore, Danni |
collection | PubMed |
description | OBJECTIVES: This paper aims to investigate resident, facility and country characteristics associated with length of stay in long-term care facilities (LTCFs) across six European countries. SETTING: Data from a cross-sectional study of deceased residents, conducted in LTCFs in Belgium, England, Finland, Italy, the Netherlands and Poland. PARTICIPANTS: All residents aged 65 years and older at admission who died in a 3-month period residing in a proportional random sample of LTCFs were included. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was length of stay in days, calculated from date of admission and date of death. Resident, facility and country characteristics were included in a proportional hazards model. RESULTS: The proportion of deaths within 1 year of admission was 42% (range 32%–63%). Older age at admission (HR 1.04, 95% CI 1.03 to 1.06), being married/in a civil partnership at time of death (HR 1.47, 95% CI 1.13 to 1.89), having cancer at time of death (HR 1.60, 95% CI 1.22 to 2.10) and admission from a hospital (HR 1.84, 95% CI 1.43 to 2.37) or another LTCF (HR 1.81, 95% CI 1.37 to 2.40) were associated with shorter lengths of stay across all countries. Being female (HR 0.72, 95% CI 0.57 to 0.90) was associated with longer lengths of stay. CONCLUSIONS: Length of stay varied significantly between countries. Factors prior to LTCF admission, in particular the availability of resources that allow an older adult to remain living in the community, appear to influence length of stay. Further research is needed to explore the availability of long-term care in the community prior to admission and its influence on the trajectories of LTCF residents in Europe. |
format | Online Article Text |
id | pubmed-7064078 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-70640782020-03-20 Length of stay in long-term care facilities: a comparison of residents in six European countries. Results of the PACE cross-sectional study Collingridge Moore, Danni Payne, Sheila Keegan, Thomas Van den Block, Lieve Deliens, Luc Gambassi, Giovanni Heikkila, Rauha Kijowska, Viola Pasman, H Roeline Pivodic, Lara Froggatt, Katherine BMJ Open Epidemiology OBJECTIVES: This paper aims to investigate resident, facility and country characteristics associated with length of stay in long-term care facilities (LTCFs) across six European countries. SETTING: Data from a cross-sectional study of deceased residents, conducted in LTCFs in Belgium, England, Finland, Italy, the Netherlands and Poland. PARTICIPANTS: All residents aged 65 years and older at admission who died in a 3-month period residing in a proportional random sample of LTCFs were included. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was length of stay in days, calculated from date of admission and date of death. Resident, facility and country characteristics were included in a proportional hazards model. RESULTS: The proportion of deaths within 1 year of admission was 42% (range 32%–63%). Older age at admission (HR 1.04, 95% CI 1.03 to 1.06), being married/in a civil partnership at time of death (HR 1.47, 95% CI 1.13 to 1.89), having cancer at time of death (HR 1.60, 95% CI 1.22 to 2.10) and admission from a hospital (HR 1.84, 95% CI 1.43 to 2.37) or another LTCF (HR 1.81, 95% CI 1.37 to 2.40) were associated with shorter lengths of stay across all countries. Being female (HR 0.72, 95% CI 0.57 to 0.90) was associated with longer lengths of stay. CONCLUSIONS: Length of stay varied significantly between countries. Factors prior to LTCF admission, in particular the availability of resources that allow an older adult to remain living in the community, appear to influence length of stay. Further research is needed to explore the availability of long-term care in the community prior to admission and its influence on the trajectories of LTCF residents in Europe. BMJ Publishing Group 2020-03-08 /pmc/articles/PMC7064078/ /pubmed/32152166 http://dx.doi.org/10.1136/bmjopen-2019-033881 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Epidemiology Collingridge Moore, Danni Payne, Sheila Keegan, Thomas Van den Block, Lieve Deliens, Luc Gambassi, Giovanni Heikkila, Rauha Kijowska, Viola Pasman, H Roeline Pivodic, Lara Froggatt, Katherine Length of stay in long-term care facilities: a comparison of residents in six European countries. Results of the PACE cross-sectional study |
title | Length of stay in long-term care facilities: a comparison of residents in six European countries. Results of the PACE cross-sectional study |
title_full | Length of stay in long-term care facilities: a comparison of residents in six European countries. Results of the PACE cross-sectional study |
title_fullStr | Length of stay in long-term care facilities: a comparison of residents in six European countries. Results of the PACE cross-sectional study |
title_full_unstemmed | Length of stay in long-term care facilities: a comparison of residents in six European countries. Results of the PACE cross-sectional study |
title_short | Length of stay in long-term care facilities: a comparison of residents in six European countries. Results of the PACE cross-sectional study |
title_sort | length of stay in long-term care facilities: a comparison of residents in six european countries. results of the pace cross-sectional study |
topic | Epidemiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064078/ https://www.ncbi.nlm.nih.gov/pubmed/32152166 http://dx.doi.org/10.1136/bmjopen-2019-033881 |
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