Journal of the American Medical Directors Association
Original StudyRisk of Nursing Home Admission After Femoral Fracture Compared With Stroke, Myocardial Infarction, and Pneumonia
Section snippets
Study Population
The basic dataset consisted of all community-dwelling people aged 65 years and older insured with the Allgemeine Ortskrankenkasse Bayern (AOK Bavaria) on January 1, 2004, who were consecutively insured during the following year and still living at home on January 1, 2005. Bavaria is a federal state with 12.5 million inhabitants in the south of Germany. Health insurance is statutory in Germany. The AOK is Germany's largest statutory health insurance company. This nonprofit health insurance
Results
The study population consisted of 414,049 patients aged 66 years and older who were hospitalized for at least 7 days during the study period. The median age was 77.2 years and 62.8% of the patients were women (Figure 1). Femoral fracture was the main discharge diagnosis in 13,445 patients (3.2% of the study population). The main discharge diagnosis of stroke was more frequently and myocardial infarction and pneumonia were less frequently reported than femoral fractures. Within these disease
Discussion
The objective of the study was to compare the age- and sex-specific burden of institutionalization after femoral fracture with the burden of institutionalization after other diseases such as stroke, myocardial infarction, or pneumonia. Therefore, a large health claims database including 414,000 older people from the south of Germany was used. Institutionalization rates increased exponentially with age in all disease entities. The highest institutionalization rates were observed in patients with
Acknowledgments
We thank Regina Merk-Bäuml, Ralf Brum, Markus Gindl, and Stefanie Büttner from the Allgemeine Ortskrankenkasse (AOK) for their support of our analyses.
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J.M. has relationships with the following, none of these has direct relationship to the work described in this article: Ammonett, LLC; Novartis; Sanofi; Regeneron; Viking. The other authors declare no conflicts of interest.
The analysis was funded by the Bundesministerium für Bildung und Forschung (Förderkennzeichen: 01EC1007A).