期刊
AGE AND AGEING
卷 38, 期 6, 页码 711-717出版社
OXFORD UNIV PRESS
DOI: 10.1093/ageing/afp173
关键词
residential facilities; mortality; aged; longitudinal studies; elderly
资金
- Research and Development Office of the Northern Ireland Health and Social Services Central Services Agency
- Economic and Social Research Council [ES/G007438/1] Funding Source: researchfish
- Public Health Agency [EAT/3444/06] Funding Source: researchfish
- ESRC [ES/G007438/1] Funding Source: UKRI
Objective: to quantify mortality rates across the care home population of Northern Ireland, and assess variation by type of care home and resident characteristics. Design: a prospective, Census-based cohort study, with 5-year follow-up. Participants: all 9,072 residents of care homes for people aged 65 and over at the time of the 2001 census with a special emphasis on the 2,112 residents admitted during the year preceding census day. Measurements: age, sex, self-reported health, marital status, residence (not in care home, residential home, dual registered home, nursing home), elderly mentally infirm care provision. Results: the median survival among nursing home residents was 2.33 years (95% CI 2.25-2.59), for dual registered homes 2.75 (95% CI 2.42-3.17) and for residential homes 4.51 (95% CI 3.92-4.92) years. Age, sex and self-reported health showed weaker associations in the sicker populations in nursing homes compared to those in residential care or among the non-institutionalised. Conclusions: the high mortality in care homes indicates that places in care homes are reserved for the most severely ill and dependent. Death rates may not be an appropriate care quality measure for this population, but may serve as a useful adjunct for clinical staff and the planning of care home provision.
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