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Mortality among elderly receiving long-term care: a longitudinal cohort study.

Author:
  • Ulf Jakobsson
  • Ingalill Rahm Hallberg
Publishing year: 2006
Language: English
Pages: 503-511
Publication/Series: Aging clinical and experimental research
Volume: 18
Issue: 6
Document type: Journal article
Publisher: Kurtis

Abstract english

Backgrounds and aims: To investigate mortality, determinants of mortality, and time until death among elderly subjects receiving public long-term care. Methods: This study comprises 626 respondents (age: 65-98 years). Data were collected for two cohorts (2001 and 2002). Cox regression analysis was used to identify determinants of mortality. Those who died and those who did not die were compared by, for example, demographic data and activities of daily living (ADL). Results: The crude mortality rate was 9% in cohort 2001 and 14% in cohort 2002 in the first year, and 23% in cohort 2001 and 18% in cohort 2002 in the second year after decisions about care and service. Determinants of death were gender (men), severe cognitive impairment, co-morbidity, and high ADL scores. Regression analysis also showed that malignant tumors, respiratory, urinary and genito-urinary diseases were found to be significant predictors for mortality. Conclusions: The mortality rate was quite high, several diseases were common, and the need for help with ADL was wide-ranging. Results also showed that ADL scores, together with a measure of cognitive impairment, may be useful in identifying elderly subjects at high risk of mortality.

Keywords

  • Gerontology, specializing in Medical and Health Sciences
  • aged
  • activities of daily living
  • long-term care
  • morbidity
  • mortality

Other

Published
  • ISSN: 1720-8319
Ingalill Rahm Hallberg
E-mail: ingalill.rahm_hallberg [at] med.lu.se

Professor emerita

Older people's health and Person-Centred care

HSC

65