{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T13:24:00Z","timestamp":1792848240882,"version":"4.5.0"},"reference-count":49,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T00:00:00Z","timestamp":1685491200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Residential care facility may provide a transition between living at home and a nursing home for dependent older people or an alternative to nursing homes. The objective of this review was to compare mortality and hospitalizations of older adults living in residential care facilities with those living in nursing homes or in the community. We searched Medline, Scopus and Web of Science from inception to December 2022. Fifteen cohort studies with 6 months to 10 years of follow-up were included. The unadjusted relative risk (RR) of mortality was superior in nursing homes than in residential care facilities in 6 of 7 studies (from 1.3 to 1.68). Conversely, the unadjusted relative risk of hospitalizations was higher in residential care facilities in 6 studies (from 1.3 to 3.37). Studies conducted on persons with dementia found mixed results, the only study adjusted for co-morbidities observing no difference on these two endpoints. Compared with home, unadjusted relative risks were higher in residential care facilities for mortality in 4 studies (from 1.34 \u00e0 10.1) and hospitalizations in 3 studies (from 1.12 to 1.62). Conversely, the only study that followed older adults initially living at home over a 10-year period found a reduced risk of heavy hospital use (RR = 0.68) for those who temporarily resided in a residential care facilities. There is insufficient evidence to determine whether residential care facilities might be an alternative to nursing homes for older people with similar clinical characteristics (co-morbidities and dementia). Nevertheless, given the high rate of hospitalizations observed in residential care facilities, the medical needs of residents should be better explored.<\/jats:p>","DOI":"10.1371\/journal.pone.0286527","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T17:59:12Z","timestamp":1685555952000},"page":"e0286527","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":25,"title":["Comparison of mortality and hospitalizations of older adults living in residential care facilities versus nursing homes or the community. A systematic review"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7797-241X","authenticated-orcid":true,"given":"Denis","family":"Boucaud-Maitre","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luc","family":"Letenneur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6662-8832","authenticated-orcid":true,"given":"Moustapha","family":"Dram\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine","family":"Taub\u00e9-Teguo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Fran\u00e7ois","family":"Dartigues","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9l\u00e8ne","family":"Amieva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maturin","family":"Tabu\u00e9-Teguo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,5,31]]},"reference":[{"key":"pone.0286527.ref001","unstructured":"World Health Organization (2020). Decade of Healthy Aging 2020\u20132030. https:\/\/cdn.who.int\/media\/docs\/default-source\/decade-of-healthy-ageing\/final-decade-proposal\/decade-proposal-final-apr2020-en.pdf?sfvrsn=b4b75ebc_25&download=true"},{"issue":"8","key":"pone.0286527.ref002","doi-asserted-by":"crossref","first-page":"afac185","DOI":"10.1093\/ageing\/afac185","article-title":"Frailty: understanding the difference between age and ageing","volume":"51","author":"EH Gordon","year":"2022","journal-title":"Age Ageing"},{"key":"pone.0286527.ref003","unstructured":"Toth M, Palmer L, Bercaw L, Johnson R, Jones J, Love R, et al. US Department of Health and Human Services. Understanding the characteristics of older adults in different residential settings: data sources and trends (October 2020). https:\/\/aspe.hhs.gov\/system\/files\/pdf\/264196\/ResSetChar.pdf"},{"issue":"1","key":"pone.0286527.ref004","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.1016\/S2666-7568(22)00288-4","article-title":"Foster families to support older people with dependency: a neglected strategy","volume":"4","author":"D Boucaud-Maitre","year":"2023","journal-title":"Lancet Healthy Longev"},{"key":"pone.0286527.ref005","doi-asserted-by":"crossref","first-page":"589371","DOI":"10.3389\/fpubh.2020.589371","article-title":"Senior Housing as a Living Environment That Supports Well-Being in Old Age","volume":"8","author":"OH Jolanki","year":"2021","journal-title":"Front Public Health"},{"key":"pone.0286527.ref006","unstructured":"Zimmerman S, Anderson W, Brode S, Jonas D, Lux L, Beeber A, et al. Comparison of Characteristics of Nursing Homes and Other Residential Long-Term Care Settings for People With Dementia [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 Oct. Report No.: 12(13)-EHC127-EF."},{"key":"pone.0286527.ref007","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"MJ Page","year":"2021","journal-title":"BMJ"},{"issue":"3","key":"pone.0286527.ref008","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1093\/geront\/9.3_Part_1.179","article-title":"Assessment of older people: self-maintaining and instrumental activities of daily living","volume":"9","author":"MP Lawton","year":"1969","journal-title":"Gerontologist"},{"key":"pone.0286527.ref009","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1001\/jama.1963.03060120024016","article-title":"Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function","volume":"185","author":"S Katz","year":"1963","journal-title":"JAMA"},{"key":"pone.0286527.ref010","unstructured":"National Institution of Health: U.S Department of Health and Human Services. Quality assessment tool for observational cohort and cross-sectional studies. https:\/\/www.nhlbi.nih.gov\/health-topics\/study-quality-assessment-tools (2015)."},{"key":"pone.0286527.ref011","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s40779-020-00238-8","article-title":"Methodological quality (risk of bias) assessment tools for primary and secondary medical studies: What are they and which is better?","volume":"7","author":"LL Ma","year":"2020","journal-title":"Military Med. 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Ingarfield","year":"2009","journal-title":"Age Ageing"},{"issue":"1","key":"pone.0286527.ref015","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1177\/0898264317725618","article-title":"Long-Term Care Service Trajectories and Their Predictors for Persons Living With Dementia: Results From a Canadian Study","volume":"31","author":"DS Cloutier","year":"2019","journal-title":"J Aging Health"},{"issue":"1","key":"pone.0286527.ref016","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/s12877-016-0395-y","article-title":"Impact of home care versus alternative locations of care on elder health outcomes: an overview of systematic reviews","volume":"17","author":"L Boland","year":"2017","journal-title":"BMC Geriatr"},{"issue":"3","key":"pone.0286527.ref017","first-page":"255","article-title":"Long-Term Services and Supports for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care","volume":"27","author":"A Wysocki","year":"2015","journal-title":"J Aging Soc Policy"},{"issue":"4","key":"pone.0286527.ref018","doi-asserted-by":"crossref","first-page":"422","DOI":"10.1093\/geront\/40.4.422","article-title":"The effect of long-term care environments on health outcomes","volume":"40","author":"RA Pruchno","year":"2000","journal-title":"Gerontologist"},{"issue":"1","key":"pone.0286527.ref019","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1093\/geront\/45.suppl_1.124","article-title":"Health and functional outcomes and health care utilization of persons with dementia in residential care and assisted living facilities: comparison with nursing homes","volume":"45","author":"PD Sloane","year":"2005","journal-title":"Gerontologist"},{"issue":"7","key":"pone.0286527.ref020","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.1111\/jgs.16410","article-title":"State Variability in the Prevalence and Healthcare Utilization of Assisted Living Residents with Dementia","volume":"68","author":"KS Thomas","year":"2020","journal-title":"J Am Geriatr Soc"},{"issue":"4","key":"pone.0286527.ref021","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1111\/opn.12086","article-title":"Impact of care settings on residents\u2019 functional and psychosocial status, physical activity and adverse events","volume":"10","author":"B Resnick","year":"2015","journal-title":"Int J Older People Nurs"},{"issue":"2","key":"pone.0286527.ref022","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1093\/ageing\/afs174","article-title":"Mortality in older care home residents in England and Wales","volume":"42","author":"SM Shah","year":"2013","journal-title":"Age Ageing"},{"issue":"6","key":"pone.0286527.ref023","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1093\/ageing\/afp173","article-title":"A Census-based longitudinal study of variations in survival amongst residents of nursing and residential homes in Northern 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Godden","year":"2001","journal-title":"Health Soc Care Community"},{"issue":"2","key":"pone.0286527.ref027","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1017\/S0714980814000038","article-title":"Emergency department visit rates and patterns in Canada\u2019s Vancouver coastal health region","volume":"33","author":"MJ McGregor","year":"2014","journal-title":"Can J Aging"},{"issue":"7","key":"pone.0286527.ref028","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1016\/j.jamda.2015.01.079","article-title":"Elevated Hospitalization Risk of Assisted Living Residents With Dementia in Alberta, Canada","volume":"16","author":"CJ Maxwell","year":"2015","journal-title":"J Am Med Dir Assoc"},{"issue":"1","key":"pone.0286527.ref029","first-page":"e33","article-title":"High rates of hospital admission among older residents in assisted living facilities: opportunities for intervention and impact on acute care","volume":"8","author":"DB Hogan","year":"2014","journal-title":"Open 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Park","year":"2018","journal-title":"Gerontologist"},{"issue":"5","key":"pone.0286527.ref033","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1093\/ageing\/afs097","article-title":"Ageing, genes, environment and epigenetics: what twin studies tell us now, and in the future","volume":"41","author":"CJ Steves","year":"2012","journal-title":"Age Ageing"},{"issue":"9","key":"pone.0286527.ref034","first-page":"CD005465","article-title":"Interventions for preventing falls in older people in care facilities and hospitals","volume":"9","author":"ID Cameron","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"pone.0286527.ref035","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1016\/j.archger.2012.05.010","article-title":"Identification of high risk fallers among older people living in residential care facilities: a simple screen based on easily collectable measures","volume":"55","author":"J Whitney","year":"2012","journal-title":"Arch Gerontol 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