Hospital Admissions from Nursing Homes: Rates and Reasons
Hospital admissions from nursing homes have not previously been investigated in Norway. During 12 months all hospital admissions (acute and elective) from 32 nursing homes in Bergen were recorded via the Norwegian ambulance register. The principal diagnosis made during the stay, length of stay, and...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Nursing Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/247623 |
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| author | Kjell Krüger Kristian Jansen Anders Grimsmo Geir Egil Eide Jonn Terje Geitung |
| author_facet | Kjell Krüger Kristian Jansen Anders Grimsmo Geir Egil Eide Jonn Terje Geitung |
| author_sort | Kjell Krüger |
| collection | DOAJ |
| description | Hospital admissions from nursing homes have not previously been investigated in Norway. During 12 months all hospital admissions (acute and elective) from 32 nursing homes in Bergen were recorded via the Norwegian ambulance register. The principal diagnosis made during the stay, length of stay, and the ward were sourced from the hospital's data register and data were merged. Altogether 1,311 hospital admissions were recorded during the 12 months. Admissions from nursing homes made up 6.1% of the total number of admissions to medical wards, while for surgical wards they made up 3.8%. Infections, fractures, cardiovascular and gastri-related diagnoses represented the most frequent admission diagnoses. Infections accounted for 25.0% of admissions, including 51.0% pneumonias. Of all the admissions, fractures were the cause in 10.2%. Of all fractures, hip fractures represented 71.7. The admission rate increased as the proportion of short-term beds increased, and at nursing homes with short-term beds, admissions increased with increasing physician coverage. Potential reductions in hospitalizations for infections from nursing homes may play a role to reduce pressure on medical departments as may fracture prevention. Solely increasing physician coverage in nursing homes will probably not reduce the number of hospitalizations. |
| format | Article |
| id | doaj-art-fc68767c62b64f5894301119ade8d35c |
| institution | OA Journals |
| issn | 2090-1429 2090-1437 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Research and Practice |
| spelling | doaj-art-fc68767c62b64f5894301119ade8d35c2025-08-20T02:23:00ZengWileyNursing Research and Practice2090-14292090-14372011-01-01201110.1155/2011/247623247623Hospital Admissions from Nursing Homes: Rates and ReasonsKjell Krüger0Kristian Jansen1Anders Grimsmo2Geir Egil Eide3Jonn Terje Geitung4Løvåsen Teaching Nursing Home, Municipality of Bergen, N-5145 Fyllingsdalen, NorwayLøvåsen Teaching Nursing Home, Municipality of Bergen, N-5145 Fyllingsdalen, NorwayDepartment of Public Health and General Practice, Norwegian University of Science and Technology, N-7491 Trondheim, NorwayCentre for Clinical Research, Haukeland University Hospital, N-5021 Bergen, NorwayDepartment of Radiology, Haraldsplass Hospital, N-5021 Bergen, NorwayHospital admissions from nursing homes have not previously been investigated in Norway. During 12 months all hospital admissions (acute and elective) from 32 nursing homes in Bergen were recorded via the Norwegian ambulance register. The principal diagnosis made during the stay, length of stay, and the ward were sourced from the hospital's data register and data were merged. Altogether 1,311 hospital admissions were recorded during the 12 months. Admissions from nursing homes made up 6.1% of the total number of admissions to medical wards, while for surgical wards they made up 3.8%. Infections, fractures, cardiovascular and gastri-related diagnoses represented the most frequent admission diagnoses. Infections accounted for 25.0% of admissions, including 51.0% pneumonias. Of all the admissions, fractures were the cause in 10.2%. Of all fractures, hip fractures represented 71.7. The admission rate increased as the proportion of short-term beds increased, and at nursing homes with short-term beds, admissions increased with increasing physician coverage. Potential reductions in hospitalizations for infections from nursing homes may play a role to reduce pressure on medical departments as may fracture prevention. Solely increasing physician coverage in nursing homes will probably not reduce the number of hospitalizations.http://dx.doi.org/10.1155/2011/247623 |
| spellingShingle | Kjell Krüger Kristian Jansen Anders Grimsmo Geir Egil Eide Jonn Terje Geitung Hospital Admissions from Nursing Homes: Rates and Reasons Nursing Research and Practice |
| title | Hospital Admissions from Nursing Homes: Rates and Reasons |
| title_full | Hospital Admissions from Nursing Homes: Rates and Reasons |
| title_fullStr | Hospital Admissions from Nursing Homes: Rates and Reasons |
| title_full_unstemmed | Hospital Admissions from Nursing Homes: Rates and Reasons |
| title_short | Hospital Admissions from Nursing Homes: Rates and Reasons |
| title_sort | hospital admissions from nursing homes rates and reasons |
| url | http://dx.doi.org/10.1155/2011/247623 |
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