Comparison of mortality and hospitalizations of older adults living in residential care facilities versus nursing homes or the community. A systematic review.
Residential care facility may provide a transition between living at home and a nursing home for dependent older people or an alternative to nursing homes. The objective of this review was to compare mortality and hospitalizations of older adults living in residential care facilities with those livi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2023-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0286527 |
| _version_ | 1797810998432759808 |
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| author | Denis Boucaud-Maitre Luc Letenneur Moustapha Dramé Nadine Taubé-Teguo Jean-François Dartigues Hélène Amieva Maturin Tabué-Teguo |
| author_facet | Denis Boucaud-Maitre Luc Letenneur Moustapha Dramé Nadine Taubé-Teguo Jean-François Dartigues Hélène Amieva Maturin Tabué-Teguo |
| author_sort | Denis Boucaud-Maitre |
| collection | DOAJ |
| description | Residential care facility may provide a transition between living at home and a nursing home for dependent older people or an alternative to nursing homes. The objective of this review was to compare mortality and hospitalizations of older adults living in residential care facilities with those living in nursing homes or in the community. We searched Medline, Scopus and Web of Science from inception to December 2022. Fifteen cohort studies with 6 months to 10 years of follow-up were included. The unadjusted relative risk (RR) of mortality was superior in nursing homes than in residential care facilities in 6 of 7 studies (from 1.3 to 1.68). Conversely, the unadjusted relative risk of hospitalizations was higher in residential care facilities in 6 studies (from 1.3 to 3.37). Studies conducted on persons with dementia found mixed results, the only study adjusted for co-morbidities observing no difference on these two endpoints. Compared with home, unadjusted relative risks were higher in residential care facilities for mortality in 4 studies (from 1.34 à 10.1) and hospitalizations in 3 studies (from 1.12 to 1.62). Conversely, the only study that followed older adults initially living at home over a 10-year period found a reduced risk of heavy hospital use (RR = 0.68) for those who temporarily resided in a residential care facilities. There is insufficient evidence to determine whether residential care facilities might be an alternative to nursing homes for older people with similar clinical characteristics (co-morbidities and dementia). Nevertheless, given the high rate of hospitalizations observed in residential care facilities, the medical needs of residents should be better explored. |
| first_indexed | 2024-03-13T07:16:05Z |
| format | Article |
| id | doaj.art-7ea4404cf3504634aaae3cd71e0523d3 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-03-13T07:16:05Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-7ea4404cf3504634aaae3cd71e0523d32023-06-05T05:32:11ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01185e028652710.1371/journal.pone.0286527Comparison of mortality and hospitalizations of older adults living in residential care facilities versus nursing homes or the community. A systematic review.Denis Boucaud-MaitreLuc LetenneurMoustapha DraméNadine Taubé-TeguoJean-François DartiguesHélène AmievaMaturin Tabué-TeguoResidential care facility may provide a transition between living at home and a nursing home for dependent older people or an alternative to nursing homes. The objective of this review was to compare mortality and hospitalizations of older adults living in residential care facilities with those living in nursing homes or in the community. We searched Medline, Scopus and Web of Science from inception to December 2022. Fifteen cohort studies with 6 months to 10 years of follow-up were included. The unadjusted relative risk (RR) of mortality was superior in nursing homes than in residential care facilities in 6 of 7 studies (from 1.3 to 1.68). Conversely, the unadjusted relative risk of hospitalizations was higher in residential care facilities in 6 studies (from 1.3 to 3.37). Studies conducted on persons with dementia found mixed results, the only study adjusted for co-morbidities observing no difference on these two endpoints. Compared with home, unadjusted relative risks were higher in residential care facilities for mortality in 4 studies (from 1.34 à 10.1) and hospitalizations in 3 studies (from 1.12 to 1.62). Conversely, the only study that followed older adults initially living at home over a 10-year period found a reduced risk of heavy hospital use (RR = 0.68) for those who temporarily resided in a residential care facilities. There is insufficient evidence to determine whether residential care facilities might be an alternative to nursing homes for older people with similar clinical characteristics (co-morbidities and dementia). Nevertheless, given the high rate of hospitalizations observed in residential care facilities, the medical needs of residents should be better explored.https://doi.org/10.1371/journal.pone.0286527 |
| spellingShingle | Denis Boucaud-Maitre Luc Letenneur Moustapha Dramé Nadine Taubé-Teguo Jean-François Dartigues Hélène Amieva Maturin Tabué-Teguo Comparison of mortality and hospitalizations of older adults living in residential care facilities versus nursing homes or the community. A systematic review. PLoS ONE |
| title | Comparison of mortality and hospitalizations of older adults living in residential care facilities versus nursing homes or the community. A systematic review. |
| title_full | Comparison of mortality and hospitalizations of older adults living in residential care facilities versus nursing homes or the community. A systematic review. |
| title_fullStr | Comparison of mortality and hospitalizations of older adults living in residential care facilities versus nursing homes or the community. A systematic review. |
| title_full_unstemmed | Comparison of mortality and hospitalizations of older adults living in residential care facilities versus nursing homes or the community. A systematic review. |
| title_short | Comparison of mortality and hospitalizations of older adults living in residential care facilities versus nursing homes or the community. A systematic review. |
| title_sort | comparison of mortality and hospitalizations of older adults living in residential care facilities versus nursing homes or the community a systematic review |
| url | https://doi.org/10.1371/journal.pone.0286527 |
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