2026-06-14T03:42:04Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/86932024-09-27T18:17:11Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608
Repisalud
author
Damian, Javier
author
Pastor-Barriuso, Roberto
author
Garcia Lopez, Fernando Jose
author
Ruigomez, Ana
author
Martínez-Martín, Pablo
author
Pedro-Cuesta, Jesus de
funder
Instituto de Salud Carlos III
2019-11-25T12:44:00Z
2019-11-25T12:44:00Z
2019
PLoS One. 2019 Mar 1;14(3):e0197789.
10.1371/journal.pone.0197789
1932-6203
1932-6203
PloS one
30822307
http://hdl.handle.net/20.500.12105/8693
BACKGROUND AND OBJECTIVES: Nursing or care home characteristics may have a long-term impact on the residents' mortality risks that has not been studied previously. The study's main objective was to assess the association between facility ownership and long-term, all-cause mortality. RESEARCH DESIGN AND METHODS: We conducted a mortality follow-up study on a cohort of 611 nursing-home residents in the city Madrid, Spain, from their 1998-1999 baseline interviews up to September 2013. Residents lived in three types of facilities: public, subsidized and private, which were also sub-classified according to size (number of beds). Residents' information was collected by interviewing the residents themselves, their caregivers and facility physicians. We used time-to-event multivariable models and inverse probability weighting to estimate standardized mortality risk differences. RESULTS: After a 3728 person-year follow-up (median/maximum of 4.8/15.2 years), 519 participants had died. In fully-adjusted models, the standardized mortality risk difference at 5 years of follow-up between medium-sized private facilities and large-sized public facilities was -18.9% (95% confidence interval [CI]: -33.4 to -4.5%), with a median survival (95% CI) of 3.6 (0.5 to 6.8) additional years. The fully-standardized 5-year mortality difference (95% CIs) between for-profit private facilities and not-for-profit public institutions was -15.1% (-31.1% to 0.9%), and the fully-standardized median survival difference (95% CIs) was 3.0 (-1.7 to 7.7) years. DISCUSSION AND IMPLICATIONS: These results are compatible with an association between factors related with the ownership of facilities and the long-term mortality risk of their residents. One of these factors, the facility size, could partly explain this association.
eng
Facility ownership and mortality among older adults residing in care homes
journal article
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URL
https://repisalud.isciii.es/bitstreams/153ba2b4-5b2a-41e7-89c6-4cb1893733ba/download
File
MD5
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application/pdf
FacilityOwnershipAndMortality_2019.pdf
URL
https://repisalud.isciii.es/bitstreams/439744ee-5622-41f4-a0bc-10565e6db19a/download
File
MD5
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text/plain
FacilityOwnershipAndMortality_2019.pdf.txt