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Nursing Home Admission and Home Care Initiation After Acute Aortic Dissection: A Nationwide Registry-Based Cohort Study: A Nationwide Registry-Based Cohort Study

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Název: Nursing Home Admission and Home Care Initiation After Acute Aortic Dissection: A Nationwide Registry-Based Cohort Study: A Nationwide Registry-Based Cohort Study
Autoři: Pedersen, Maria Weinkouff, Oksjoki, Riina, Møller, Jacob Eifer, Gundlund, Anna, Fosbøl, Emil, Nielsen, Dorte Guldbrand, Køber, Lars, Andersen, Mikkel Porsborg, Torp-Pedersen, Christian, Søgaard, Peter, Andersen, Niels Holmark, Kragholm, Kristian
Zdroj: Tex Heart Inst J
Texas Heart Institute Journal, Vol 51, Iss 2, Pp 1-16 (2024)
Pedersen, M W, Oksjoki, R, Møller, J E, Gundlund, A, Fosbøl, E, Nielsen, D G, Køber, L, Andersen, M P, Torp-Pedersen, C, Søgaard, P, Andersen, N H & Kragholm, K 2024, 'Nursing Home Admission and Home Care Initiation After Acute Aortic Dissection: A Nationwide Registry-Based Cohort Study', The Texas Heart Institute Journal, vol. 51, no. 2, e238366. https://doi.org/10.14503/THIJ-23-8366
Pedersen, M W, Oksjoki, R, Møller, J E, Gundlund, A, Fosbøl, E, Nielsen, D G, Køber, L, Andersen, M P, Torp-Pedersen, C, Søgaard, P, Andersen, N H & Kragholm, K 2024, ' Nursing Home Admission and Home Care Initiation After Acute Aortic Dissection : A Nationwide Registry-Based Cohort Study ', Texas Heart Institute Journal, vol. 51, no. 2, e238366 . https://doi.org/10.14503/THIJ-23-8366
Informace o vydavateli: Texas Heart Institute Journal, 2024.
Rok vydání: 2024
Témata: Male, patient care management, Time Factors, Denmark, Aortic dissection, Nursing Homes/statistics & numerical data, Patient Admission/statistics & numerical data, rehabilitation, Patient Admission, Risk Factors, Diseases of the circulatory (Cardiovascular) system, Humans, Clinical Investigation, Registries, aortic dissection, Aortic Dissection/epidemiology, Aged, Retrospective Studies, Survival Rate/trends, Aortic Aneurysm, Thoracic, Aortic Aneurysm/therapy, Middle Aged, thoracic surgery, Home Care Services, Denmark/epidemiology, Patient Discharge, Aortic Aneurysm, Nursing Homes, Survival Rate, Aortic Dissection, Patient Discharge/statistics & numerical data, RC666-701, Home Care Services/statistics & numerical data, Acute Disease, Thoracic/diagnosis, epidemiology, Female, Aortic Aneurysm, Thoracic/diagnosis, Follow-Up Studies
Popis: Background: Little is known about long-term outcomes beyond survival following acute aortic dissection. The aim of this research was to evaluate rates of home care initiation and nursing home admission during the first year after discharge and to assess factors associated with these needs. Methods: All patients in Denmark with a first-time diagnosis of acute aortic dissection type A or B between 2006 and 2015 were identified using national registries. Patients discharged alive without nursing home or home care use before aortic dissection were included, along with age-matched and sex-matched population controls without aortic dissection (at a ratio of 1:5). Cause-specific multivariable Cox regression was used to derive adjusted hazard ratios. Results: The study population comprised 1093 patients and 5465 control individuals with a median (IQR) age of 64 (55-71) years; 70.6% were men. During their hospital stay, 2.7% of patients were registered with a first-time diagnosis of stroke, 7.1% with heart failure, and 2.2% with acute kidney failure; 5.9% of patients needed first-time dialysis. During the first year after discharge, 0.8% of patients who had had aortic dissection were admitted to a nursing home, 7.8% started home care, and 5.9% died. Among controls, these rates were 0.2%, 1.2%, and 1.2%, respectively. Patients who had had aortic dissection had significantly increased risk of initiating home care (hazard ratio, 7.47 [95% CI, 5.38-18.37]; P < .001) and of being admitted to a nursing home (hazard ratio, 4.28 [95% CI, 1.73-10.59]; P = .001). Initiation of home care and nursing home admission were related to advanced age, female sex, preexisting comorbidities, in-hospital complications, and conservative management of type A aortic dissection. Conclusion: Only a small proportion of patients who survived an aortic dissection needed home care or nursing home admission after hospital discharge.
Druh dokumentu: Article
Other literature type
Popis souboru: application/pdf
ISSN: 1526-6702
0730-2347
DOI: 10.14503/thij-23-8366
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39677396
https://doaj.org/article/bc0fd673660c43caaf18a1278e5981a1
https://curis.ku.dk/ws/files/420980709/thij_article_e238366.pdf
https://portal.findresearcher.sdu.dk/da/publications/faf9fb15-eb2a-4220-87a1-5be502cebec8
https://doi.org/10.14503/THIJ-23-8366
Rights: CC BY NC
URL: http://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use and distribution in any medium, provided the original work is properly cited, and the use is noncommercial.
Přístupové číslo: edsair.doi.dedup.....8424f9b2a71eb53e13a78dce4c682006
Databáze: OpenAIRE
Popis
Abstrakt:Background: Little is known about long-term outcomes beyond survival following acute aortic dissection. The aim of this research was to evaluate rates of home care initiation and nursing home admission during the first year after discharge and to assess factors associated with these needs. Methods: All patients in Denmark with a first-time diagnosis of acute aortic dissection type A or B between 2006 and 2015 were identified using national registries. Patients discharged alive without nursing home or home care use before aortic dissection were included, along with age-matched and sex-matched population controls without aortic dissection (at a ratio of 1:5). Cause-specific multivariable Cox regression was used to derive adjusted hazard ratios. Results: The study population comprised 1093 patients and 5465 control individuals with a median (IQR) age of 64 (55-71) years; 70.6% were men. During their hospital stay, 2.7% of patients were registered with a first-time diagnosis of stroke, 7.1% with heart failure, and 2.2% with acute kidney failure; 5.9% of patients needed first-time dialysis. During the first year after discharge, 0.8% of patients who had had aortic dissection were admitted to a nursing home, 7.8% started home care, and 5.9% died. Among controls, these rates were 0.2%, 1.2%, and 1.2%, respectively. Patients who had had aortic dissection had significantly increased risk of initiating home care (hazard ratio, 7.47 [95% CI, 5.38-18.37]; P < .001) and of being admitted to a nursing home (hazard ratio, 4.28 [95% CI, 1.73-10.59]; P = .001). Initiation of home care and nursing home admission were related to advanced age, female sex, preexisting comorbidities, in-hospital complications, and conservative management of type A aortic dissection. Conclusion: Only a small proportion of patients who survived an aortic dissection needed home care or nursing home admission after hospital discharge.
ISSN:15266702
07302347
DOI:10.14503/thij-23-8366