Evidence map›Paper›PMID 39385069›Full record

ArticleBMC geriatrics2024

Associations between diabetes and risk of short-term and long-term nursing home stays among older people receiving home care services: A nationwide registry study.

Tonje Teigland, Jannicke Igland, Marit Graue, Kjersti M Blytt, Johannes Haltbakk, Grethe S Tell, Kåre I Birkeland, Truls Østbye, Marit Kirkevold, Marjolein M Iversen

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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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Tonje TeiglandDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway. tonje.teigland@hvl.no.
Jannicke IglandDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Marit GraueDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Kjersti M BlyttDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Johannes HaltbakkDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Grethe S TellDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Kåre I BirkelandInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Truls ØstbyeDepartment of Family Medicine and Community Health, Duke University, Durham, NC, USA.
Marit KirkevoldDepartment of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
Marjolein M IversenDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder people with diabetes who live at home and receive home care services (HCS) are vulnerable, which may result in a need for more care than the HCS can provide. In this study we aimed to explore associations between pharmacologically treated diabetes and the risk of short-term and long-term nursing home stays (NHS) among older people receiving HCS.

methodsThis nationwide registry study included older people ≥ 65 years receiving HCS, as registered in the Norwegian Information System for the Nursing and Care Sector (IPLOS) (2010-2014). Data from IPLOS were merged with data from the Norwegian Prescription Database and the Norwegian Patient Registry. Pharmacologically treated diabetes (hereafter referred to as diabetes) was defined based on prescriptions of glucose-lowering drugs (GLD) (≥ 1 prescription in the current or previous year). Persons not prescribed GLD were defined as not having diabetes. Based on Anatomical Therapeutic Chemical (ATC) codes we identified the following subgroups: persons without diabetes, persons using "non-insulin GLD only", "insulin and non-insulin GLD" and "insulin only". An NHS was defined as at least one stay during a given calendar year, where a short-term NHS is temporary, and a long-term NHS is permanent. Log-binomial regression was used to test for differences in NHS and results are reported as risk ratios (RR) with 95% CIs.

resultsBoth insulin-treated subgroups had a higher risk of a short-term NHS ("insulin only" users RR 1.06 (CI 1.03-1.09) and "insulin and non-insulin GLD" users RR 1.04 (CI 1.02-1.06)) compared to those without diabetes. In general, persons with diabetes had a lower risk of a long-term NHS than those without diabetes (RR 0.92 (CI 0.89-0.94)). The subgroup using "insulin and non-insulin GLD" had the lowest risk of a long-term NHS (RR 0.86 (CI 0.81-0.91)).

conclusionDespite a lower risk of a long-term NHS among older people with diabetes, we found an increased risk of a short-term NHS among persons with insulin-treated diabetes who live at home and receive HCS. This calls for attention when planning health care, in order to provide coordinated and individualized care to prevent short-term NHS's.

Indexed as

Diabetes MellitusHome Care ServicesNursing HomesRegistriesAgedAged, 80 and overFemaleHomes for the AgedHumansHypoglycemic AgentsLong-Term CareMaleNorwayRisk FactorsTime FactorsHypoglycemic AgentsDiabetesHome care servicesNursing home stayOlder people

Identifiers

PMID39385069
PMCPMC11462714

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Registered trials

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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.