Predicting mortality of residents at admission to nursing home: A longitudinal cohort study
Abstract Background An increasing numbers of deaths occur in nursing homes. Knowledge of the course of development over the years in death rates and predictors of mortality is important for officials responsible for organizing care to be able to ensure that staff is knowledgeable in the areas of car...
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ftdoajarticles:oai:doaj.org/article:ae27441ceca44974b77fdcc2bb84db3b 2023-05-15T16:52:52+02:00 Predicting mortality of residents at admission to nursing home: A longitudinal cohort study Hallberg Ingalill Hjaltadóttir Ingibjörg Ekwall Anna Nyberg Per 2011-04-01T00:00:00Z https://doi.org/10.1186/1472-6963-11-86 https://doaj.org/article/ae27441ceca44974b77fdcc2bb84db3b EN eng BMC http://www.biomedcentral.com/1472-6963/11/86 https://doaj.org/toc/1472-6963 doi:10.1186/1472-6963-11-86 1472-6963 https://doaj.org/article/ae27441ceca44974b77fdcc2bb84db3b BMC Health Services Research, Vol 11, Iss 1, p 86 (2011) Public aspects of medicine RA1-1270 article 2011 ftdoajarticles https://doi.org/10.1186/1472-6963-11-86 2022-12-31T08:36:52Z Abstract Background An increasing numbers of deaths occur in nursing homes. Knowledge of the course of development over the years in death rates and predictors of mortality is important for officials responsible for organizing care to be able to ensure that staff is knowledgeable in the areas of care needed. The aim of this study was to investigate the time from residents' admission to Icelandic nursing homes to death and the predictive power of demographic variables, health status (health stability, pain, depression and cognitive performance) and functional profile (ADL and social engagement) for 3-year mortality in yearly cohorts from 1996-2006. Methods The samples consisted of residents (N = 2206) admitted to nursing homes in Iceland in 1996-2006, who were assessed once at baseline with a Minimum Data Set (MDS) within 90 days of their admittance to the nursing home. The follow-up time for survival of each cohort was 36 months from admission. Based on Kaplan-Meier analysis (log rank test) and non-parametric correlation analyses (Spearman's rho), variables associated with survival time with a p-value < 0.05 were entered into a multivariate Cox regression model. Results The median survival time was 31 months, and no significant difference was detected in the mortality rate between cohorts. Age, gender (HR 1.52), place admitted from (HR 1.27), ADL functioning (HR 1.33-1.80), health stability (HR 1.61-16.12) and ability to engage in social activities (HR 1.51-1.65) were significant predictors of mortality. A total of 28.8% of residents died within a year, 43.4% within two years and 53.1% of the residents died within 3 years. Conclusion It is noteworthy that despite financial constraints, the mortality rate did not change over the study period. Health stability was a strong predictor of mortality, in addition to ADL performance. Considering these variables is thus valuable when deciding on the type of service an elderly person needs. The mortality rate showed that more than 50% died within 3 years, and almost a ... Article in Journal/Newspaper Iceland Directory of Open Access Journals: DOAJ Articles Meier ENVELOPE(-45.900,-45.900,-60.633,-60.633) Rho ENVELOPE(-63.000,-63.000,-64.300,-64.300) BMC Health Services Research 11 1 |
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Directory of Open Access Journals: DOAJ Articles |
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Public aspects of medicine RA1-1270 |
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Public aspects of medicine RA1-1270 Hallberg Ingalill Hjaltadóttir Ingibjörg Ekwall Anna Nyberg Per Predicting mortality of residents at admission to nursing home: A longitudinal cohort study |
topic_facet |
Public aspects of medicine RA1-1270 |
description |
Abstract Background An increasing numbers of deaths occur in nursing homes. Knowledge of the course of development over the years in death rates and predictors of mortality is important for officials responsible for organizing care to be able to ensure that staff is knowledgeable in the areas of care needed. The aim of this study was to investigate the time from residents' admission to Icelandic nursing homes to death and the predictive power of demographic variables, health status (health stability, pain, depression and cognitive performance) and functional profile (ADL and social engagement) for 3-year mortality in yearly cohorts from 1996-2006. Methods The samples consisted of residents (N = 2206) admitted to nursing homes in Iceland in 1996-2006, who were assessed once at baseline with a Minimum Data Set (MDS) within 90 days of their admittance to the nursing home. The follow-up time for survival of each cohort was 36 months from admission. Based on Kaplan-Meier analysis (log rank test) and non-parametric correlation analyses (Spearman's rho), variables associated with survival time with a p-value < 0.05 were entered into a multivariate Cox regression model. Results The median survival time was 31 months, and no significant difference was detected in the mortality rate between cohorts. Age, gender (HR 1.52), place admitted from (HR 1.27), ADL functioning (HR 1.33-1.80), health stability (HR 1.61-16.12) and ability to engage in social activities (HR 1.51-1.65) were significant predictors of mortality. A total of 28.8% of residents died within a year, 43.4% within two years and 53.1% of the residents died within 3 years. Conclusion It is noteworthy that despite financial constraints, the mortality rate did not change over the study period. Health stability was a strong predictor of mortality, in addition to ADL performance. Considering these variables is thus valuable when deciding on the type of service an elderly person needs. The mortality rate showed that more than 50% died within 3 years, and almost a ... |
format |
Article in Journal/Newspaper |
author |
Hallberg Ingalill Hjaltadóttir Ingibjörg Ekwall Anna Nyberg Per |
author_facet |
Hallberg Ingalill Hjaltadóttir Ingibjörg Ekwall Anna Nyberg Per |
author_sort |
Hallberg Ingalill |
title |
Predicting mortality of residents at admission to nursing home: A longitudinal cohort study |
title_short |
Predicting mortality of residents at admission to nursing home: A longitudinal cohort study |
title_full |
Predicting mortality of residents at admission to nursing home: A longitudinal cohort study |
title_fullStr |
Predicting mortality of residents at admission to nursing home: A longitudinal cohort study |
title_full_unstemmed |
Predicting mortality of residents at admission to nursing home: A longitudinal cohort study |
title_sort |
predicting mortality of residents at admission to nursing home: a longitudinal cohort study |
publisher |
BMC |
publishDate |
2011 |
url |
https://doi.org/10.1186/1472-6963-11-86 https://doaj.org/article/ae27441ceca44974b77fdcc2bb84db3b |
long_lat |
ENVELOPE(-45.900,-45.900,-60.633,-60.633) ENVELOPE(-63.000,-63.000,-64.300,-64.300) |
geographic |
Meier Rho |
geographic_facet |
Meier Rho |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
BMC Health Services Research, Vol 11, Iss 1, p 86 (2011) |
op_relation |
http://www.biomedcentral.com/1472-6963/11/86 https://doaj.org/toc/1472-6963 doi:10.1186/1472-6963-11-86 1472-6963 https://doaj.org/article/ae27441ceca44974b77fdcc2bb84db3b |
op_doi |
https://doi.org/10.1186/1472-6963-11-86 |
container_title |
BMC Health Services Research |
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11 |
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1 |
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