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The impact of dementia on care transitions during the last two years of life
Background: dementia is one of the main challenges to our health and social care. This study compares the number and timing of transitions between care settings in the last 2 years of life among older people with and without dementia. Methods: data were derived from Finnish national registers, and i...
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| Published in: | Age and ageing 2012-01, Vol.41 (1), p.52-57 |
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| Main Authors: | , , , , |
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| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c527t-f27fc87147a15e0d4c28c52559ade4be9d0e505544506a449099e95dc16637853 |
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| cites | cdi_FETCH-LOGICAL-c527t-f27fc87147a15e0d4c28c52559ade4be9d0e505544506a449099e95dc16637853 |
| container_end_page | 57 |
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| container_start_page | 52 |
| container_title | Age and ageing |
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| creator | Aaltonen, Mari Rissanen, Pekka Forma, Leena Raitanen, Jani Jylhä, Marja |
| description | Background: dementia is one of the main challenges to our health and social care. This study compares the number and timing of transitions between care settings in the last 2 years of life among older people with and without dementia.
Methods: data were derived from Finnish national registers, and include all those who died in 2002 and 2003 at the age of 70 or older (n = 70,366). Negative binomial regression analyses were used to analyse the impact of dementia on number of transitions among people with and without dementia and to adjust the number for age, gender and other diagnoses.
Results: in the group that lived at home 2 years before death people with a dementia diagnosis had 32% more care transitions than people without dementia, while the group that was in residential care facility 2 years before death people with dementia had 12% fewer moves than those without dementia The average number of transition was highest in last 3 months of life. People with dementia had their last move more often between care facilities and hospitals offering basic health care than people without dementia.
Conclusion: dementia has a significant impact on the number and type of transitions. As the number of people with dementia increases, the quality and equity of care of these patients in their last years constitute a special challenge. |
| doi_str_mv | 10.1093/ageing/afr133 |
| format | article |
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Methods: data were derived from Finnish national registers, and include all those who died in 2002 and 2003 at the age of 70 or older (n = 70,366). Negative binomial regression analyses were used to analyse the impact of dementia on number of transitions among people with and without dementia and to adjust the number for age, gender and other diagnoses.
Results: in the group that lived at home 2 years before death people with a dementia diagnosis had 32% more care transitions than people without dementia, while the group that was in residential care facility 2 years before death people with dementia had 12% fewer moves than those without dementia The average number of transition was highest in last 3 months of life. People with dementia had their last move more often between care facilities and hospitals offering basic health care than people without dementia.
Conclusion: dementia has a significant impact on the number and type of transitions. As the number of people with dementia increases, the quality and equity of care of these patients in their last years constitute a special challenge.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afr133</identifier><identifier>PMID: 22089082</identifier><identifier>CODEN: AANGAH</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Aged ; Aged, 80 and over ; Aging ; Care and treatment ; Company business management ; Continuity of Patient Care ; Dementia ; Dementia - epidemiology ; Dementia - therapy ; Female ; Finland - epidemiology ; Hospitals ; Humans ; Male ; Management ; Mentally ill aged ; Mentally ill elderly ; National registers ; Older people ; Palliative care ; Patient care ; Residential Facilities - statistics & numerical data ; Risk factors ; Timing ; Transitional care ; Transitions ; Year before death</subject><ispartof>Age and ageing, 2012-01, Vol.41 (1), p.52-57</ispartof><rights>The Author 2011. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com 2011</rights><rights>Copyright Oxford Publishing Limited(England) Jan 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c527t-f27fc87147a15e0d4c28c52559ade4be9d0e505544506a449099e95dc16637853</citedby><cites>FETCH-LOGICAL-c527t-f27fc87147a15e0d4c28c52559ade4be9d0e505544506a449099e95dc16637853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,1591,27957,27958,31034,31035</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22089082$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aaltonen, Mari</creatorcontrib><creatorcontrib>Rissanen, Pekka</creatorcontrib><creatorcontrib>Forma, Leena</creatorcontrib><creatorcontrib>Raitanen, Jani</creatorcontrib><creatorcontrib>Jylhä, Marja</creatorcontrib><title>The impact of dementia on care transitions during the last two years of life</title><title>Age and ageing</title><addtitle>Age Ageing</addtitle><description>Background: dementia is one of the main challenges to our health and social care. This study compares the number and timing of transitions between care settings in the last 2 years of life among older people with and without dementia.
Methods: data were derived from Finnish national registers, and include all those who died in 2002 and 2003 at the age of 70 or older (n = 70,366). Negative binomial regression analyses were used to analyse the impact of dementia on number of transitions among people with and without dementia and to adjust the number for age, gender and other diagnoses.
Results: in the group that lived at home 2 years before death people with a dementia diagnosis had 32% more care transitions than people without dementia, while the group that was in residential care facility 2 years before death people with dementia had 12% fewer moves than those without dementia The average number of transition was highest in last 3 months of life. People with dementia had their last move more often between care facilities and hospitals offering basic health care than people without dementia.
Conclusion: dementia has a significant impact on the number and type of transitions. As the number of people with dementia increases, the quality and equity of care of these patients in their last years constitute a special challenge.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Care and treatment</subject><subject>Company business management</subject><subject>Continuity of Patient Care</subject><subject>Dementia</subject><subject>Dementia - epidemiology</subject><subject>Dementia - therapy</subject><subject>Female</subject><subject>Finland - epidemiology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Management</subject><subject>Mentally ill aged</subject><subject>Mentally ill elderly</subject><subject>National registers</subject><subject>Older people</subject><subject>Palliative care</subject><subject>Patient care</subject><subject>Residential Facilities - statistics & numerical data</subject><subject>Risk factors</subject><subject>Timing</subject><subject>Transitional care</subject><subject>Transitions</subject><subject>Year before death</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqF0c1PHCEYBnDS2NSt7dGrIV7ay1Q-Bziajf1INvFizwSZd7aYGdgCk-p_X8xYTXrxRAg_HnjzIHRKyRdKDL9wewhxf-HGTDl_gzZU9LpjmosjtCGEsI4oZo7R-1Lu2pZKyt6hY8aINkSzDdrd_AIc5oPzFacRDzBDrMHhFLF3GXDNLpZQQ4oFD0tuT-HabkyuVFz_JPwALpfHm1MY4QN6O7qpwMen9QT9_Hp1s_3e7a6__dhe7jovmardyNTotaJCOSqBDMIz3U6kNG4AcQtmICCJlEJI0jshDDEGjBw87XuutOQn6NOae8jp9wKl2jkUD9PkIqSlWMOk4kbJ_nVJqWHacN3k-X_yLi05tjFaHGuBqqcNdSvauwlsiD7FCvfVp2mCPdg25PbaXnIimemp4i_e51RKhtEecphdfrCU2Mf67FqfXetr_uzpE8vtDMOz_tdXA59XkJbDK1l_AWMnofo</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Aaltonen, Mari</creator><creator>Rissanen, Pekka</creator><creator>Forma, Leena</creator><creator>Raitanen, Jani</creator><creator>Jylhä, Marja</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20120101</creationdate><title>The impact of dementia on care transitions during the last two years of life</title><author>Aaltonen, Mari ; Rissanen, Pekka ; Forma, Leena ; Raitanen, Jani ; Jylhä, Marja</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c527t-f27fc87147a15e0d4c28c52559ade4be9d0e505544506a449099e95dc16637853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Care and treatment</topic><topic>Company business management</topic><topic>Continuity of Patient Care</topic><topic>Dementia</topic><topic>Dementia - epidemiology</topic><topic>Dementia - therapy</topic><topic>Female</topic><topic>Finland - epidemiology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Management</topic><topic>Mentally ill aged</topic><topic>Mentally ill elderly</topic><topic>National registers</topic><topic>Older people</topic><topic>Palliative care</topic><topic>Patient care</topic><topic>Residential Facilities - statistics & numerical data</topic><topic>Risk factors</topic><topic>Timing</topic><topic>Transitional care</topic><topic>Transitions</topic><topic>Year before death</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aaltonen, Mari</creatorcontrib><creatorcontrib>Rissanen, Pekka</creatorcontrib><creatorcontrib>Forma, Leena</creatorcontrib><creatorcontrib>Raitanen, Jani</creatorcontrib><creatorcontrib>Jylhä, Marja</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aaltonen, Mari</au><au>Rissanen, Pekka</au><au>Forma, Leena</au><au>Raitanen, Jani</au><au>Jylhä, Marja</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of dementia on care transitions during the last two years of life</atitle><jtitle>Age and ageing</jtitle><addtitle>Age Ageing</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>41</volume><issue>1</issue><spage>52</spage><epage>57</epage><pages>52-57</pages><issn>0002-0729</issn><eissn>1468-2834</eissn><coden>AANGAH</coden><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Background: dementia is one of the main challenges to our health and social care. This study compares the number and timing of transitions between care settings in the last 2 years of life among older people with and without dementia.
Methods: data were derived from Finnish national registers, and include all those who died in 2002 and 2003 at the age of 70 or older (n = 70,366). Negative binomial regression analyses were used to analyse the impact of dementia on number of transitions among people with and without dementia and to adjust the number for age, gender and other diagnoses.
Results: in the group that lived at home 2 years before death people with a dementia diagnosis had 32% more care transitions than people without dementia, while the group that was in residential care facility 2 years before death people with dementia had 12% fewer moves than those without dementia The average number of transition was highest in last 3 months of life. People with dementia had their last move more often between care facilities and hospitals offering basic health care than people without dementia.
Conclusion: dementia has a significant impact on the number and type of transitions. As the number of people with dementia increases, the quality and equity of care of these patients in their last years constitute a special challenge.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>22089082</pmid><doi>10.1093/ageing/afr133</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Age and ageing, 2012-01, Vol.41 (1), p.52-57 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals |
| subjects | Aged Aged, 80 and over Aging Care and treatment Company business management Continuity of Patient Care Dementia Dementia - epidemiology Dementia - therapy Female Finland - epidemiology Hospitals Humans Male Management Mentally ill aged Mentally ill elderly National registers Older people Palliative care Patient care Residential Facilities - statistics & numerical data Risk factors Timing Transitional care Transitions Year before death |
| title | The impact of dementia on care transitions during the last two years of life |
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