Abstract:
BACKGROUND:With the intention to aid planning for elderly focused public health and residential care needs in rapidly aging societies, a simple model using only age, gender and three Minimum Data Set (MDS) subscales (MDS-ADL Self-Performance Hierarchy, MDS-Cognitive Performance and the MDS-Changes in Health, End-stage disease and Symptoms and Signs scales) was used to estimate long-term survival of older people moving into nursing homes. METHODS:A total of 1820 nursing home residents were assessed by the MDS 2.0 and their mortality status 5 years later was used to develop a survival prediction model. RESULT:In December 2006, 54.2% of subjects were dead. Older age at nursing home admission (HR = 1.036 per 1-year increment, 95% CI 1.028-1.045), men (HR = 1.895, 95% CI 1.651-2.175), higher impairment level according to the MDS-ADL (HR = 1.135 per 1-unit increment, 95% CI 1.099-1.173) and MDS-CPS (HR = 1.077 per 1-unit increment, 95% CI 1.033-1.123), and more frail on the MDS-CHESS (HR = 1.150 per 1-unit increment, 95% CI 1.042-1.268), were all independent predictors of shorter survival after nursing home admission in multivariate analysis. Survival function was derived from the fitted Cox regression model. Survival time of nursing home residents with different combinations of risk factors were estimated through the survival function. CONCLUSION:The MDS-ADL, MDS-CPS and MDS-CHESS scales, in addition to age and gender, provide prognostic information in terms of survival time after institutionalization. The model may be useful for health care and residential care planning in an ageing community.
journal_name
Eur J Public Healthjournal_title
European journal of public healthauthors
Lee JS,Chau PP,Hui E,Chan F,Woo Jdoi
10.1093/eurpub/ckp006subject
Has Abstractpub_date
2009-06-01 00:00:00pages
308-12issue
3eissn
1101-1262issn
1464-360Xpii
ckp006journal_volume
19pub_type
杂志文章abstract:BACKGROUND:To examine the association between education and mortality for various causes of death in young adults in a community with a high rate of injection-drug users. METHODS:Linked mortality study based on mortality records for 1996 and 1997 and on 1996 population census data from the Region of Madrid (Spain). Th...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/13.4.334
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND:The use of health status measures to assess health-related quality of life is not widespread. The objectives of this study were to assess the prevalence, characteristics and severity of oral impacts on health using the Child-Oral Impact on Daily Performance (Child-OIDP). METHODS:The survey was conducted on ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp179
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Most knowledge on chronic fatigue (CF) and chronic fatigue syndrome (CFS) is based on clinical studies, not representative of the general population. This study aimed to assess the prevalence of fatigue in an adult general population and to identify associations with lifestyle factors. METHODS:Total 22,500 ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp113
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:The purpose was to examine the association between aspects of alienation and symptom load among adolescents. Furthermore an integrated purpose was to construct and validate an index of alienation. METHODS:Cross-sectional data from 5205 school children aged 11-15 years from a random sample of schools in Denm...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckn105
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Social inequalities has been shown for participation in colorectal cancer screening and recently in the initial stool sample blood test. If these differences persist at follow-up colon examination after a positive stool test, it would suggest that social inequality in screening may be greater than the inequa...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckz072
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Mortality variations have been reported for ethnic minority groups compared with their host populations. It is uncertain how this mortality variations change over time as younger generations become older and mix with the host population. This study aimed to examine all-cause mortality among three generations...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cky255
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:In France, most women of childbearing age work. The prenatal leave law in France protects women during pregnancy and their employment. We aimed to describe how long before delivery women stopped working and analyse the association between occupational, social and medical factors and early prenatal leave (bef...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckw072
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:This study aims at estimating the contribution of alcohol to socioeconomic mortality differentials in Sweden. METHODS:Data were obtained from a Census-linked Deaths Registry. Participants in the 1980 and 1990 censuses were included with a follow-up of mortality 1990-1995. Socioeconomic status was assigned f...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/12.4.254
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:The aim of this study is to discover how many nursing homes (NHs) in Flanders (Belgium) have policies on advance care planning (ACP) and their content regarding different medical end-of-life decisions. METHODS:A structured mail questionnaire was sent to the NH administrators of all 594 NHs in Flanders (Belg...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp121
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:The numbers of coronavirus disease 2019 (COVID-19) deaths per million people differ widely across countries. Often, the causal effects of interventions taken by authorities are unjustifiably concluded based on the comparison of pure mortalities in countries where interventions consisting different strategies...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa226
更新日期:2021-01-22 00:00:00
abstract:BACKGROUND:We conducted a systematic review and meta-analysis from published cohort studies to examine the association of adult height and all-cause mortality and to further explore the dose-response association. METHODS:PubMed, The Cochrane Library, The Ovid, CNKI, CQVIP and Wanfang databases were searched for articl...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa213
更新日期:2020-11-25 00:00:00
abstract:BACKGROUND:Western countries are experiencing an ageing and shrinking workforce in the eldercare sector. This study investigated whether 12 different work-related factors are associated with early retirement intentions of employees in the Danish eldercare sector. We tested whether three hypotheses explained the increas...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cks117
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:This paper addresses the extent to which equity of treatment according to need, as defined by self-reported health status, is received by members of ethnic minorities in Swedish health services. METHODS:The study was based on a multivariate analysis of cross-sectional data from the Swedish Survey of Living ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/11.2.147
更新日期:2001-06-01 00:00:00
abstract:Background:Unhealthy lifestyle factors, such as obesity, smoking, excessive alcohol consumption and physical inactivity, are associated with increased morbidity and mortality risk, even in older age. We investigated trends in lifestyle among three cohorts of adults aged 55-64 years from the Netherlands. Methods:Data f...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckx173
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:The EUROMED CANCER Network project aims to support non-EU Mediterranean countries in the development of cancer early detection and screening policies. METHODS:Through a structured questionnaire information from 15 countries (Albania, Algeria, Bosnia and Herzegovina (BiH), Croatia, Egypt, Jordan, UN Interim ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv107
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:To quantify clinical inappropriateness of antibiotic prescription and its costs in primary health care. METHODS:2470 cases of infectious disease during 1998 were analysed. RESULTS:Of all cases, 69.9% did not require antibiotic treatment. Global clinical inappropriateness amounted to 43.7%, rising to 56.7% w...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cki080
更新日期:2005-06-01 00:00:00
abstract:BACKGROUND:Cantabria has the highest prevalence of alcohol consumption among women in Spain. Patterns of alcohol consumption before pregnancy were assessed as a determinant of alcohol cessation in pregnant women in Cantabria. METHODS:Survey on a random sample of women delivering for the period 1998-2002 (n = 1510). In...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckl259
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:Despite the acknowledged value of an EU health information system (EU-HISys) and the many achievements in this field, the landscape is still heavily fragmented and incomplete. Through a systematic analysis of the opinions and valuations of public health stakeholders, this study aims to conceptualize key feat...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv075
更新日期:2016-02-01 00:00:00
abstract:INTRODUCTION:People with severe mental illness have increased risk for premature mortality and thus a shorter life expectancy. Relative death rates are used to show the excess mortality among patients with mental health disorder but cannot be used for the comparisons by country, region and time. METHODS:A population-b...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv245
更新日期:2016-10-01 00:00:00
abstract::We examined whether the occurrence of violence changed among Finnish adolescents between 1999 and 2009. The study was based on the nationwide Adolescent Health and Lifestyle Survey from samples of 12- to 18-year-olds. The number of respondents was 8136 in 1999 and 5516 in 2009. The proportion of adolescents reporting ...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckt050
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Programmes to educate media professionals about suicide are increasingly established, but information about which suicide cases are most likely to be reported in the mass media is sparse. METHODS:We applied binomial tests to compare frequencies of social characteristics of all domestic suicides in the 13 la...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckp034
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:Poor co-ordination and collaboration have been identified by many governments as a major and growing weakness of their health care systems. Better integrated care for the elderly individuals is one field of particular importance. In this study, we ask to what extent local authorities' social care services cr...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cks171
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Both media use and cancer knowledge have been identified as important predictors of a healthy lifestyle. However, little is known about the interplay between these two variables, and about differences between cancer diagnosed and non-diagnosed consumers of media and knowledge. This study investigated the rel...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv018
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Health 2020 is the regional health policy framework of the World Health Organization (WHO) Regional Office for Europe. The goals of Health 2020 are to improve health and well-being, reduce health inequalities and strengthen public health. To gain insight into the Health 2020 targets needing extra attention i...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckaa091
更新日期:2020-12-11 00:00:00
abstract:BACKGROUND:Performing international comparisons on efficiency usually has two main drawbacks: the lack of comparability of data from different countries and the appropriateness and adequacy of data selected for efficiency measurement. With inpatient discharges for four countries, some of the problems of data comparabil...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cku222
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Previous research has highlighted excess health morbidity in offender populations. A small number of studies have described health problems within police custody settings. The efficacy of police screening procedures has not been evaluated. METHODS:Prospective clinical interviews with custody detainees in Lo...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/cks027
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Adherence to recommended guidelines in the care for diabetes has been demonstrated to significantly prevent the excess risk of hospitalization and mortality for cardiovascular diseases. Aim of this study was to evaluate whether adherence to a standardized process quality-of-care-indicator in diabetes, is abl...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/ckv159
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:The prevalence of the use of androgenic anabolic steroids has been poorly studied in Europe. This study was undertaken to examine the prevalence of the misuse--the non-medical use--of androgenic anabolic steroids among adolescents in a county of Sweden. METHODS:The total population of 16 and 17 year old mal...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/11.2.195
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND:The objective of this study is to analyse gender inequalities in the combination of job and family life and their effect on health status and use of health care services. METHODS:The data come from the Navarra Survey of Working Conditions (Spain, 1997) carried out on a sample of 2185 workers. The analysis w...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/14.1.43
更新日期:2004-03-01 00:00:00
abstract::Renewed debates about the superiority of either predominantly public or predominantly private health services arrangements have tended to be more ideologically charged than conceptually precise. Historically, the public/private split in European systems has often been more sharply defined in principle than in practice...
journal_title:European journal of public health
pub_type: 杂志文章
doi:10.1093/eurpub/13.1.24
更新日期:2003-03-01 00:00:00