title: Acute hospital admission for nursing home residents without cognitive impairment with a diagnosis of cancer.
abstract: Studies of hospitalisation of cognitively intact nursing home (NH) residents with cancer are scarce. Knowledge about associations between socio-demographic, medical and social support variables and hospital admissions aids in preventing unnecessary admissions. This is part of a prospective study from 2004 to 2005 with follow-up to 2010 for admission rates. We studied whether residents with cancer have more admissions and whether socio-demographic and medical variables and social support subdimensions are associated with admission among cognitively intact NH residents with (n = 60) and without (n = 167) cancer aged ≥65 years scoring ≤0.5 on the Clinical Dementia Rating Scale and residing ≥6 months. We measured social support by face-to-face interview. We identified all respondents through NH medical records for hospital admission, linking their identification numbers to the hospital record system to register all admissions. We examined whether socio-demographic and medical variables (medical records) and social support subscales were associated with the time between inclusion and first admission. Residents with cancer had more admissions (25/60) than those without (53/167) (odds ratio 1.7). Social integration was correlated with admission (P = 0.04) regardless of cancer diagnosis. Residents with cancer had more hospital admissions than those without. Higher social integration gave more admissions independent of cancer diagnosis.
authors.affiliation: Faculty for Health and Social Science, Bergen University College, Bergen, Norway.
authors.forename: J
authors.initials: J
authors.lastname: Drageset
authors.forename: G E
authors.initials: GE
authors.lastname: Eide
authors.forename: C
authors.initials: C
authors.lastname: Harrington
authors.forename: A H
authors.initials: AH
authors.lastname: Ranhoff
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition; D003430:Cross-Sectional Studies; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000628:therapy*; D009664:Norway; D009735:Nursing Homes / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012307:Risk Factors; D012944:Social Support; D012959:Socioeconomic Factors
keywords: cancer; hospital admission; nursing home; social support