Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-28T11:41:20.388Z Has data issue: false hasContentIssue false
  • English
  • Français

Survival Patterns of Ontario Long-Term Care Admissions: Seven Years Experience

Published online by Cambridge University Press:  29 November 2010

Murray Haight ,
Larry Chambers  and
Joyce Caygill
Murray Haight
Affiliation:
University of Waterloo
Larry Chambers
Affiliation:
Hamilton-Wentworth Department of Public Health Services
Joyce Caygill
Affiliation:
Victorian Order of Nurses
Get access Rights & Permissions [Opens in a new window]

Abstract

Survivorship of patients placed into long-term care facilities within the Regional Municipality of Hamilton-Wentworth was studied over a seven-year period from 1980 to 1987. All patients had been assessed prior to placement by the Placement and Coordination Service and their computer files served as the data base for this study. Over the seven years, 25 per cent of patients died in each of nursing homes, homes for the aged and lodging homes and over 50 per cent of patients died after being placed in chronic care hospitals. Approximately 10 per cent of the deaths occurred in the first year after placement in the lodging homes, homes for the aged and nursing homes, whereas 25 per cent died in this time in chronic care beds. Survivorship rates of all patients combined differed significantly for males compared with females, but were not significantly different for variables such as age at time of placement, marital status, ambulation, living arrangement, previous location of community versus institutions, and agreement between recommended and final placement. Client's memory at time of placement was associated with survivorship in a nursing home: males with “no recall” and females with “marked confusion” and “no recall” survived longer than those with “normal” memory.

Résumé

Au cours d'une période de sept ans, allant de 1980 à 1987, une étude a été menée sur le taux de survie des patients placés dans des établissements de soins prolongés de la région d'Hamilton-Wentworth. L'état de tous les patients a été évalué avant que ces derniers ne soient placés par le Service de co-ordination du placement. De plus, leurs dossiers informatisés ont servi à constituer la base de données de l'étude. Au cours des sept années, 25 pour cent des patients sont morts dans des maisons de santé, des maisons pour personnes âgées et des maisons d'hébergement; tandis que 50 pour cent des patients sont morts après avoir été placés dans des centres pour malades chroniques. Environ 10 per cent des décès ont eut lieu au cours de la première année qui a suivi le placement dans des maisons d'hébergement, des maisons pour personnes âgées et des maisons de santé; tandis que 25 pour cent des patients sont morts au cours de la même année dans des centres pour malades chroniques. Le sexe semble jouer un rôle important dans la survivance de l'ensemble des patients. Par contre, l'âge au moment du placement, l'état matrimonial, l'ambulation, les conditions de vie, l'endroit où ils vivaient comparativement à celui où ils se trouvent et le fait que l'endroit où ils devaient être placés et celui où ils sont ne font qu'un, semblent avoir moins d'impact sur le taux de survivance. Il semble y avoir un lien entre le niveau de mémoire des patients au moment où ils furent placés et leur survivance dans des maisons de santé. En effet, les hommes « sans mémoire » et les femmes « sans mémoire » ou affichant un état de « confusion marquée » ont survécu plus longtemps que ceux ayant une mémoire dite « normale «.

Keywords

Long Term CareSurvivorshipHealth Status.Soins de longue duréesurvivanceétat de santé.
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 11 , Issue 4 , Winter/hiver 1992 , pp. 387 - 399
Copyright
Copyright © Canadian Association on Gerontology 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bayne, J.R.D., & Caygill, J. (1977). Identifying Needs and Services for the Aged. Journal of the American Geriatric Society, 25, 264–268.CrossRefGoogle ScholarPubMed
Chambers, L.W., Forchuk, C., Monroe-Blum, H., & Wigmore, D. (1988). Guidelines to Promote a Therapeutic Environment in Lodging Homes. Mental Health Canada, 36(4), 14–17.Google Scholar
Chambers, L.W., Haight, M., & Caygill, J. (1986). Evaluation of placement and coordination of geriatric services using a health program evaluation guide. Clinics in Geriatric Medicine, 2(1), 137–150.CrossRefGoogle Scholar
Cox, D.R. (1972). Regression Models and Life Tables (with Discussion). Journal of the Royal Statistical Society, 30, 248–275.Google Scholar
Evans, R.G., Baxter, M.L., & Hertzman, C. (1989). The Long Good-Bye: The Great Transformation of the British Columbia Hospital System. Health Services Research, 24(4), 435–459.Google Scholar
Kalbfleisch, J.D., & Prentice, R.L. (1980). The Statistical Analysis of Failure Time Data. New York: John Wiley & Sons.Google Scholar
Kaplan, E.L., & Meier, P. (1958). Non-parametric estimation from incomplete observations. Journal of the American Statistical Association, 53, 457–481.CrossRefGoogle Scholar
Kay, D.W.K., Beamish, P., & Roth, M. (1964). Old age mental disorders in Newcastle-upon-Tyne. British Journal of Psychology 10, 146–158.CrossRefGoogle Scholar
Kay, D.W.K., & Roth, M. (1970). Mental illness and hospital usage in the elderly: a random sample followed up. Comprehensive Psychiatry, 11, 26–35.CrossRefGoogle ScholarPubMed
Kokmen, E., Okazaki, H., & Schomberg, B.U.S. (1980). Epidemiological patterns and clinical features of dementia in a defined U.S. population. Transactions of the American Neurological Association, 105, 334–336.Google Scholar
Lieberman, M.A. (1974). Relocation research and social policy. The Gerontologist, December, 494–501.Google ScholarPubMed
Ontario Ministry of Community and Social Services. (1990). Provincial-Municipal Social Services Review. Toronto: Queen's Printer for Ontario.Google Scholar
Shapiro, E., & Tate, R. (1988). Survival patterns of nursing home admissions and their policy implications. Canadian Journal of Public Health, 79, 268–274.Google ScholarPubMed
Statistics Canada. (1989). Life Tables, Canada and Provinces 1985–1987. (Formerly Catalogue 84–532). Ottawa: Statistics Canada. September.Google Scholar
Van Horne, Hon. R. (1986). A New Agenda – Health and Social Service Strategies for Ontario's Seniors. Toronto: Office of Senior Citizen's Affairs.Google Scholar
Walker, S.H., & Duncan, D.B. (1967). Estimation of the probability of an event as a function of several independent variables. Biometrika, 54, 167–179.CrossRefGoogle ScholarPubMed
Wilkins, R., & Adams, O. (1983). Health Expectancy in Canada, Late Demographic, Regional and Social Dimensions. American Journal of Public Health, 73(9), 1073–1080.CrossRefGoogle ScholarPubMed