Key Points Question What is the association of age with long-term mortality after intensive care unit (ICU) discharge? Findings In this cohort study that included 133 966 patients admitted to French ICUs, mortality at 3 years after discharge was 25.8%. Risk of mortality increased across all age strata after age 35 years but with a sharp increase in those 80 years and older; however, the mortality risk was close to the general population risk among elderly patients. Meaning Aging was associated with an increased risk of mortality in the 3 years after hospital ICU discharge, while excess long-term mortality was highest in young surviving patients but not in elderly patients.

BackgroundThe aim of this study was to compare disease status and health care use 1 year before and 1 year after skilled nursing home (SNH) admission.MethodsPeople over the age of 65 years admitted to SNH during the first quarter of 2013, covered by the national health insurance general scheme (69% of the population of this age), and still alive 1 year after admission were identified (n = 14,487, mean age: 86 years, women: 76%). Their reimbursed health care was extracted from the Système National d’Information Interrégimes de l’Assurance Maladie (SNIIRAM) [National Health Insurance Information System].ResultsOne year after nursing home admission, the most prevalent diseases were cardiovascular/neurovascular diseases and neurodegenerative diseases (affecting 45% and 40% of people before admission vs 51% and 53% after admission, respectively). Physical therapy use increased (43% vs 64% of people had at least one physical therapy session during the year, with an average of 47 vs 84 sessions/person during the year), while specialist consultations decreased (29% of people consulted an ophthalmologist at least once during the year before admission vs 25% after admission; 27% vs 21% consulted a cardiologist). Hospitalization rates were lower during the year following institutionalization (75% vs 40% of people were hospitalized at least once during the year), together with a lower emergency admission rate and a higher day admission rate.Conclusions Analysis of the new French reimbursement database specific to SNH shows that nursing home admission is associated with a reduction of some forms of outpatient care and hospitalizations.Electronic supplementary materialThe online version of this article (10.1186/s12913-017-2620-6) contains supplementary material, which is available to authorized users.

These results reveal increased prescribing of psychotropic drugs and antibacterials in SNH, requiring the development or sustainability of actions designed to improve prescribing practices in older people targeted by these treatments.

We confirmed and redefined the association of lung cancer with occupational cleaning, which concerns a considerable proportion of women workers.