Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Health and survival in Icelandic nursing homes 2003-2014, before and after the setting of stricter criteria for nursing home admission in December 2007
Univ Iceland, Fac Nursing, Reykjavik, Iceland;Natl Univ Hosp Reykjavik, Emergency Geriatr Rehabil Serv, Reykjavik, Iceland.
Univ Akureyri, Sch Humanities & Social Sci, Akureyri, Iceland.
Akureyri Hosp, Dept Educ & Sci, Akureyri, Iceland;Akureyri Hosp, Dept Rehabil, Akureyri, Iceland.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Lung- allergy- and sleep research. Akureyri Hosp, Dept Educ & Sci, Akureyri, Iceland;Uppsala Univ, Fac Med, Resp Allergy & Sleep Res, Uppsala, Sweden.
2019 (English)In: Laeknabladid: The icelandic medical journal, ISSN 0023-7213, E-ISSN 1670-4959, Vol. 105, no 10, p. 435-441Article in journal (Refereed) Published
Abstract [en]

Introduction: Many factors influence the nursing needs and survival of nursing home residents, including the admission criteria. The aim of the study was to compare health, survival and predictors for one- and two-year survival of people entering Icelandic nursing homes between 2003-2007 and 2008-2014. Material and methods: Retrospective, descriptive, comparative study. The data was obtained from a Directorate of Health database for all interRAI assessments of Icelandic nursing homes from January 1, 2003, to December 31, 2014 (N = 8487). Results: There was a significant difference in the health and survival of new nursing home residents before and after December 31, 2007. In the latter period, the mean age was 82.7 years. In the previous period, it was 82.1 years, and the prevalence of Alzheimer's disease, ischemic heart disease, heart failure, diabetes and COPD increased between the periods. One-year survival decreased from 73.4% to 66.5%, and two-year survival decreased from 56.9% to 49.1%. The strongest mortality risk factors were heart failure and chronic obstructive pulmonary disease, as well as high scores on the CHESS scale and ADL long scale. Conclusion: After 2007, new residents were older, in poorer health, and their life expectancy was shorter than for those moving to nursing homes before that. The results suggest that the aim of the regulatory change was achieved, i.e., to prioritise those in worst health. Their care needs may therefore be different and greater than before.

Place, publisher, year, edition, pages
LAEKNAFELAG ISLANDS-ICELANDIC MEDICAL ASSOC , 2019. Vol. 105, no 10, p. 435-441
Keywords [en]
Geriatrics, Minimum Data Set, nursing homes, old people, elderly people, survival
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-397307DOI: 10.17992/lbl.2019.10.251ISI: 000493326600005PubMedID: 31571606OAI: oai:DiVA.org:uu-397307DiVA, id: diva2:1371339
Available from: 2019-11-19 Created: 2019-11-19 Last updated: 2019-11-19Bibliographically approved

Open Access in DiVA

fulltext(403 kB)7 downloads
File information
File name FULLTEXT01.pdfFile size 403 kBChecksum SHA-512
c71bedfc2383565b1f5bba61ac0bdbe1d77caa0f44a1c70058795a5dfd330e5931a0283c558d6fbe4a84f9a061b60e2ac47e07dff997642bc43726b74a277c92
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Arnardottir, Harpa
By organisation
Lung- allergy- and sleep research
In the same journal
Laeknabladid: The icelandic medical journal
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 7 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 9 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf