Predictors of Hospitalization in Italian Nursing Home Residents: The ULISSE Project

被引：34

作者：

Cherubini, Antonio ^{[1
]}

Eusebi, Paolo ^{[2
]}

Dell'Aquila, Giuseppina ^{[1
]}

Landi, Francesco ^{[3
]}

Gasperini, Beatrice ^{[1
]}

Bacuccoli, Roberta ^{[4
]}

Menculini, Giuseppe ^{[1
]}

Bernabei, Roberto ^{[3
]}

Lattanzio, Fabrizia ^{[5
]}

Ruggiero, Carmelinda ^{[1
]}

机构：

[1] Univ Perugia, Sch Med, Dept Clin & Expt Med, Inst Gerontol & Geriatr, I-06156 Perugia, Italy

[2] Reg Hlth Author Umbria, Dept Epidemiol, Umbria, Italy

[3] Univ Cattolica Sacro Cuore, Dept Gerontol & Geriatr, I-00168 Rome, Italy

[4] Univ Florence, Dept Stat, I-50121 Florence, Italy

[5] INRCA Ancona, Sci Direct, Ancona, Italy

来源：

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | 2012年 / 13卷 / 01期

关键词：

Nursing homes; hospitalization; staffing; polypharmacy; gender; arrhythmia; urinary tract infection; INAPPROPRIATE DRUG PRESCRIPTIONS; MINIMUM DATA SET; LONG-TERM-CARE; COGNITIVE IMPAIRMENT; RETROSPECTIVE COHORT; HOSPICE ENROLLMENT; ELDERLY-PATIENTS; OLDER-PEOPLE; RISK-FACTORS; ADMISSIONS;

D O I：

10.1016/j.jamda.2011.04.001

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Objective: To examine resident and facility characteristics associated with hospitalization in a cohort of Italian older nursing home residents. Design: A longitudinal observational study. Setting: The nursing homes participating in the U. L. I. S. S. E. study, a project evaluating the quality of care for older persons in Italy. Setting Participants: Nursing home residents in 31 Italian nursing homes. Measurement: Each resident underwent a comprehensive geriatric assessment at baseline, and after 6 months and 1 year by means of the RAI MDS 2.0. Facility characteristics were collected using an ad hoc designed questionnaire. Hospitalizations were self-reported by facilities. Results: A total of 170 (11.6%) of 1466 nursing home residents were admitted to the hospital at least once during the study period. Female gender and higher physician, nurse, and nursing assistant hours per resident were predictive of a lower probability to be admitted to the hospital, whereas a diagnosis of arrhythmia, a previous urinary tract infection, and polypharmacy were associated with a higher probability of being hospitalized. Conclusion: These findings suggest that a reduction of hospitalization of nursing home residents could be achieved by providing an adequate amount of care and optimizing the management of chronic diseases and polypharmacy. This hypothesis should be tested in future clinical trials. Copyright (C) 2012 - American Medical Directors Association, Inc.

引用

页数：6

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