Acute hospital admission for nursing home residents without cognitive impairment with a diagnosis of cancer

Abstract

Studies of hospitalisation of cognitively intact nursing home (NH) residents with cancer are scarce. Knowledge about associations between socio-demographic, medical and social support variables and hospital admissions aids in preventing unnecessary admissions. This is part of a prospective study from 2004 to 2005 with follow-up to 2010 for admission rates. We studied whether residents with cancer have more admissions and whether socio-demographic and medical variables and social support subdimensions are associated with admission among cognitively intact NH residents with (n = 60) and without (n = 167) cancer aged ≥65 years scoring ≤0.5 on the Clinical Dementia Rating Scale and residing ≥6 months. We measured social support by face-to-face interview. We identified all respondents through NH medical records for hospital admission, linking their identification numbers to the hospital record system to register all admissions. We examined whether socio-demographic and medical variables (medical records) and social support subscales were associated with the time between inclusion and first admission. Residents with cancer had more admissions (25/60) than those without (53/167) (odds ratio 1.7). Social integration was correlated with admission (P = 0.04) regardless of cancer diagnosis. Residents with cancer had more hospital admissions than those without. Higher social integration gave more admissions independent of cancer diagnosis.

Prevalence of cancer and management in elderly nursing home residents. A descriptive study in 45 French nursing homes

“…Multidisciplinary management involving geriatricians would make sense in this situation, since other specialists may underestimate and misdiagnose impaired geriatric domains. In patients with diagnosed neoplasms, adoption of multidisciplinary symptom management guidelines and procedures for appropriate referral to hospital might improve the quality of care and enhance the quality of life in this population, notably in cancer-related symptoms (Dobalian, 2004;Drageset, Eide, Harrington, & Ranhoff, 2015). Needs of prospective resident ethics meetings have been reported (Bollig, Schmidt, Rosland, & Heller, 2015).…”

Better health-related quality of life (mental component summary), having a higher level of education, and being less than 75 years of age are predictors of hospital admission among cognitively intact nursing home residents: a 5-year follow-up study

“…The baseline data were obtained from a prospective cohort study that included NH residents without cognitive impairment in 30 NHs in Bergen, Norway, in 2004–2005 and with follow-up to 2010. 1 , 11 The main study investigated HRQOL among NH residents without cognitive impairment. For the purpose of this study, we collected information about hospital admissions during 5 years after inclusion.…”

“…We based the residents’ diagnoses on when the resident was discharged, the incidence of hospital admissions, in-hospital mortality, and length of stay on this information. 1 All admissions were recorded.…”

“…Many older people in residential care are hospitalized. 1 – 4 Some hospitalization, such as for hip fractures and major gastrointestinal bleeding, is unavoidable. 4 …”

Health-related quality of life among cognitively intact nursing home residents with and without cancer – a 6-year longitudinal study

“…This is comparable with figures reported in the US3 and across the European Union 4. The move to a nursing home (NH) is usually triggered by increasing frailty, loss of independence, and poor health, and residents often need assistance in completing daily tasks and personal care 5. This change of situation and loss of autonomy resulting from aging can strongly influence well-being and mental health, and this is often overlooked among residents who are otherwise cognitively healthy.…”