Hospitalization Rates of Nursing Home Residents and Community-Dwelling Seniors in British Columbia

Abstract

The overall use of acute care services by nursing home (NH) residents in Canada has not been well documented. Our objectives were to identify the major causes of hospitalization among NH facility residents and to compare rates to those of community-dwelling seniors. A retrospective cohort was defined using population-level health administrative data, including all individuals aged 65 years and older living in a British Columbia NH facility between April 1996 and March 1999. Hospitalization rates of NH residents were compared to estimated rates for community-dwelling seniors, using age- and sex-adjusted standardized incidence ratios (SIRs): SIR = 2.81 (95%CI: 2.71, 2.91) for femoral fractures, 1.96 (1.88, 2.04) for pneumonia, 0.73 (0.70, 0.76) for other heart disease, and 1.01 (0.99, 1.02) for all causes. NH residents have disproportionately higher rates of hospitalization for femoral fractures and pneumonia, with NH residents accounting for approximately one quarter of all femoral fracture hospitalizations of BC seniors.

Rehabilitation in Patients with Dementia Following Hip Fracture: A Systematic Review

“…10 Since up to 25% of hip fractures are reported to occur in continuing care facilities, this group represents a substantial proportion of the hip-fracture population. 11,12 Further, people with moderate to severe dementia have been reported to have poor mobility and discharge outcomes following hip fracture. 13 They have also been reported to have shorter hospital stays and to receive less rehabilitation, and specifically less physical therapy (PT).…”

Recommandations en vue de la prévention des fractures dans les établissements de soins de longue durée

“…Cependant, le taux de fractures des adultes vivant dans un établissement de soins de longue durée (résidents) est de deux à quatre fois plus élevé que celui des adultes d'âge semblable vivant dans la communauté, et le tiers des aînés qui subissent une fracture de la hanche vivent dans un établissement de soins de longue durée 2 . Les fractures de la hanche sont l'une des conséquences les plus graves de l'ostéoporose et l'une des principales causes d'admission à l'hôpital 3 . Les résidents qui retournent à leur établissement de soins de longue durée après un séjour à l'hôpital ont besoin d'un plus grand nombre d'heures de soins spécialisés 4,5 .…”

Exploring the Nurse Practitioner Role in Managing Fractures in Long-Term Care

“…The estimated prevalence of hip fracture in LTC is approximately 20%, and is even higher as residents approach age 90 or older (Kanis et al, 2004;Maggio et al, 2001). Hip fractures are one of the leading causes of hospitalization for LTC residents and occur at a higher rate than in the community (Ronald, McGregor, McGrail, Tate, & Broemling, 2008), and the consequent pain and delirium are distressing for both the residents and their families. Residents who suffer a fracture will require more specialized and more hours of care when they return to LTC.…”