Resident-Level Factors Associated with Hospitalization Rates for Newly Admitted Long-Term Care Residents in Canada: A Retrospective Cohort Study

Chez les residents en soins de longue duree (SLD), l'hospitalisation peut amener des complications telles que le declin fonctionnel. L'objectif de notre etude etait d'examiner l'association entre les donnees demographiques et de sante et le taux d'hospitalisation des residents nouvellement admis en SLD. Nous avons mene une etude de cohorte retrospective incluant tous les centres de SLD de six provinces et d'un territoire du Canada, a l'aide des donnees de la RAI-MDS 2.0 et de la Discharge Abstract Database. Nous avons inclus les residents nouvellement admis ayant eu une evaluation entre le 1er janvier et le 31 decembre 2013 (n = 37 998). Les residents de sexe masculin avec une sante plus instable et une deficience fonctionnelle de moderee a grave presentaient des taux d'hospitalisation plus eleves, tandis que les residents avec une deficience cognitive de moderee a grave avaient des taux moindres. Les resultats de notre etude pourraient contribuer a l'identification des residents nouvellement admis qui seraient plus a risque d'hospitalisation et a l'elaboration de strategies preventives plus ciblees, incluant la readaptation, la planification prealable de soins, les soins palliatifs et les services geriatriques specialises. Hospitalizations of long-term care (LTC) residents can result in adverse outcomes such as functional decline. The objective of our study was to investigate the association between demographic and health information and hospitalization rate for newly admitted LTC residents. We conducted a retrospective cohort study of all LTC homes in six provinces and one territory in Canada, using data from the Resident Assessment Instrument-Minimum Data Set (RAI-MDS) 2.0 and the Discharge Abstract Database. We included newly admitted residents with an assessment between January 1 and December 31, 2013 (n = 37,998). Residents who were male, had higher health instability, and had moderate or severe functional impairment had higher rates of hospitalization, whereas residents who had moderate or severe cognitive impairment had decreased rates. The results of our study can be used to identify newly admitted residents who may be at risk for hospitalization, and appropriately target preventative interventions, including rehabilitation, advance care planning, palliative care, and geriatric specialty services.