title: [Morbidity differences according to nursing stage and nursing setting in long-term care patients: Results of a claims data based study].
abstract: BACKGROUND
  We analyzed the differences in morbidity patterns of chronic diseases between long-term care dependent persons in nursing homes compared to those dwelling in the community. We also investigated morbidity differences between long-term care need stages in Germany.
  
  
  METHODS
  The study included claims data of one nationwide operating statutory health insurance in 2006. Inclusion criteria were age ≥ 65 years, minimum 1 out of 46 diagnoses in at least 3 quarters of the year (n = 8,670). A comparison population was formed with n = 114,962. Prevalences, relative risks, and odds ratios for the risk of nursing home care were calculated.
  
  
  RESULTS
  In the bivariate analysis, only three chronic diseases - dementia, urinary incontinence, and chronic heart failure - showed a higher risk for nursing home care. Regression analysis revealed that only dementia showed higher odds related to the stage of nursing needs.
  
  
  CONCLUSIONS
  Among the chronic diseases, only dementia shows a substantially elevated risk for nursing home care. Risk studies on other chronic diseases associated with higher risks of long-term care dependency and specific intervention strategies aiming at delaying or preventing nursing home admission should be developed.
authors: Institut für Allgemeinmedizin, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Deutschland.
authors: I
authors: I
authors: Heinen
authors: H
authors: H
authors: van den Bussche
authors: D
authors: D
authors: Koller
authors: B
authors: B
authors: Wiese
authors: H
authors: H
authors: Hansen
authors: I
authors: I
authors: Schäfer
authors: M
authors: M
authors: Scherer
authors: G
authors: G
authors: Schön
authors: H
authors: H
authors: Kaduszkiewicz
mesh_terms: D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000453:epidemiology* / Q000451:nursing; D003153:Community Health Services / Q000706:statistics & numerical data; D015897:Comorbidity; D003704:Dementia / Q000453:epidemiology* / Q000451:nursing; D005260:Female; D005858:Germany / Q000453:epidemiology; D006299:Health Services for the Aged / Q000706:statistics & numerical data; D006333:Heart Failure / Q000453:epidemiology* / Q000451:nursing; D006707:Homes for the Aged / Q000706:statistics & numerical data; D006801:Humans; D007344:Insurance Claim Reporting / Q000706:statistics & numerical data; D008134:Long-Term Care / Q000706:statistics & numerical data*; D008297:Male; D009313:National Health Programs / Q000706:statistics & numerical data; D020380:Needs Assessment; D009732:Nursing Care / Q000706:statistics & numerical data*; D009735:Nursing Homes / Q000706:statistics & numerical data; D015995:Prevalence; D018570:Risk Assessment; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000451:nursing