Factors associated with length of stay in care homes: a systematic review of international literature
Autor: | Lesley Dunleavy, Katherine Froggatt, Danielle Collingridge Moore, Thomas Keegan |
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Rok vydání: | 2018 |
Předmět: |
Gerontology
media_common.quotation_subject MEDLINE Care home lcsh:Medicine Medicine (miscellaneous) PsycINFO CINAHL Cochrane Library Long-term care facility 03 medical and health sciences Nursing care 0302 clinical medicine Risk Factors Medicine Homes for the Aged Humans Quality (business) 030212 general & internal medicine Cognitive skill media_common Aged Aged 80 and over business.industry Nursing home 030503 health policy & services Research lcsh:R Length of Stay Long-Term Care 3. Good health Death Observational Studies as Topic Systematic review Observational study 0305 other medical science business |
Zdroj: | Systematic Reviews Systematic Reviews, Vol 8, Iss 1, Pp 1-10 (2019) |
ISSN: | 2046-4053 |
Popis: | Background A number of studies have explored factors associated with resident length of stay in care homes; however the findings of these studies have not been synthesized. The aim of this paper is to provide a systematic review of factors associated with length of stay until death and the strength of evidence supporting each of these factors. Methodology This is a systematic review; databases included MEDLINE, EMBASE, PsycINFO, CINAHL, Proquest, the Cochrane Library and Web of Science were searched. Observational studies, either prospective or retrospective, that explored multiple factors associated with length of stay until death in care homes were included. Studies that met the inclusion criteria were sourced, data extracted and assessed for quality. Data synthesis combined the direction and significance of association with the quality of the study, resulting in strong, moderate, weak or inconclusive evidence for each factor identified. Results Forty-seven studies were identified as meeting the inclusion criteria. After quality assessment, 14 studies were judged to be of a high quality, 31 of a moderate quality and 2 of a low quality. Three factors had strong evidence to support their association with shorter lengths of stay: shortness of breath, receipt of oxygen therapy and admission to a facility providing nursing care. Conclusions This review summarized the factors associated with length of stay. It found stronger evidence for physical functioning being associated with shorter lengths of stay than for cognitive functioning. An understanding of expected length of stay for older adults admitted to a care home is important for estimating lifetime costs and the implications of reforming funding arrangements for social care. Further research is needed to explore heterogeneity in this area. Electronic supplementary material The online version of this article (10.1186/s13643-019-0973-0) contains supplementary material, which is available to authorized users. |
Databáze: | OpenAIRE |
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