Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long TERm care (SHELTER) study

被引:234
作者
Onder, Graziano [1 ]
Carpenter, Iain [2 ]
Finne-Soveri, Harriet [3 ]
Gindin, Jacob [4 ]
Frijters, Dinnus [5 ]
Henrard, Jean Claude [6 ,7 ]
Nikolaus, Thorsten [8 ]
Topinkova, Eva [9 ]
Tosato, Matteo [1 ]
Liperoti, Rosa [1 ]
Landi, Francesco [1 ]
Bernabei, Roberto [1 ]
机构
[1] Univ Cattolica Sacro Cuore, Ctr Med Invecchiamento, Rome, Italy
[2] Univ Kent, Ctr Hlth Serv Studies, Canterbury CT2 7NZ, Kent, England
[3] Natl Inst Hlth & Welf, Helsinki, Finland
[4] Univ Haifa, Lab Res Geriatr & Gerontol, IL-31999 Haifa, Israel
[5] Vrije Univ Amsterdam Med Ctr, EMGO Inst Hlth & Care Res, Dept Nursing Home Med, Amsterdam, Netherlands
[6] St Perine Hosp, APHP, Res Unit, Paris, France
[7] Versailles St Quentin Univ Paris, Paris, France
[8] Univ Ulm, AGAPLESION Bethesda Clin, Competence Ctr Geriatr & Aging Res, D-89069 Ulm, Germany
[9] Charles Univ Prague, Dept Geriatr, Fac Med 1, Prague, Czech Republic
来源
BMC HEALTH SERVICES RESEARCH | 2012年 / 12卷
关键词
MINIMUM DATA SET; COMPREHENSIVE CLINICAL-ASSESSMENT; OLDER-PEOPLE; ASSESSMENT INSTRUMENTS; CULTURAL-ADAPTATION; COMMUNITY; NETWORK; PROJECT; INFORMATION; ADMISSION;
D O I
10.1186/1472-6963-12-5
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Aims of the present study are the following: 1. to describe the rationale and methodology of the Services and Health for Elderly in Long TERm care (SHELTER) study, a project funded by the European Union, aimed at implementing the interRAI instrument for Long Term Care Facilities (interRAI LTCF) as a tool to assess and gather uniform information about nursing home (NH) residents across different health systems in European countries; 2. to present the results about the test-retest and inter-rater reliability of the interRAI LTCF instrument translated into the languages of participating countries; 3 to illustrate the characteristics of NH residents at study entry. Methods: A 12 months prospective cohort study was conducted in 57 NH in 7 EU countries (Czech Republic, England, Finland, France, Germany, Italy, The Netherlands) and 1 non EU country (Israel). Weighted kappa coefficients were used to evaluate the reliability of interRAI LTCF items. Results: Mean age of 4156 residents entering the study was 83.4 +/- 9.4 years, 73% were female. ADL disability and cognitive impairment was observed in 81.3% and 68.0% of residents, respectively. Clinical complexity of residents was confirmed by a high prevalence of behavioral symptoms (27.5% of residents), falls (18.6%), pressure ulcers (10.4%), pain (36.0%) and urinary incontinence (73.5%). Overall, 197 of the 198 the items tested met or exceeded standard cut-offs for acceptable test-retest and inter-rater reliability after translation into the target languages. Conclusion: The interRAI LTCF appears to be a reliable instrument. It enables the creation of databases that can be used to govern the provision of long-term care across different health systems in Europe, to answer relevant research and policy questions and to compare characteristics of NH residents across countries, languages and cultures.
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页数:10
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