Abstract | BACKGROUND: METHODS: Patients with a first-time hospitalization for HF, stroke, COPD or cancer from 2008-2016 were identified. Patients were matched on age and sex and followed for five years. RESULTS: 111,144 patients, 27,786 with each disease, were identified. The median age was 69 years and two thirds of the patients were men. The 5-year risk of receiving domiciliary care was; HF 20.9%, stroke 25.2%, COPD 24.6% and cancer 19.3%. The corresponding adjusted hazard ratios (HRs), with HF patients used as reference, were: stroke 1.35[1.30-1.40]; COPD 1.29[1.25-1.34]; and cancer 1.19[1.14-1.23]. The five-year incidence of nursing home admission was 6.6% for stroke, and substantially lower in patients with HF(2.6%), COPD(2.6%) and cancer (1.5%). The adjusted HRs were (HF reference): stroke, 2.44 [2.23-2.68]; COPD 1.01 [0.91-1.13] and cancer 0.76 [0.67-0.86]. Living alone, older age, diabetes, chronic kidney disease, depression and dementia predicted a higher likelihood of both types of care. CONCLUSIONS: In patients with HF, stroke, COPD or cancer 5-year risk of domiciliary care and nursing home admission, ranged from 19-25% and 1-7%, respectively. Patients with stroke had the highest rate of domiciliary care and were more than twice as likely to be admitted to a nursing home, compared to patients with the other conditions.
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Authors | Rasmus Rørth, Marianne F Clausen, Emil L Fosbøl, Ulrik M Mogensen, Kristian Kragholm, Pardeep S Jhund, Mark C Petrie, Christian Torp-Pedersen, Gunnar H Gislason, John J V McMurray, Lars Køber, Søren L Kristensen |
Journal | PloS one
(PLoS One)
Vol. 16
Issue 8
Pg. e0255364
( 2021)
ISSN: 1932-6203 [Electronic] United States |
PMID | 34347805
(Publication Type: Journal Article)
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Topics |
- Age Factors
- Aged
- Denmark
(epidemiology)
- Female
- Heart Failure
(epidemiology)
- Home Care Services
(statistics & numerical data)
- Hospitalization
(statistics & numerical data)
- Humans
- Incidence
- Male
- Middle Aged
- Neoplasms
(epidemiology)
- Nursing Homes
(statistics & numerical data)
- Pulmonary Disease, Chronic Obstructive
(epidemiology)
- Risk Factors
- Stroke
(epidemiology)
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