title: [Duplication of hospitalizations of nursing home residents from 2007 to 2009--a retrospective analysis].
abstract: OBJECTIVE
  To demonstrate why the number of hospitalizations of nursing home residents has doubled although several studies have established that hospitalizations do not diminish their mortality rate.
  
  
  METHODS
  Retrospective analysis of medical databasis from 815 patients of the eight nursing homes of Zürich, thereof 180 were hospitalized in 2007, 234 in 2008 and 401 in 2009. The reasons for a hospitalization have been classified in nine categories.
  
  
  RESULTS
  The category "fall with fractures" with a proportion of 29% contributes most to the augmentation of hospitalizations, followed by the categories "ambiguous condition" with 24% and "improving quality of life" with 17%. Hospitalizations for the sustained optimization of quality of life explain 62% of the increased hospitalization rate.
  
  
  CONCLUSIONS
  Nursing home residents are not hospitalized to keep them longer alive, but to optimize their quality of life.
authors: Stadtärztlicher Dienst Zürich.
authors: E
authors: E
authors: Croce
authors: A
authors: A
authors: Wettstein
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D015984:Causality; D003430:Cross-Sectional Studies; D004630:Emergencies / Q000453:epidemiology; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology; D016330:Frail Elderly / Q000706:statistics & numerical data*; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000706:statistics & numerical data* / Q000639:trends; D006801:Humans; D008017:Life Expectancy; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data*; D011788:Quality of Life; D012189:Retrospective Studies; D013557:Switzerland; D014600:Utilization Review