title: [Characteristics, diseases and mortality of people admitted to nursing homes for dependent seniors during the first quarter of 2013 in France].
abstract: BACKGROUND
  To describe the state of health, through healthcare consumption and mortality, of people admitted to nursing homes (Ehpad) in France.
  
  
  METHODS
  People over the age of 65 years admitted to an Ehpad institution during the first quarter of 2013, beneficiaries of the national health insurance general scheme (69% of the population of this age), were identified from the Resid-Ehpad database and their reimbursed health care was extracted from the SNIIRAM database, identifying 56 disease groups by means of algorithms (long-term disease diagnoses and hospitalisations, medicinal products, specific procedures). Disease prevalences were compared to those of other beneficiaries by age- and sex-standardized morbidity/mortality ratios (SMR).
  
  
  RESULTS
  A total of 25,534 people were admitted (mean age: 86 years, 71% women). Before admission, these people presented a marker for cardiovascular or neurovascular disease (48% of cases), dementia (34%), cancer (18%), and psychiatric disorders (14%). Compared to non-residents, new residents more frequently presented dementia (SMR=3-40 according to age and sex), psychiatric disorders (SMR=2.5-12, including psychotic disorders SMR=18-21 in the 65-74 year age-group), neurological disorders (SMR=2-12, including epilepsy SMR=14 in the 65-74 year age-group), and cardiovascular and neurovascular disease (SMR=1.2-3). Overall mortality in 2013 was 22%, with a maximum excess between the ages of 65-74 years (males, SMR=8.8, females, SMR=15.9).
  
  
  CONCLUSIONS
  Medical and administrative data derived from linking the Resid-Ehpad/Sniiram databases reveal a severely impaired state of health, considering healthcare use of institutionalized dependent elderly people, and a high prevalence of diseases responsible for severe dependence and excess mortality, especially among the younger residents.
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés, 26-50, avenue du Professeur-André-Lemierre, 75986 Paris cedex 20, France.
authors.forename: A
authors.initials: A
authors.lastname: Atramont
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés, 26-50, avenue du Professeur-André-Lemierre, 75986 Paris cedex 20, France.
authors.forename: A
authors.initials: A
authors.lastname: Rigault
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés, 26-50, avenue du Professeur-André-Lemierre, 75986 Paris cedex 20, France.
authors.forename: S
authors.initials: S
authors.lastname: Chevalier
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés, 26-50, avenue du Professeur-André-Lemierre, 75986 Paris cedex 20, France.
authors.forename: G
authors.initials: G
authors.lastname: Leblanc
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés, 26-50, avenue du Professeur-André-Lemierre, 75986 Paris cedex 20, France.
authors.forename: A
authors.initials: A
authors.lastname: Fagot-Campagna
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés, 26-50, avenue du Professeur-André-Lemierre, 75986 Paris cedex 20, France. Electronic address: philippe.tuppin@cnamts.fr.
authors.forename: P
authors.initials: P
authors.lastname: Tuppin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004194:Disease / Q000145:classification / Q000209:etiology; D005260:Female; D005602:France / Q000453:epidemiology; D006295:Health Resources / Q000706:statistics & numerical data; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009017:Morbidity; D009026:Mortality; D009735:Nursing Homes / Q000706:statistics & numerical data*
keywords: Dependency; Dépendance; Ehpad; France; Morbidity; Morbidité; Mortality; Mortalité; Nursing home