Resident-Level Factors Associated with Hospitalization Rates for Newly Admitted Long-Term Care Residents in Canada: A Retrospective Cohort Study

TitleResident-Level Factors Associated with Hospitalization Rates for Newly Admitted Long-Term Care Residents in Canada: A Retrospective Cohort Study
Publication TypeJournal Article
Year of Publication2019
AuthorsMcArthur C., Rostami M., Saarela O., Suria M.O, Feng C., Berg K.
JournalCan J Aging
Pagination1-8
Date PublishedFeb 14
ISBN Number0714-9808
Accession Number30761965
Keywordsacute care, aging, centres pour personnes agees, hospitalisation, Hospitalization, Long-Term Care, nursing home, Older adults, Personnes agees, soins aigus, soins de longue duree, vieillissement
Abstract

ABSTRACTHospitalizations of long-term care (LTC) residents can result in adverse outcomes such as functional decline. The objective of our study was to investigate the association between demographic and health information and hospitalization rate for newly admitted LTC residents. We conducted a retrospective cohort study of all LTC homes in six provinces and one territory in Canada, using data from the Resident Assessment Instrument-Minimum Data Set (RAI-MDS) 2.0 and the Discharge Abstract Database. We included newly admitted residents with an assessment between January 1 and December 31, 2013 (n = 37,998). Residents who were male, had higher health instability, and had moderate or severe functional impairment had higher rates of hospitalization, whereas residents who had moderate or severe cognitive impairment had decreased rates. The results of our study can be used to identify newly admitted residents who may be at risk for hospitalization, and appropriately target preventative interventions, including rehabilitation, advance care planning, palliative care, and geriatric specialty services.

DOI10.1017/s0714980818000715
Link

https://www.ncbi.nlm.nih.gov/pubmed/30761965https://www.cambridge.org/core/services/aop-cambridge-core/content/view/...

Short TitleCan J Aging
Alternate JournalCanadian journal on aging = La revue canadienne du vieillissement