{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:31:13Z","timestamp":1765758673210,"version":"3.48.0"},"reference-count":43,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T00:00:00Z","timestamp":1646265600000},"content-version":"unspecified","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Swiss National Science Foundation","doi-asserted-by":"crossref","award":["407440_183434\/1"],"award-info":[{"award-number":["407440_183434\/1"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,2,16]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate patient characteristics and the available health and drug data associated with unplanned nursing home admission following an acute hospital admission or readmission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A population-based hospital registry study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A public hospital in southern Switzerland (Valais Hospital).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>We explored a population-based longitudinal dataset of 14\u2009705 hospital admissions from 2015 to 2018.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>Sociodemographic, health and drug data, and their interactions predicting the risk of unplanned nursing home admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean prevalence of unplanned nursing home admission after hospital discharge was 6.1% (n=903\/N=14\u2009705). Our predictive analysis revealed that the oldest adults (OR=1.07 for each additional year of age; 95%\u2009CI 1.05 to 1.08) presenting with impaired functional mobility (OR=3.22; 95%\u2009CI 2.67 to 3.87), dependency in the activities of daily living (OR=4.62; 95%\u2009CI 3.76 to 5.67), cognitive impairment (OR=3.75; 95%\u2009CI 3.06 to 4.59) and traumatic injuries (OR=1.58; 95%\u2009CI 1.25 to 2.01) had a higher probability of unplanned nursing home admission. The number of International Classification of Diseases, 10th version diagnoses had no significant impact on nursing home admissions, contrarily to the number of prescribed drugs (OR=1.17; 95%\u2009CI 1.15 to 1.19). Antiemetics\/antinauseants (OR=2.53; 95%\u2009CI 1.21 to 5.30), digestives (OR=1.78; 95%\u2009CI 1.09 to 2.90), psycholeptics (OR=1.76; 95%\u2009CI 1.60 to 1.93), antiepileptics (OR=1.49; 95%\u2009CI 1.25 to 1.79) and anti-Parkinson\u2019s drugs (OR=1.40; 95%\u2009CI 1.12 to 1.75) were strongly linked to unplanned nursing home admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Numerous risk factors for unplanned nursing home admission were identified. To prevent the adverse health outcomes that precipitate acute hospitalisations and unplanned nursing home admissions, ambulatory care providers should consider these risk factors in their care planning for older adults before they reach a state requiring hospitalisation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-057444","type":"journal-article","created":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T11:22:56Z","timestamp":1646392976000},"page":"e057444","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Unplanned nursing home admission among discharged polymedicated older inpatients: a single-centre, registry-based study in Switzerland"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9207-4856","authenticated-orcid":false,"given":"Filipa","family":"Pereira","sequence":"first","affiliation":[{"name":"Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal"},{"name":"School of Health Sciences, HES-SO Valais Wallis, Sion, Switzerland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5375-3255","authenticated-orcid":false,"given":"Henk","family":"Verloo","sequence":"additional","affiliation":[{"name":"School of Health Sciences, HES-SO Valais Wallis, Sion, Switzerland"},{"name":"D\u00e9partement de Psychiatrie, Centre Hospitalier Universitaire Vaudois, Prilly, Switzerland"}]},{"given":"Armin","family":"von Gunten","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Psychiatrie, Centre Hospitalier Universitaire Vaudois, Prilly, Switzerland"}]},{"given":"Mar\u00eda","family":"del R\u00edo Carral","sequence":"additional","affiliation":[{"name":"Institute of Psychology, Research Center for the Psychology of Health, Aging and Sports Examination, University of Lausanne, Lausanne, Switzerland"}]},{"given":"Carla","family":"Meyer-Massetti","sequence":"additional","affiliation":[{"name":"Institute for Primary Health Care (BIHAM), University of Bern, Bern, Switzerland"},{"name":"Clinical Pharmacology and Toxicology, Clinical of General Internal Medicine, Inselspital - University Hospital of Bern, Bern, Switzerland"}]},{"given":"Maria Manuela","family":"Martins","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem do Porto, Porto, Portugal"}]},{"given":"Boris","family":"Wernli","sequence":"additional","affiliation":[{"name":"FORS, Swiss Centre of Expertise in the Social Sciences, University of Lausanne, Lausanne, Switzerland"}]}],"member":"239","published-online":{"date-parts":[[2022,3,4]]},"reference":[{"key":"2025121222145251000_12.3.e057444.1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2019.20185","article-title":"Association between physical activity levels in the hospital setting and hospital-acquired functional decline in elderly patients","volume":"3","author":"Tasheva","year":"2020","journal-title":"JAMA Netw Open"},{"key":"2025121222145251000_12.3.e057444.2","first-page":"238","article-title":"New institutionalisation following acute hospital admission: a retrospective cohort study","volume":"46","author":"Harrison","year":"2017","journal-title":"Age Ageing"},{"key":"2025121222145251000_12.3.e057444.3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-7-13"},{"key":"2025121222145251000_12.3.e057444.4","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/j.jamda.2019.03.035","article-title":"A \"Hospital-Day-1\" model to predict the risk of discharge to a skilled nursing facility","volume":"20","author":"Oseran","year":"2019","journal-title":"J Am Med Dir Assoc"},{"key":"2025121222145251000_12.3.e057444.5","doi-asserted-by":"crossref","DOI":"10.1016\/j.archger.2020.104255","article-title":"Comprehensive geriatric assessment in the emergency department for the prediction of readmission among older patients: a 3-month follow-up study","volume":"92","author":"Huang","year":"2021","journal-title":"Arch Gerontol Geriatr"},{"key":"2025121222145251000_12.3.e057444.6","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1111\/jgs.15131","article-title":"New institutionalization in long-term care after hospital discharge to skilled nursing facility","volume":"66","author":"Middleton","year":"2018","journal-title":"J Am Geriatr Soc"},{"key":"2025121222145251000_12.3.e057444.7","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp202"},{"key":"2025121222145251000_12.3.e057444.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2007.09.009"},{"key":"2025121222145251000_12.3.e057444.9","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1002\/gps.4919","article-title":"Hospital outcomes of older people with cognitive impairment: an integrative review","volume":"33","author":"Fogg","year":"2018","journal-title":"Int J Geriatr Psychiatry"},{"key":"2025121222145251000_12.3.e057444.10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199505183322006"},{"key":"2025121222145251000_12.3.e057444.11","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1997.03540330050034"},{"key":"2025121222145251000_12.3.e057444.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2000.tb03873.x"},{"key":"2025121222145251000_12.3.e057444.13","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.1111\/jocn.15219","article-title":"Delirium point prevalence studies in inpatient settings: a systematic review and meta-analysis","volume":"29","author":"Koirala","year":"2020","journal-title":"J Clin Nurs"},{"key":"2025121222145251000_12.3.e057444.14","doi-asserted-by":"crossref","DOI":"10.1186\/s12916-019-1458-7","article-title":"Delirium is prevalent in older hospital inpatients and associated with adverse outcomes: results of a prospective multi-centre study on world delirium awareness day","volume":"17","author":"Welch","year":"2019","journal-title":"BMC Med"},{"key":"2025121222145251000_12.3.e057444.15","doi-asserted-by":"publisher","DOI":"10.1002\/gps.2104"},{"key":"2025121222145251000_12.3.e057444.16","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.jamda.2018.06.020","article-title":"The impact of frailty and comorbidity on institutionalization and mortality in persons with dementia: a prospective cohort study","volume":"20","author":"Haaksma","year":"2019","journal-title":"J Am Med Dir Assoc"},{"key":"2025121222145251000_12.3.e057444.17","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13153"},{"key":"2025121222145251000_12.3.e057444.18","doi-asserted-by":"publisher","DOI":"10.1007\/s40266-014-0185-1."},{"key":"2025121222145251000_12.3.e057444.19","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1017\/S1041610216001964","article-title":"Relocation experiences with unplanned admission to a nursing home: a qualitative study","volume":"29","author":"Koppitz","year":"2017","journal-title":"Int Psychogeriatr"},{"key":"2025121222145251000_12.3.e057444.20","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-030030"},{"key":"2025121222145251000_12.3.e057444.21","unstructured":"Swiss Federal Statistical Office . 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