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Survival of patients discharged to long term care

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Show simple item record Cunningham, C.J. Walsh, J.B. Coakley, D. Walsh, Cathal Dominic Connolly, C. Murphy, M. Murphy, C. 2016-03-01T16:59:24Z 2016-03-01T16:59:24Z 2008
dc.description peer-reviewed en_US
dc.description.abstract Data on the life expectancy of elderly people in long term care facilities will be important for effective service planning and monitoring quality of care. To date there are no such data from an Irish perspective. A random sample of patients discharged to long term care between Jan 1st 1997 and December 31st 2003 from a single Dublin hospital was studied. Death by January 1st 2005 was ascertained through the register of births deaths and marriage. Median survival was calculated and factors associated with mortality were determined in a logistic regression. Mean (sd) age was 82 (11) years and 61 (29%) were female. Median survival was 30.3 (95%CI 22.4-45.0) months (mean Irish life expectancy at this age is about 78 months). Three factors were independently associated with death by 2 years: age (Odds ratio 1.11 [95%CI 1.05-1.17, F ratio 15.1, p=0.0001] per year), male gender (Odds ratio 1.52 [95%CI 1.05-3.68, F ratio 5.2, p=0.024]) and discharge to continuing care (Odds ratio 1.96 [1.05-3.68, F ratio 4.4, p=0.037]). These results (which are the first such Irish data) show that patients discharged to long term care are a frail group with a reduced life expectancy. Encouragingly survival for this cohort (25% at 1 year) was similar to that seen in other countries. Data on nursing home survival will allow more accurate planning of long term residential services and help monitor quality of care. en_US
dc.language.iso eng en_US
dc.publisher Irish Medical Organisation en_US
dc.relation.ispartofseries Irish Medical Journal;101 (10), pp 305-7
dc.subject patients en_US
dc.subject long term care en_US
dc.subject survival en_US
dc.subject nursing home en_US
dc.title Survival of patients discharged to long term care en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US 2016-03-01T16:53:23Z
dc.description.version PUBLISHED
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 1630536
dc.internal.copyrightchecked Yes
dc.description.status peer-reviewed

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