Predictors of Nursing Home Entry within 36 Months after Hospitalization via the Emergency Department among Persons Aged 75 Years or Older
Abstract
:1. Introduction
2. Methods
2.1. Study Design
2.2. Study Population
2.3. Variables Studied
2.4. Ethical Considerations
2.5. Statistical Analyses
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | N | % |
---|---|---|
Age (years) | ||
<85 | 592 | 54.4 |
≥85 | 496 | 45.6 |
Sex | ||
Female | 667 | 61.3 |
Male | 421 | 38.7 |
Level of education | ||
Primary school (or less) | 719 | 70.0 |
Secondary school | 216 | 21.0 |
University | 92 | 9.0 |
Living alone | ||
No | 542 | 50.8 |
Yes | 526 | 49.2 |
Main caregiver | ||
No | 356 | 32.7 |
Yes | 732 | 67.3 |
Formal help | ||
No | 314 | 30.2 |
Yes | 726 | 69.8 |
Informal help | ||
No | 121 | 11.6 |
Yes | 919 | 88.4 |
Dependence for the ADLs | ||
No | 180 | 17.2 |
Yes | 869 | 82.8 |
Walking difficulties | ||
No | 225 | 20.7 |
Yes | 862 | 79.3 |
Balance difficulties | ||
No | 525 | 48.9 |
Yes | 548 | 51.1 |
Dementia syndrome | ||
No | 629 | 58.4 |
Yes | 449 | 41.6 |
Delirium | ||
No | 857 | 79.5 |
Yes | 221 | 20.5 |
Depression or risk thereof | ||
No | 641 | 58.9 |
Yes | 447 | 41.1 |
Serum albumin (g/L) | ||
≥35 | 445 | 41.8 |
<35 | 633 | 58.2 |
Total MNA Score | ||
≥24 | 449 | 41.3 |
<24 | 639 | 58.7 |
Risk of pressure ulcers | ||
No | 711 | 65.5 |
Yes | 374 | 34.5 |
Visual impairment | ||
No | 534 | 51.4 |
Yes | 505 | 48.6 |
Hearing impairment | ||
No | 613 | 56.6 |
Yes | 470 | 43.4 |
Recent hospital admission | ||
No | 781 | 73.1 |
Yes | 288 | 26.9 |
Day of hospital admission | ||
Weekday | 835 | 76.8 |
Weekend | 253 | 23.2 |
Bivariable Analysis | Multivariable Analysis | |||||
---|---|---|---|---|---|---|
Characteristics | OR | IC 95% | p | OR | IC 95% | p |
Age (years): ≥85 | 2.16 | 1.73–2.68 | <0.0001 | |||
Male sex | 0.74 | 0.59–0.94 | 0.01 | |||
Level of education | ||||||
Primary school (or less) | 1 | |||||
Secondary school | 0.96 | 0.73–1.27 | 0.79 | |||
University | 0.74 | 0.48–1.14 | 0.17 | |||
Living alone: yes | 1.80 | 1.44–2.25 | <0.0001 | 2.00 | 1.59–2.54 | <0.0001 |
Main caregiver: yes | 1.13 | 0.90–1.43 | 0.28 | |||
Formal help: yes | 1.48 | 1.15–1.91 | 0.003 | |||
Informal help: yes | 0.80 | 0.58–1.11 | 0.17 | |||
Dependence for the ADLs: yes | 2.17 | 1.55–3.05 | <0.0001 | 1.81 | 1.24–2.64 | 0.002 |
Walking difficulties: yes | 1.40 | 1.05–1.88 | 0.02 | |||
Balance difficulties: yes | 1.60 | 1.29–2.00 | <0.0001 | 1.37 | 1.09–1.73 | 0.007 |
Dementia syndrome: yes | 2.03 | 1.64–2.52 | <0.0001 | 1.80 | 1.42–2.29 | <0.0001 |
Delirium: yes | 1.03 | 0.77–1.37 | 0.86 | |||
Depression or risk thereof: yes | 1.29 | 1.04–1.60 | 0.02 | |||
Serum albumin level: <35 g/L | 0.94 | 0.76–1.16 | 0.55 | |||
Total MNA score: <24 | 1.11 | 0.89–1.38 | 0.36 | |||
Risk of pressure ulcers: yes | 1.78 | 1.43–2.22 | <0.0001 | 1.42 | 1.10–1.82 | 0.006 |
Visual impairment: yes | 1.19 | 0.96–1.48 | 0.12 | |||
Hearing impairment: yes | 1.15 | 0.93–1.43 | 0.20 | |||
Recent hospital admission: yes | 1.01 | 0.79–1.29 | 0.94 | |||
Day of hospital admission: weekend | 1.24 | 0.97–1.58 | 0.08 |
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Dramé, M.; Volberg, A.; Kanagaratnam, L.; Coutureau, C.; Godaert, L. Predictors of Nursing Home Entry within 36 Months after Hospitalization via the Emergency Department among Persons Aged 75 Years or Older. Geriatrics 2023, 8, 67. https://doi.org/10.3390/geriatrics8030067
Dramé M, Volberg A, Kanagaratnam L, Coutureau C, Godaert L. Predictors of Nursing Home Entry within 36 Months after Hospitalization via the Emergency Department among Persons Aged 75 Years or Older. Geriatrics. 2023; 8(3):67. https://doi.org/10.3390/geriatrics8030067
Chicago/Turabian StyleDramé, Moustapha, Alison Volberg, Lukshe Kanagaratnam, Claire Coutureau, and Lidvine Godaert. 2023. "Predictors of Nursing Home Entry within 36 Months after Hospitalization via the Emergency Department among Persons Aged 75 Years or Older" Geriatrics 8, no. 3: 67. https://doi.org/10.3390/geriatrics8030067