ArticleSocial psychiatry and psychiatric epidemiology2018
Mortality and hospitalization at the end of life in newly admitted nursing home residents with and without dementia.
Article in Social psychiatry and psychiatric epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Hospitalizations of nursing home residents at the end of life: A systematic review.Palliative medicine · 2019Pooled it
- Hospitalization at the end of life among nursing home residents with dementia: a systematic review.BMC palliative care · 2019Pooled it
- Experiences and involvement of family members in transfer decisions from nursing home to hospital: a systematic review of qualitative research.BMC geriatrics · 2019Pooled it
- BABEL (Better tArgeting, Better outcomes for frail ELderly patients) advance care planning: a comprehensive approach to advance care planning in nursing homes: a cluster randomised trial.Age and ageing · 2022Trial
- [Health status of older people in long-term inpatient care-a narrative review].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Review
- 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
- Care Trajectories for a Cohort of First-Time Nursing Home Admissions: A 5-Year Longitudinal Study in Minnesota.Journal of the American Medical Directors Association · 2025Article
- Association of Clinical Indicators of Acute Deterioration and Morbidity and Mortality in the Residential Aged Care Population: A Retrospective Cohort Study of Routinely Collected Health Data.Journal of evaluation in clinical practice · 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
- Hospitalizations of the older adults with and without dementia during the last two years of life: the impact of comorbidity and changes from 2002 to 2017.Aging clinical and experimental research · 2025Article
- Utilization and quality of primary and specialized palliative homecare in nursing home residents vs. community dwellers: a claims data analysis.BMC palliative care · 2025Article
- Specialised palliative care in nursing homes - Retrospective analysis on the basis of claims data.PloS one · 2025Article
- Mortality in Newly Admitted Nursing Home Older Adults with Dementia in France: A Post Hoc Analysis from an Observational Study in the Bordeaux Region.Geriatrics (Basel, Switzerland) · 2024Article
- Article
- Emergency physicians' and nurses' perception on the adequacy of emergency calls for nursing home residents: a non-interventional prospective study.Frontiers in medicine · 2024Article
- Mortality rate and its determinants among people with dementia receiving home healthcare: a nationwide cohort study.Internal and emergency medicine · 2023Article
- Implementation, barriers, and recommendations for further development of advance care planning for the last phase of life in nursing homes in Germany (Gut-Leben): protocol for a mixed-methods study.BMC palliative care · 2023Article
- Patterns of long-term care utilization during the last five years of life among Swedish older adults with and without dementia.PloS one · 2023Article
- Live and let live: Residents' perspectives on alcohol and tobacco (mis)use in residential care facilities.International journal of older people nursing · 2023Article
- End of life care in UK care homes during the COVID-19 pandemic: a qualitative study.BMC palliative care · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe proportion of deaths occurring in nursing homes is increasing and end of life hospitalizations in residents are common. This study aimed to obtain the time from nursing home admission to death and the frequency of hospitalizations prior to death among residents with and without dementia.
methodsThis retrospective cohort study analyzed claims data of 127,227 nursing home residents aged 65 years and older newly admitted to a nursing home between 2010 and 2014. We analyzed hospitalizations during the last year of life and assessed mortality rates per 100 person-years. Factors potentially associated with time to death were analyzed in Cox proportional hazard models.
resultsThe median time from nursing home admission to death was 777 and 635 days in residents with and without dementia, respectively. Being male, older age and a higher level of care decreased the survival time. Sex and age had a higher influence on survival time in residents with dementia, whereas level of care was found to have a higher influence in residents without dementia. Half of the residents of both groups were hospitalized during the last month and about 37% during the last week before death. Leading causes of hospitalizations were infections (with dementia: 20.6% vs. without dementia: 17.2%) and cardiovascular diseases (with dementia: 16.6% vs. without dementia: 19.0%).
conclusionsA high proportion of residents with and without dementia are hospitalized shortly before death. There should be an open debate about the appropriateness of hospitalizing nursing home residents especially those with dementia near death.
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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.