Follow-Up Study of Two Hundred Admissions to a Residential Home

Smith, Roger; Lowther, Clifton P.

doi:10.1093/ageing/5.3.176

Cited by 27 publications

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“…The rate of discharge from the short-stay state is about five times that from the long-stay state. This agrees with empirical observations that initial mortality is higher for the first few months following admission to nursing care (Smith and Lowther, 1976;Bebbington et al, 2001;Rothera et al, . About 64% of elderly people entering N will become long-stay residents.…”

Section: Resultssupporting

confidence: 89%

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A Continuous Time Markov Model for the Length of Stay of Elderly People in Institutional Long-Term Care

Xie

Chaussalet

Millard

2004

Journal of the Royal Statistical Society Series A: Statistics in Society

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The paper develops a Markov model in continuous time for the length of stay of elderly people moving within and between residential home care and nursing home care. A procedure to determine the structure of the model and to estimate parameters by maximum likelihood is presented. The modelling approach was applied to 4 years' placement data from the social services department of a London borough. The results in this London borough suggest that, for residential home care, a single-exponential distribution with mean 923 days is adequate to provide a good description of the pattern of the length of stay, whereas, for nursing home care, a mixed exponential distribution with means 59 days (short stay) and 784 days (long stay) is required, and that 64% of admissions to nursing home care will become long-stay residents. The implications of these findings and the advantages of the proposed modelling approach in the general context of long-term care are discussed. Copyright 2005 Royal Statistical Society.

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Section: Resultssupporting

confidence: 89%

“…Research in the UK shows that the mortality rate for residents in nursing home care is particularly high in the first few months and then gradually levels out (Smith and Lowther, 1976;Bebbington et al, 2001;Rothera et al, 2002). This observation supports the notion of phases in residents' stay in care homes.…”

Section: Introductionmentioning

confidence: 84%

A Continuous Time Markov Model for the Length of Stay of Elderly People in Institutional Long-Term Care

Xie

Chaussalet

Millard

2004

Journal of the Royal Statistical Society Series A: Statistics in Society

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“…The high prevalence rate of psychiatric morbidity, predominantly dementia and depression, amongst the elderly residents of local authority homes has been reported for many years (Carstairs et al, 1971;Smith andLowther, 1976, Wilkin et al, 1978;Gurland et al, 1979).…”

Section: Introductionmentioning

confidence: 99%

The prescription of psychotropic medication in local authority old people's homes

Mann

Graham

Ashby

1986

Int J Geriat Psychiatry

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22% of the elderly residents of the 12 local authority homes in one London borough were being prescribed major tranquillisers (neuroleptic) medication. Standard diagnoses of severe dementia and of depression in residents without severe dementia were associated with this prescription as was a report by the Head of Home that the resident wandent wandered and was suspicious. These findings suggested that some non ‐ demented residents who display disturbed behaviour are being prescribed this medication, as well as residents with marked dementia. As these drugs cause many unpleasant side effects, careful assessment of mental state should be carried out before they are prescribed. This survey thus highlights the need for greater input from psychiatric services into local authority homes.

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“…Sims (1987) has advocated the further study of mortality among all categories of the psychiatrically ill, but although some authors have examined Part I11 home populations in a cross-sectional manner (Carstairs and Morrison, 1971;Lowther and McLeod, 1974;Hodkinson et al, 1988;Harrison et al, 1990), outcome studies are few. Smith and Lowther (1976) followed 200 newly admitted residents for four years and reported on mortality, but did not relate this to initial psychiatric diagnosis. Booth et af.…”

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confidence: 99%

Psychiatric morbidity as predictor of mortality for residents of local authority homes for the elderly

Ashby

Ames

West

et al. 1991

Int J Geriat Psychiatry

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SUMMARYThe residents of 12 local authority homes for the elderly run by one London borough were screened for depression and dementia in 1982 and again in 1985/6. Both samples were followed up 8-16 months after screening. In both groups, 23% were dead at follow-up and a small percentage (2% in the first sample, 5% in the second) had moved to hospitals. The mortality was approximately twice that expected for the general population of the same ages and was associated with male sex, young age, high organic brain syndrome score, high depression score, and the expression of a wish to die when screened. The majority of deaths were certified as due to chest infection or caidiovascular disease. The term 'dementia' appeared on only 18 of 99 death certificates, although 58 of these 99 residents had been classed as demented when screened. This study provides further evidence of the malign prognosis of depressive and cognitive disorder among residents of these homes.

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Follow-Up Study of Two Hundred Admissions to a Residential Home

Cited by 27 publications

References 0 publications

A Continuous Time Markov Model for the Length of Stay of Elderly People in Institutional Long-Term Care

A Continuous Time Markov Model for the Length of Stay of Elderly People in Institutional Long-Term Care

The prescription of psychotropic medication in local authority old people's homes

Psychiatric morbidity as predictor of mortality for residents of local authority homes for the elderly

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