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Can J Aging. 2019 Feb 14:1-8. doi: 10.1017/S0714980818000715. [Epub ahead of print]

Resident-Level Factors Associated with Hospitalization Rates for Newly Admitted Long-Term Care Residents in Canada: A Retrospective Cohort Study.

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Department of Medicine,McMaster University,Hamilton Ontario.
Biostatistics Division,Dalla Lana School of Public Health,University of Toronto,Toronto,Ontario.
Department of Community Health and Epidemiology,University of Saskatchewan,Saskatoon,Saskatchewan.
Collaborative Biostatistics Program,School of Public Health,University of Saskatchewan,Saskatoon,Saskatchewan.
Department of Physical Therapy,University of Toronto, Toronto,Ontario.


ABSTRACTHospitalizations of long-term care (LTC) residents can result in adverse outcomes such as functional decline. The objective of our study was to investigate the association between demographic and health information and hospitalization rate for newly admitted LTC residents. We conducted a retrospective cohort study of all LTC homes in six provinces and one territory in Canada, using data from the Resident Assessment Instrument-Minimum Data Set (RAI-MDS) 2.0 and the Discharge Abstract Database. We included newly admitted residents with an assessment between January 1 and December 31, 2013 (n = 37,998). Residents who were male, had higher health instability, and had moderate or severe functional impairment had higher rates of hospitalization, whereas residents who had moderate or severe cognitive impairment had decreased rates. The results of our study can be used to identify newly admitted residents who may be at risk for hospitalization, and appropriately target preventative interventions, including rehabilitation, advance care planning, palliative care, and geriatric specialty services.


acute care; aging; centres pour personnes âgées; hospitalisation; hospitalization; long-term care; nursing home; older adults; personnes âgées; soins aigus; soins de longue durée; vieillissement


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