OBJECTIVE To assess the deleterious effects of waiting for admission to a nursing home on the state of health of patients and their informal caregivers, and on the burden of caring. DESIGN AND PARTICIPANTS Prospective longitudinal study consisting of interviews with informal caregivers during the period on the waiting list and after admission of the patient to a nursing home. Analysis of pati...

BACKGROUND Due to demographic ageing and increasing life expectancy, a growing demand for long-term nursing home care can be expected. Stays in nursing homes appear to be more socially determined than hospital stays. We therefore looked at the impact of socio-demographic and health care variables on the length of the last nursing home stay. METHODS Nationwide individual data from nursing home...

BACKGROUND Antipsychotic use is associated with serious adverse events in the elderly, and consequently can lead to further healthcare utilization such as nursing home admission. OBJECTIVE To evaluate the risk of nursing home admission associated with typical versus atypical antipsychotic use among the US community-dwelling elderly population. METHODS A retrospective cohort design was condu...

OBJECTIVE To determine the prevalence, characteristics, and impact of arthritis in the US nursing home population. METHODS A national cross sectional sample of US nursing homes (8138 sampled residents in 1406 nursing homes) from the 1997 National Nursing Home Survey provided demographic and functional characteristics for residents with primary arthritis, any arthritis, or no arthritis diagnos...

BACKGROUND The prevalence of vitamin D deficiency in nursing home patients is high. OBJECTIVE We aimed to ascertain whether lower serum 25-hydroxyvitamin D [25(OH)D] concentrations increase the risk of future nursing home admission and early death. DESIGN We included 1260 independent, community-dwelling persons aged > or =65 y who were participating in the Longitudinal Aging Study Amsterdam...

Statistics are presented on the characteristics of persons discharged from nursing homes over a 12-month period during 1984-85. Data are presented on discharge status (live or dead), duration of stay, dependencies in mobility and continence, living arrangements (prior to admission and after discharge), primary diagnoses at admission and discharge, primary sources of payment for admission and di...

BACKGROUND Little is known about the effect of preinjury residence on inpatient mortality following hip fracture. This study addressed whether (1) admission from a nursing home residence and (2) admission from another hospital were associated with higher inpatient mortality after a hip fracture. METHODS Using the National Hospital Discharge Survey database, we analyzed an estimated 2 124 388 ...

OBJECTIVES To determine the effect of long-term care (LTC) insurance on nursing home use. DESIGN Longitudinal analysis, 1998 to 2006 waves of the Health Retirement Study. SETTING Community-dwelling nationally representative sample. PARTICIPANTS Nineteen thousand one hundred seventy adults aged 50 and older, 1998 wave. METHODS Two groups of respondents were created at baseline: those wit...

BACKGROUND Currently there is no standard algorithm to identify whether a subject is residing in a nursing home from administrative claims. Our objective was to develop and validate an algorithm that identifies nursing home admissions at the resident-month level using the MarketScan Medicare Supplemental and Coordination of Benefit (COB) database. METHODS The computer algorithms for identifyi...

OBJECTIVE The importance of cognitive and physical functioning for nursing home admission among medically hospitalized older patients is rarely studied in a one-year follow-up perspective. This study aims to explore the association between patient characteristics and nursing home admission within one year after hospitalization in persons 65 years or more. DESIGN A one-year longitudinal study....