Chronic conditions and use of health care service among German centenarians

Berenberg, Petra von; Dräger, Dagmar; Zahn, Thomas; Neuwirth, Julia; Kuhlmey, Adelheid; Gellert, Paul

doi:10.1093/ageing/afx008

Cited by 27 publications

(30 citation statements)

References 15 publications

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“…Multimorbidity as predictor of LTC admission [13] seems to hold in the oldest old women, as our results suggest. Consonant with previous studies [9,13,26,27], our results also show that LTC admissions are more common in women than men whereas mortality is higher in men in this age group. This might be one reason why we did not find associations between chronic conditions or multimorbidity and LTC admission in men.…”

Section: Discussionsupporting

confidence: 90%

Chronic conditions and multimorbidity in population aged 90 years and over: associations with mortality and long-term care admission

et al. 2019

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Chronic conditions and multimorbidity in population aged 90 years and over: associations with mortality and long-term care admission The need for long-term care (LTC) rises during the last years or months of life. Time spent in LTC during the end of life seems to have increased, possibly since people are living longer and suffering from more chronic conditions than before [11]. In younger old people, dementia and Parkinson's disease, as well as multimorbidity, have been associated with the need for LTC [12, 13]. Prior research is scarce on chronic conditions or multimorbidity as predictors of LTC use in the oldest old population. The study examines to what extent chronic conditions and multimorbidity predict mortality and LTC admission in the population aged 90 and over, and assesses the population attributable fractions of mortality and LTC admission for individual chronic conditions. Methods Sample The data were based on four cross-sectional waves of the Vitality 90+ Study conducted in 2001, 2003, 2007 and 2010 [14]. Each study year the mailed survey included both community-dwelling and institutionalized residents aged 90 years and over in the city of Tampere, Finland (in 2017 with 231,853 inhabitants, of whom 19% were aged over 65 and 0.9% aged over 90 [15]). The response rate varied between 79% and 86%. Due to high mortality, most participants (n = 1,650) responded to only one survey. Of the remainder, 1,004 participated in two surveys, 176 three surveys and 32 all four surveys. The sample used in the analysis concerning mortality included 2,862 participants (79.5% women). The LTC analysis used a subsample of 1,954 respondents living in their own homes at baseline. Proxy answers were included for participants who could not answer the questionnaire themselves.

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Section: Discussionsupporting

confidence: 90%

Chronic conditions and multimorbidity in population aged 90 years and over: associations with mortality and long-term care admission

et al. 2019

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“…Apart from in Switzerland, the share of institutionalised centenarians in our sample agreed with the findings of several studies (from 42.1% in Portugal to 53.7% in Canada) 9 10 13 14. However, other works disclosed proportions above 60%, and a study based on European census data revealed considerable geographical variations, with percentages ranging from 10% to 90% 6 15 16.…”

Section: Discussionsupporting

confidence: 91%

“…The number of medical visits seemed to match differences in the number of general practitioners in each country, but the relationship was less noticeable when taking all practising physicians together. In other studies addressing the topic, >95% of centenarians had seen a doctor during the previous 12 months 9 10 15. Regarding nursing care at home, its more frequent use in Switzerland and Sweden was comparable to that reported in Germany (52.8%) and Canada (55.9%), whereas its use in France and Denmark was closer to that recently found in Portugal (44.4%) 9 10 13.…”

Section: Discussionsupporting

confidence: 54%

“…In other studies addressing the topic, >95% of centenarians had seen a doctor during the previous 12 months 9 10 15. Regarding nursing care at home, its more frequent use in Switzerland and Sweden was comparable to that reported in Germany (52.8%) and Canada (55.9%), whereas its use in France and Denmark was closer to that recently found in Portugal (44.4%) 9 10 13. Japan distinguished itself by more limited use of nursing care at home.…”

Section: Discussionsupporting

confidence: 47%

“…The resource needs induced by population ageing challenge today’s social and healthcare systems 2. However, research dealing specifically with healthcare services used by centenarians remains rare and has shown heterogeneous results 9–11. Moreover, international comparisons using common methods are inexistent.…”

Section: Introductionmentioning

confidence: 99%

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Use of healthcare services and assistive devices among centenarians: results of the cross-sectional, international 5-COOP study

et al. 2020

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ObjectivesTo measure the use of healthcare services and assistive devices by centenarians in five countries.DesignCross-sectional study using a survey questionnaire.SettingCommunity-dwelling and institutionalised centenarians living in Japan, France, Switzerland, Sweden and Denmark.Participants1253 participants aged 100 or in their 100th year of life, of whom 1004 (80.1%) were female and 596 (47.6%) lived in institutions.Main outcome measuresRecent use of medical visits, nursing care at home, home-delivered meals, acute care hospital stays overnight, professional assessments such as sight tests, mobility aids and other assistive devices. A set of national healthcare system indicators was collected to help interpret differences between countries.ResultsThere was considerable variability in the healthcare services and assistive devices used by centenarians depending on their country and whether they were community-dwelling or institutionalised. In contrast to the relatively homogeneous rates of hospitalisation in the past year (around 20%), community-dwelling centenarians reported widely ranging rates of medical visits in the past 3 months (at least one visit, from 32.2% in Japan to 86.6% in France). The proportion of community-dwellers using a mobility device to get around indoors (either a walking aid or a wheelchair) ranged from 48.3% in Japan to 79.2% in Sweden. Participants living in institutions and reporting the use of a mobility device ranged from 78.6% in Japan to 98.2% in Denmark.ConclusionsOur findings suggest major differences in care received by centenarians across countries. Some may result from the characteristics of national healthcare systems, especially types of healthcare insurance coverage and the amounts of specific resources available. However, unexplored factors also seem to be at stake and may be partly related to personal health and cultural differences.

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Ernährung und Lebensstil: Was wir von Hundertjährigen lernen können

Holasek

2021

Das Ganze Leben Leben

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Chronic conditions and use of health care service among German centenarians

Abstract: the higher prevalence of dementia and rheumatic disease/arthritis in long-term care compared to other care settings emphasises the role of these diseases in relation to the loss of physical and cognitive functioning.

Cited by 27 publications

References 15 publications

Chronic conditions and multimorbidity in population aged 90 years and over: associations with mortality and long-term care admission

Chronic conditions and multimorbidity in population aged 90 years and over: associations with mortality and long-term care admission

Use of healthcare services and assistive devices among centenarians: results of the cross-sectional, international 5-COOP study

Ernährung und Lebensstil: Was wir von Hundertjährigen lernen können

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