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Extent and determinants of hospitalization in a cohort of older disabled people
Author(s)Ulrike Kliebsch, Harald Siebert, Hermann Brenner
Journal titleJournal of the American Geriatrics Society, vol 48, no 3, March 2000
Pagespp 289-294
KeywordsPhysical disabilities ; Admission [hospitals] ; Longitudinal surveys ; Germany.
AnnotationThe extent of hospitalisation is examined for non-institutionalised disabled people in the area around Augsburg, Southern Germany. The study population comprised 2,427 over 60s who, between 1991 and 1993, applied for benefits from the statutory health insurance system provided to the most severely handicapped non-institutionalised people. Information was based on routinely collected and anonymously analysed data from health insurance plan records. The overall hospitalisation rate was 6.7 hospitalisations per 10 person-years at risk, with a mean length of stay per hospitalisation of 19.2 days. There was an inverse association between age and hospitalisation. Those cared for primarily by their children had lower rates of hospitalisation than those relying mainly on professional home care. Medical causes of disability and dependency with respect to activities of daily living (ADLs) were unrelated to the hospitalisation rate. 1415 (58.3%) died during follow-up; the rate of hospitalisation in this group was twice as high compared with others. The hospitalisation rate increased rapidly during the last year of life, with a peak increase in the last 3 months. (RH).
Accession NumberCPA-000824203 A
ClassmarkBN: LD:QKH: 3J: 767

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