Evidence map›Paper›PMID 38570768›Full record

ArticleBMC geriatrics2024

Profiling chronic diseases and hospitalizations in older home care recipients: a nationwide cohort study in Sweden.

Katharina Schmidt-Mende, Cecilia Arvinge, Giovanni Cioffi, Lars Lennart Gustafsson, Karin Modig, Anna Carina Meyer

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. 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

6 authors at 2 institutions in 1 country.

Katharina Schmidt-MendeAcademic Primary Health Care Centre, Region Stockholm, Stockholm, Sweden. katharina.schmidt-mende@ki.se.ORCID http://orcid.org/0000-0003-0446-8930
Cecilia ArvingeTorsvik Primary Health Care Centre, Region Stockholm, Lidingö, Sweden.
Giovanni CioffiInstitute of Environmental Medicine, Unit of Epidemiology, Karolinska Institutet, Stockholm, Sweden.
Lars Lennart GustafssonDepartment of Laboratory Medicine, Division of Clinical Pharmacology, Karolinska Institutet, Huddinge, Sweden.ORCID http://orcid.org/0000-0002-0063-552X
Karin ModigInstitute of Environmental Medicine, Unit of Epidemiology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-5151-4867
Anna Carina MeyerInstitute of Environmental Medicine, Unit of Epidemiology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-2749-7179
Karolinska Institutet · SEStockholm Health Care Services · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder adults with home care (HC) often have complex disease patterns and use healthcare extensively. Increased understanding is necessary to tailor their care. To our knowledge, this is the first study to describe patterns of morbidity and hospitalizations among community-dwelling older HC recipients nationwide and in subgroups defined by age, sex, and amount of HC, and to compare patterns to community-dwelling older adults without HC.

methodsNationwide register-based cohort study in community-dwelling adults aged 70 and older receiving publicly funded HC in Sweden on January 1st 2019 and an age-and-sex matched comparison group ("non-HC recipients"). Using register data from inpatient and specialized outpatient care, we assessed the prevalence of sixty chronic diseases, frailty, multimorbidity and hospitalizations, calculated incidence rates and explored reasons for hospitalizations during two years of follow-up.

resultsWe identified 138,113 HC recipients (mean age 85, 66% women, 57% ≥5 chronic diseases). The most prevalent diseases were hypertension (55%) and eye conditions (48%). Compared to non-HC recipients, HC recipients had a higher prevalence of almost all diseases, with an overrepresentation of neurological (26.1 vs. 9.5%) disease and dementia (9.3 vs. 1.5%). 61% of HC recipients were hospitalized at least once during two years, which was 1.6 times as often as non-HC recipients. One third of HC recipients´ hospitalizations (37.4%) were due to injuries, infections, and heart failure. Hospitalizations for chronic obstructive pulmonary disease, confusion, infections, and breathing difficulties were 3-5 times higher among HC recipients compared to non-HC recipients.

conclusionCompared to non-HC recipients, HC recipients more often live alone, have higher degrees of frailty, suffer from more chronic diseases, especially neurological disease, and are hospitalized almost twice as often. The results provide a thorough description of HC recipients, which might be useful for targeted healthcare interventions including closer collaboration between primary care, neurologists, and rehabilitation.

Indexed as

FrailtyHome Care ServicesAgedAged, 80 and overChronic DiseaseCohort StudiesFemaleHospitalizationHumansMaleSwedenAgedHome careHospitalizationMultimorbidityPrimary health care

Identifiers

PMID38570768
PMCPMC10993481
OpenAlexW4393895139

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.