Evidence map›Paper›PMID 39966361›Full record

ArticleNature communications2025

Impact of household size and co-resident multimorbidity on unplanned hospitalisation and transition to care home.

Clare MacRae, Stewart W Mercer, Eleojo Abubakar, Andrew Lawson, Nazir Lone, Anna Rawlings, Jane Lyons, Ronan A Lyons, Amy Mizen, Rich Fry and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2025. 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

16 authors.

Clare MacRaeAdvanced Care Research Centre, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 5 Little France Rd, Edinburgh, EH16 4UX, UK. clare.macrae@ed.ac.uk.ORCID http://orcid.org/0000-0002-1007-683X
Stewart W MercerAdvanced Care Research Centre, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 5 Little France Rd, Edinburgh, EH16 4UX, UK.
Eleojo AbubakarSchool of Social and Political Science, University of Edinburgh, Chrystal Macmillan Building, Edinburgh, UK.
Andrew LawsonUsher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, 5 Little France Rd, Edinburgh, EH16 4UX, UK.ORCID http://orcid.org/0000-0002-8751-4551
Nazir LoneAdvanced Care Research Centre, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 5 Little France Rd, Edinburgh, EH16 4UX, UK.ORCID http://orcid.org/0000-0003-2707-2779
Anna RawlingsSwansea University Medical School, Data Science Building, Singleton Campus, Swansea, UK.
Jane LyonsSwansea University Medical School, Data Science Building, Singleton Campus, Swansea, UK.
Ronan A LyonsSwansea University Medical School, Data Science Building, Singleton Campus, Swansea, UK.ORCID http://orcid.org/0000-0001-5225-000X
Amy MizenSwansea University Medical School, Data Science Building, Singleton Campus, Swansea, UK.
Rich FrySwansea University Medical School, Data Science Building, Singleton Campus, Swansea, UK.
Gergő BaranyiCentre for Longitudinal Studies, UCL Institute of Education, University College London, London, United Kingdom.
Jamie PearceUniversity of Edinburgh Institute of Geography, Institute of Geography Edinburgh, Edinburgh, UK.
Chris DibbenUniversity of Edinburgh Institute of Geography, Institute of Geography Edinburgh, Edinburgh, UK.
Karin ModigUnit of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Rhiannon OwenSwansea University Medical School, Data Science Building, Singleton Campus, Swansea, UK.ORCID http://orcid.org/0000-0001-5977-376X
Bruce GuthrieAdvanced Care Research Centre, University of Edinburgh, Bio Cube 1, Edinburgh BioQuarter, 5 Little France Rd, Edinburgh, EH16 4UX, UK.ORCID http://orcid.org/0000-0003-4191-4880

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ability to manage ill health and care needs might be affected by who a person lives with. This study examined how the risk of unplanned hospitalisation and transition to living in a care home varied according to household size and co-resident multimorbidity. Here we show results from a cohort study using  Welsh nationwide linked healthcare and census data, that employed multilevel multistate models to account for the competing risk of death and clustering within households. The highest rates of unplanned hospitalisation and care home transition were in those living alone. Event rates were lower in all shared households and lowest when co-residents did not have multimorbidity. These differences were more substantial for care home transition. Therefore, living alone or with co-residents with multimorbidity poses additional risk for unplanned hospitalisation and care home transition beyond an individual's sociodemographic and health characteristics. Understanding the mechanisms behind these associations is necessary to inform targeted intervention strategies.

Indexed as

Family CharacteristicsHospitalizationMultimorbidityNursing HomesAdultAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle Aged

Identifiers

PMID39966361
PMCPMC11836437

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.