Length of stay for older adults residing in nursing homes at the end of life.

TitleLength of stay for older adults residing in nursing homes at the end of life.
Publication TypeJournal Article
Year of Publication2010
AuthorsKelly, A, Conell-Price, J, Covinsky, KE, Cenzer, IStijacic, Chang, A, W Boscardin, J, Smith, AK
JournalJ Am Geriatr Soc
Volume58
Issue9
Pagination1701-6
Date Published2010 Sep
ISSN Number1532-5415
Call Numbernewpubs20101012_Kelley.pdf
KeywordsAdvance care planning, Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Length of Stay, Male, Middle Aged, Nursing homes, Palliative care, Retrospective Studies, United States
Abstract

OBJECTIVES: To describe lengths of stay of nursing home decedents.

DESIGN: Retrospective cohort study.

SETTING: The Health and Retirement Study (HRS), a nationally representative survey of U.S. adults aged 50 and older.

PARTICIPANTS: One thousand eight hundred seventeen nursing home residents who died between 1992 and 2006.

MEASUREMENTS: The primary outcome was length of stay, defined as the number of months between nursing home admission and date of death. Covariates were demographic, social, and clinical factors drawn from the HRS interview conducted closest to the date of nursing home admission.

RESULTS: The mean age of decedents was 83.3 ± 9.0; 59.1% were female, and 81.5% were white. Median and mean length of stay before death were 5 months (interquartile range 1-20) and 13.7 ± 18.4 months, respectively. Fifty-three percent died within 6 months of placement. Large differences in median length of stay were observed according to sex (men, 3 months vs women, 8 months) and net worth (highest quartile, 3 months vs lowest quartile, 9 months) (all P <.001). These differences persisted after adjustment for age, sex, marital status, net worth, geographic region, and diagnosed chronic conditions (cancer, hypertension, diabetes mellitus, lung disease, heart disease, and stroke).

CONCLUSION: Nursing home lengths of stay are brief for the majority of decedents. Lengths of stay varied markedly according to factors related to social support.

DOI10.1111/j.1532-5415.2010.03005.x
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/20738438?dopt=Abstract

Endnote Keywords

nursing Homes/MORTALITY/death/health outcomes

Endnote ID

23590

Alternate JournalJ Am Geriatr Soc
Citation Key7499
PubMed ID20738438
PubMed Central IDPMC2945440
Grant ListR01 AG028481-02S1 / AG / NIA NIH HHS / United States
UL1 RR024131 / RR / NCRR NIH HHS / United States
R01AG028481 / AG / NIA NIH HHS / United States
R01 AG028481 / AG / NIA NIH HHS / United States
UL1 RR024131-04 / RR / NCRR NIH HHS / United States