Case management and risk of nursing home admission for older adults in home care: results of the AgeD in HOme Care Study

TitleCase management and risk of nursing home admission for older adults in home care: results of the AgeD in HOme Care Study
Publication TypeJournal Article
Year of Publication2007
AuthorsOnder G., Liperoti R., Soldato M., Carpenter I., Steel K., Bernabei R., Landi F.
JournalJ Am Geriatr Soc
Volume55
Issue3
Pagination439-44
Date PublishedMar
ISBN Number0002-8614 (Print)
Accession Number17341249
KeywordsAged, Aged, 80 and over, Case Management/ statistics & numerical data, Cohort Studies, Europe, Female, Frail Elderly/ statistics & numerical data, Home Care Services/ statistics & numerical data, Homes for the Aged/ statistics & numerical data, Humans, Male, Nursing Homes/ statistics & numerical data, Patient Admission/ statistics & numerical data, Retrospective Studies, Risk, Statistics as Topic
Abstract

OBJECTIVES: To explore the relationship between a case management approach and the risk of institutionalization in a large European population of frail, old people in home care. DESIGN: Retrospective cohort study. SETTING: Eleven European countries. PARTICIPANTS: Three thousand two hundred ninety-two older adults receiving home care (mean age 82.3+/-7.3). MEASUREMENTS: Data on nursing home admission were collected every 6 months for 1 year. RESULTS: One thousand one hundred eighty-four (36%) persons received a home care program based on case management, and 2,108 (64%) received a traditional care approach (no case manager). During the 1-year follow-up, 81 of 1,184 clients (6.8%) in the case management group and 274 of 2,108 (13%) in the traditional care group were admitted to a nursing home (P<.001). After adjusting for potential confounders, the risk of nursing home admission was significantly lower for participants in the case management group than for those in a traditional care model (adjusted odds ratio=0.56, 95% confidence interval=0.43-0.63). CONCLUSION: Home care services based on a case management approach reduce risk of institutionalization and likely lower costs.

DOI10.1111/j.1532-5415.2007.01079.x
Short TitleJ Am Geriatr Soc