Læknablaðið - okt. 2019, Blaðsíða 25

LÆKNAblaðið 2019/105 441
R A N N S Ó K N
Introduction: Many factors influence the nursing needs and survival
of nursing home residents, including the admission criteria. The aim of
the study was to compare health, survival and predictors for one- and
two-year survival of people entering Icelandic nursing homes between
2003–2007 and 2008–2014.
Material and methods: Retrospective, descriptive, comparative
study. The data was obtained from a Directorate of Health database
for all interRAI assessments of Icelandic nursing homes from January
1, 2003, to December 31, 2014 (N = 8487).
Results: There was a significant difference in the health and survival
of new nursing home residents before and after December 31, 2007. In
the latter period, the mean age was 82.7 years. In the previous period,
it was 82.1 years, and the prevalence of Alzheimer‘s disease, ischemic
heart disease, heart failure, diabetes and COPD increased between
the periods. One-year survival decreased from 73.4% to 66.5%, and
two-year survival decreased from 56.9% to 49.1%. The strongest
mortality risk factors were heart failure and chronic obstructive
pulmonary disease, as well as high scores on the CHESS scale and
ADL long scale.
Conclusion: After 2007, new residents were older, in poorer health,
and their life expectancy was shorter than for those moving to nursing
homes before that. The results suggest that the aim of the regulatory
change was achieved, i.e., to prioritise those in worst health. Their
care needs may therefore be different and greater than before.
Health and survival in Icelandic nursing homes 2003 – 2014, before and after
the setting of stricter criteria for nursing home admission in December 2007
ENGLISH SUMMARY
1Faculty of Nursing, University of Iceland, 2Emergency, Geriatrics, Rehabilitation Services, National University Hospital, 3School of Humanities and Social Sciences,
University of Akureyri, 4Department of Education and Science, Akureyri Hospital, 5Department of Rehabilitation, Akureyri Hospital, 6Respiratory-, allergy- and sleep
research, Faculty of Medicine, Uppsala University, Sweden.
Key words: Geriatrics, Minimum Data Set, nursing homes, old people, elderly people, survival.
Correspondence: Ingibjörg Hjaltadóttir, ingihj@hi.is
Greinin barst til blaðsins 8. maí 2019, samþykkt til birtingar 27. ágúst 2019.
Ingibjörg Hjaltadóttir1,2
Kjartan Ólafsson3
Árún K. Sigurðardóttir4,5
Ragnheiður Harpa Arnardóttir4,6,7
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DOI: 10.17992/lbl.2019.10.251