ArticleBMC health services research2017
Influence of age and sex on hospitalization of nursing home residents: A cross-sectional study from Germany.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers.
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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.
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.
Optimized Acute Care for Geriatric Patients Using an Intersectoral Telemedical Cooperation Network - Around the Clock - Technical Performance
Optimized Acute Care for Geriatric Patients Using an Intersectoral Telemedical Cooperation Network - Around the Clock
Who cites it
12 citing papers in PubMed.
- Trial
- Cluster randomised trial of a complex interprofessional intervention (interprof ACT) to reduce hospital admission of nursing home residents.Age and ageing · 2023Trial
- Modification of Hospitalization Risk by Gender and Dementia Status Between the Ages of 85 and 95 in a German Cohort Based on Health Claims Data.BMC health services research · 2026Article
- Evaluation of emergency medical responses to nursing homes in a local area of Germany.BMC emergency medicine · 2025Article
- Hospitalizations, emergency medical care utilization, and contacts with the regional on-call medical services among nursing home residents in Germany: a cross-sectional study in 44 nursing homes.BMC health services research · 2025Article
- Predictors of care home resident conveyance to hospital or referral to community pathways by a regional ambulance service attending medical emergencies: a retrospective cross sectional study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Differences in emergency department visits and hospitalization between German and Dutch nursing home residents: a cross-national survey.European geriatric medicine · 2024Article
- Cost-benefit analysis of the CoCare intervention to improve medical care in long-term care nursing homes: an analysis based on claims data.The European journal of health economics : HEPAC : health economics in prevention and care · 2023Article
- Article
- Article
- Functional status and annual hospitalization in multimorbid and non-multimorbid older adults: a cross-sectional study in Southern China.Health and quality of life outcomes · 2018Article
- Accumulated cognitive impairment, frailty, burden, and perceived stress and the risk of hospitalization and mortality in older caregivers.Dementia & neuropsychologiaArticle
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2 authors.
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Abstract
backgroundNursing homes residents (NHR) are frequently transferred to hospitals. There is some evidence that male NHR are more often hospitalized than females, but the influence of age is less clear and predictors might differ between sexes. Analyses according to age groups between males and females have only been investigated once and none of the existing studies have conducted multivariate analyses stratified by sex. Aim of this study was to fill this gap.
methodsWe used data of the "Inappropriate Medication in patients with REnal insufficiency in Nursing homes" (IMREN) study, which was conducted between October 2014 and April 2015 in nursing homes in northwestern Germany (Bremen and Lower Saxony). Anonymised data was obtained by nursing staff of the participating nursing homes. All residents living in the participating care units were included. We assessed whether they were hospitalized at least once during the preceding 12 months. Cluster-adjusted multivariate logistic regression was applied to identify variables associated with hospitalizations. All analyses were stratified by sex.
resultsOf 852 residents from 21 nursing homes (mean age 83.5 years; 76.5% females), 43.1% (95% confidence intervals [95% CI]: 35.6-50.5) were hospitalized at least once during the preceding 12 months. This proportion was higher in residents institutionalized within the last 6 months compared to those with a longer length of stay (65.7% vs. 39.5%). Although not statistically significant, males were more often hospitalized than females (52.4% vs. 40.3%) and differences between sexes are particularly remarkable for age, health status and length of stay. In females, the chance of being hospitalized decreased steadily with age (OR: 2.40 [95% CI: 1.24-4.64] and 1.60 [95% CI: 1.05-2.43] for age groups <75 and 75-84 years compared to 85+ years). On the other hand, males aged 75-84 years had a statistically significant lower chance compared to 85+ years olds (OR: 0.41; 95% CI: 0.19-0.90).
conclusionsDifferences in factors associated with hospitalizations might exist between sexes. We strongly suggest that further studies on hospitalizations of NHR should stratify their analyses by sex.
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