Initiation of domiciliary care and nursing home admission following first hospitalization for heart failure, stroke, chronic obstructive pulmonary disease or cancer.
<h4>Background</h4>Patients with chronic diseases are at higher risk of requiring domiciliary and nursing home care, but how different chronic diseases compare in terms of risk is not known. We examined initiation of domiciliary care and nursing home admission among patients with heart f...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2021-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0255364 |
| _version_ | 1831572904554266624 |
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| author | Rasmus Rørth Marianne F Clausen Emil L Fosbøl Ulrik M Mogensen Kristian Kragholm Pardeep S Jhund Mark C Petrie Christian Torp-Pedersen Gunnar H Gislason John J V McMurray Lars Køber Søren L Kristensen |
| author_facet | Rasmus Rørth Marianne F Clausen Emil L Fosbøl Ulrik M Mogensen Kristian Kragholm Pardeep S Jhund Mark C Petrie Christian Torp-Pedersen Gunnar H Gislason John J V McMurray Lars Køber Søren L Kristensen |
| author_sort | Rasmus Rørth |
| collection | DOAJ |
| description | <h4>Background</h4>Patients with chronic diseases are at higher risk of requiring domiciliary and nursing home care, but how different chronic diseases compare in terms of risk is not known. We examined initiation of domiciliary care and nursing home admission among patients with heart failure (HF), stroke, COPD and cancer.<h4>Methods</h4>Patients with a first-time hospitalization for HF, stroke, COPD or cancer from 2008-2016 were identified. Patients were matched on age and sex and followed for five years.<h4>Results</h4>111,144 patients, 27,786 with each disease, were identified. The median age was 69 years and two thirds of the patients were men. The 5-year risk of receiving domiciliary care was; HF 20.9%, stroke 25.2%, COPD 24.6% and cancer 19.3%. The corresponding adjusted hazard ratios (HRs), with HF patients used as reference, were: stroke 1.35[1.30-1.40]; COPD 1.29[1.25-1.34]; and cancer 1.19[1.14-1.23]. The five-year incidence of nursing home admission was 6.6% for stroke, and substantially lower in patients with HF(2.6%), COPD(2.6%) and cancer (1.5%). The adjusted HRs were (HF reference): stroke, 2.44 [2.23-2.68]; COPD 1.01 [0.91-1.13] and cancer 0.76 [0.67-0.86]. Living alone, older age, diabetes, chronic kidney disease, depression and dementia predicted a higher likelihood of both types of care.<h4>Conclusions</h4>In patients with HF, stroke, COPD or cancer 5-year risk of domiciliary care and nursing home admission, ranged from 19-25% and 1-7%, respectively. Patients with stroke had the highest rate of domiciliary care and were more than twice as likely to be admitted to a nursing home, compared to patients with the other conditions. |
| first_indexed | 2024-12-17T13:36:04Z |
| format | Article |
| id | doaj.art-6a35edecba774c5fbcc8cbcae6f393ab |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-17T13:36:04Z |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-6a35edecba774c5fbcc8cbcae6f393ab2022-12-21T21:46:26ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01168e025536410.1371/journal.pone.0255364Initiation of domiciliary care and nursing home admission following first hospitalization for heart failure, stroke, chronic obstructive pulmonary disease or cancer.Rasmus RørthMarianne F ClausenEmil L FosbølUlrik M MogensenKristian KragholmPardeep S JhundMark C PetrieChristian Torp-PedersenGunnar H GislasonJohn J V McMurrayLars KøberSøren L Kristensen<h4>Background</h4>Patients with chronic diseases are at higher risk of requiring domiciliary and nursing home care, but how different chronic diseases compare in terms of risk is not known. We examined initiation of domiciliary care and nursing home admission among patients with heart failure (HF), stroke, COPD and cancer.<h4>Methods</h4>Patients with a first-time hospitalization for HF, stroke, COPD or cancer from 2008-2016 were identified. Patients were matched on age and sex and followed for five years.<h4>Results</h4>111,144 patients, 27,786 with each disease, were identified. The median age was 69 years and two thirds of the patients were men. The 5-year risk of receiving domiciliary care was; HF 20.9%, stroke 25.2%, COPD 24.6% and cancer 19.3%. The corresponding adjusted hazard ratios (HRs), with HF patients used as reference, were: stroke 1.35[1.30-1.40]; COPD 1.29[1.25-1.34]; and cancer 1.19[1.14-1.23]. The five-year incidence of nursing home admission was 6.6% for stroke, and substantially lower in patients with HF(2.6%), COPD(2.6%) and cancer (1.5%). The adjusted HRs were (HF reference): stroke, 2.44 [2.23-2.68]; COPD 1.01 [0.91-1.13] and cancer 0.76 [0.67-0.86]. Living alone, older age, diabetes, chronic kidney disease, depression and dementia predicted a higher likelihood of both types of care.<h4>Conclusions</h4>In patients with HF, stroke, COPD or cancer 5-year risk of domiciliary care and nursing home admission, ranged from 19-25% and 1-7%, respectively. Patients with stroke had the highest rate of domiciliary care and were more than twice as likely to be admitted to a nursing home, compared to patients with the other conditions.https://doi.org/10.1371/journal.pone.0255364 |
| spellingShingle | Rasmus Rørth Marianne F Clausen Emil L Fosbøl Ulrik M Mogensen Kristian Kragholm Pardeep S Jhund Mark C Petrie Christian Torp-Pedersen Gunnar H Gislason John J V McMurray Lars Køber Søren L Kristensen Initiation of domiciliary care and nursing home admission following first hospitalization for heart failure, stroke, chronic obstructive pulmonary disease or cancer. PLoS ONE |
| title | Initiation of domiciliary care and nursing home admission following first hospitalization for heart failure, stroke, chronic obstructive pulmonary disease or cancer. |
| title_full | Initiation of domiciliary care and nursing home admission following first hospitalization for heart failure, stroke, chronic obstructive pulmonary disease or cancer. |
| title_fullStr | Initiation of domiciliary care and nursing home admission following first hospitalization for heart failure, stroke, chronic obstructive pulmonary disease or cancer. |
| title_full_unstemmed | Initiation of domiciliary care and nursing home admission following first hospitalization for heart failure, stroke, chronic obstructive pulmonary disease or cancer. |
| title_short | Initiation of domiciliary care and nursing home admission following first hospitalization for heart failure, stroke, chronic obstructive pulmonary disease or cancer. |
| title_sort | initiation of domiciliary care and nursing home admission following first hospitalization for heart failure stroke chronic obstructive pulmonary disease or cancer |
| url | https://doi.org/10.1371/journal.pone.0255364 |
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