Outcome of nursing home care for residents with alcohol use disorders.
To describe the outcome of nursing home (NH) care for a previously established cohort of residents with active, inactive or no alcohol use disorder (AUD), and to examine demographic variables, health services utilization, mortality and drinking behaviors in this group.
Retrospective cohort study with participant interviews at NH admission and 3 years later.
Urban Veterans Affairs (VA) Medical Center and Nursing Home Care Unit (NHCU).
Patients older than age 50 admitted consecutively to a VA NHCU between July 1991 and February 1993 who completed a structured interview, N=117.
Main outcome measures
AUD as determined by DSM-III-R criteria.
Demographics, health services utilization and mortality as abstracted from the VA medical record.
Health service utilization as measured by care episodes was not significantly different in the three groups (active, inactive and no AUD), but subjects with AUD had documented health services use related to alcoholism, including hospitalizations for alcohol-related illness, placements in long-term care facilities to control drinking and death from alcohol-related causes.
The mean age at death was significantly younger for study participants with active or inactive AUD compared to those with no AUD : 67.7,70.4 and 77.9 years, respectively (p<0.004). (...)
Mots-clés Pascal : Alcoolisme, Etablissement troisième âge, Utilisation, Service santé, Démographie, Mortalité, Consommation, Boisson alcoolisée, Traitement, Etude longitudinale, Vieillard, Homme, Filière soins
Mots-clés Pascal anglais : Alcoholism, Homes for the aged, Use, Health service, Demography, Mortality, Consumption, Alcoholic beverage, Treatment, Follow up study, Elderly, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0407997
Code Inist : 002B18H05B. Création : 19/12/1997.