Evidence map›Paper›PMID 20738438›Full record

ArticleJournal of the American Geriatrics Society2010

Length of stay for older adults residing in nursing homes at the end of life.

Anne Kelly, Jessamyn Conell-Price, Kenneth Covinsky, Irena Stijacic Cenzer, Anna Chang, W John Boscardin, Alexander K Smith

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04755374 (Clinical Characteristics and Discharge Assessment of Patients in a Recent Founded Palliative Care Unit), which is not on this map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04755374 completednot on this mapstarted 2021, after this paper: background citation

Clinical Characteristics and Discharge Assessment of Patients in a Recent Founded Palliative Care Unit

TypeobservationalSponsorDiskapi Yildirim Beyazit Education and Research HospitalRan2021 to 2021Enrolled103ConditionsCritical IllnessArmsDischarged ≤ 21 days, Prolonged discharge
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Medical and work loss costs of violence, self-harm, unintentional and traumatic brain injuries per injured person in the USA.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025
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  12. WISQARS Cost of Injury for public health research and practice.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2023
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  20. Revisiting the Role of Gender and Marital Status as Risk Factors for Nursing Home Entry.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anne KellyVeterans Affairs Medical Center, San Francisco, California, USA.
Jessamyn Conell-Price
Kenneth Covinsky
Irena Stijacic Cenzer
Anna Chang
W John Boscardin
Alexander K Smith

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Depressive Symptoms, Aging, Disability and Health OutcomesR01AG028481 · NIA · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI COVINSKY, KENNETH E. · 2007 to 2009
$1.2M
NCRR NIH HHS UL1 RR024131NIA NIH HHS R01 AG028481NIA NIH HHS R01AG028481
6 · The paper itself

Abstract

objectivesTo describe lengths of stay of nursing home decedents.

designRetrospective cohort study.

settingThe Health and Retirement Study (HRS), a nationally representative survey of U.S. adults aged 50 and older.

participantsOne thousand eight hundred seventeen nursing home residents who died between 1992 and 2006. MEASUREMENTS: The primary outcome was length of stay, defined as the number of months between nursing home admission and date of death. Covariates were demographic, social, and clinical factors drawn from the HRS interview conducted closest to the date of nursing home admission.

resultsThe mean age of decedents was 83.3 ± 9.0; 59.1% were female, and 81.5% were white. Median and mean length of stay before death were 5 months (interquartile range 1-20) and 13.7 ± 18.4 months, respectively. Fifty-three percent died within 6 months of placement. Large differences in median length of stay were observed according to sex (men, 3 months vs women, 8 months) and net worth (highest quartile, 3 months vs lowest quartile, 9 months) (all P <.001). These differences persisted after adjustment for age, sex, marital status, net worth, geographic region, and diagnosed chronic conditions (cancer, hypertension, diabetes mellitus, lung disease, heart disease, and stroke).

conclusionNursing home lengths of stay are brief for the majority of decedents. Lengths of stay varied markedly according to factors related to social support.

Indexed as

Advance Care PlanningNursing HomesAgedAged, 80 and overFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedPalliative CareRetrospective StudiesUnited States

Identifiers

PMID20738438
PMCPMC2945440

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.