Forskning
Udskriv Udskriv
Switch language
Rigshospitalet - en del af Københavns Universitetshospital
Udgivet

Initiation of domiciliary care and nursing home admission following first hospitalization of heart failure patients: a nationwide cohort study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Completeness of RET testing in patients with medullary thyroid carcinoma in Denmark 1997-2013: a nationwide study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. The positive predictive value of spontaneous subarachnoid hemorrhage diagnoses in the Danish National Patient Register

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Incidence and prevalence of multiple endocrine neoplasia 2A in Denmark 1901-2014: a nationwide study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Association between Type D personality and outcomes in patients with non-ischemic heart failure

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. A More COMPLETE Picture of Revascularization in STEMI

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

Background: Heart failure (HF) has a major impact on a patient's quality of life and functional status. This impact may be sufficiently profound to prevent independent living although how often this is the case is unknown. We examined the need for domiciliary assistance and admission to a nursing home following first HF hospitalization.

Methods: In nationwide Danish registries, we identified a cohort of patients discharged alive after a first-time HF hospitalization in the period 2008-2014 who were matched 1:5 with comparison subjects based on age and sex and followed for 5 years.

Results: We included 37,547 patients (69% men) discharged after a first-time HF-hospitalization and 187,735 comparison subjects. The 5-year incidence of initiation of domiciliary care was 24.1% [23.7%-24.6%] among HF patients and 9.2% [9.1%-9.4%] among the comparison cohort and yielded a corresponding adjusted HR of 2.02 [1.96-2.09]. Covariates associated with initiation of domiciliary support included older age (HR 1.08 [1.07-1.08] per 1 year increase in age), living alone (HR 2.09 [2.04-2.15]) and comorbidities. The 5-year incidence of nursing home admission was 3.9% [3.7%-4.0%] among HF patients and 1.7% [1.7%-1.8%] among the comparison cohort and this resulted in an adjusted HR of 1.91 [1.77-2.06]. Covariates associated with nursing home admission included older age (HR 1.10 [1.10-1.11]), living alone (HR 2.15 [2.02-2.28]) and history of stroke (HR 2.71 [2.53-2.90]).

Conclusion: Hospitalization for HF is associated with increased need for domiciliary support and nursing home admissions. Older age, living alone, and comorbidities were associated with higher risk of both outcomes.

OriginalsprogEngelsk
TidsskriftClinical Epidemiology
Vol/bind10
Sider (fra-til)917-930
Antal sider14
ISSN1179-1349
DOI
StatusUdgivet - 2018

ID: 55209587