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Acute hospital admission for nursing home residents without cognitive impairment with a diagnosis of cancer
Author(s) -
Drageset J.,
Eide G.E.,
Harrington C.,
Ranhoff A.H.
Publication year - 2015
Publication title -
european journal of cancer care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.849
H-Index - 67
eISSN - 1365-2354
pISSN - 0961-5423
DOI - 10.1111/ecc.12205
Subject(s) - medicine , medical record , odds ratio , dementia , cancer , hospital admission , family medicine , odds , clinical dementia rating , social support , gerontology , cognitive impairment , logistic regression , cognition , psychiatry , disease , psychology , psychotherapist
Studies of hospitalisation of cognitively intact nursing home ( NH ) residents with cancer are scarce. Knowledge about associations between socio‐demographic, medical and social support variables and hospital admissions aids in preventing unnecessary admissions. This is part of a prospective study from 2004 to 2005 with follow‐up to 2010 for admission rates. We studied whether residents with cancer have more admissions and whether socio‐demographic and medical variables and social support subdimensions are associated with admission among cognitively intact NH residents with ( n = 60) and without ( n = 167) cancer aged ≥65 years scoring ≤0.5 on the C linical D ementia R ating S cale and residing ≥6 months. We measured social support by face‐to‐face interview. We identified all respondents through NH medical records for hospital admission, linking their identification numbers to the hospital record system to register all admissions. We examined whether socio‐demographic and medical variables (medical records) and social support subscales were associated with the time between inclusion and first admission. Residents with cancer had more admissions (25/60) than those without (53/167) (odds ratio 1.7). Social integration was correlated with admission ( P = 0.04) regardless of cancer diagnosis. Residents with cancer had more hospital admissions than those without. Higher social integration gave more admissions independent of cancer diagnosis.