What lies beneath: a retrospective, population-based cohort study investigating clinical and resource-use characteristics of institutionalized older people in Catalonia

Planning population care in a specific health care setting requires deep knowledge of the clinical characteristics of the target care recipients, which tend to be country specific. Our area virtually lacks any descriptive, far-reaching publications about institutionalized older people (IOP). We aime...

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Bibliographic Details
Published in:BMC geriatrics 2020-06, Vol.20 (1), p.187-187, Article 187
Main Authors: Amblàs-Novellas, Jordi, Santaeugènia, Sebastià J, Vela, Emili, Clèries, Montse, Contel, Joan C
Format: Article
Language:English
Subjects:
Age
Aged
Aged, 80 and over
Chronic diseases
Chronic illnesses
Cohort analysis
Cohort Studies
Comorbidity
Dementia
Dementia disorders
Elderly
Female
Geriatrics
Health care
Health Resources
Humans
Institutionalization
Investigations
Morbidity
Mortality
Multimorbidity
Nursing
Nursing care
Nursing home
Nursing homes
Older people
Population
Population studies
Population-based studies
Primary care
Retrospective Studies
Sociodemographics
Spain - epidemiology
Use of resources
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Summary:Planning population care in a specific health care setting requires deep knowledge of the clinical characteristics of the target care recipients, which tend to be country specific. Our area virtually lacks any descriptive, far-reaching publications about institutionalized older people (IOP). We aimed to investigate the demographic and clinical characteristics of institutionalized older people (IOP) ≥65 years old and compare them with those of the rest of the population of the same age. Retrospective analysis (total cohort approach) of clinical and resource-use characteristics of IOP and non-IOP older than 65 years in Catalonia (North-East Spain). Variables analysed included age and sex, diagnoses, morbidity burden-using Adjusted Morbidity Groups (GMA, Grupos de Morbilidad Ajustada)-, mortality, use of resources, and medications taken. All data were obtained from the administrative database of the local healthcare system. This study included 93,038, 78,458, 68,545 and 67,456 IOP from 2011, 2013, 2015 and 2017, respectively. In this interval, an increase in median age (83 vs. 87 years), in women (68.64% vs. 72.11%) and in annual mortality (11.74% vs. 20.46%) was observed. Compared with non-IOP (p 
ISSN:1471-2318
1471-2318
DOI:10.1186/s12877-020-01587-8