Wingard D L, Williams-Jones D, McPhillips J, Kaplan R M, Barrett-Connor E
University of California, San Diego, La Jolla 92093.
J Aging Health. 1990 May;2(2):179-93. doi: 10.1177/089826439000200203.
Rates of nursing home utilization between 1972 and 1986 were determined for 1,302 men and women living in an upper-middle-class community in Southern California. Leading diagnostic reasons for admission were dementia, cancer, and stroke, and the leading nondiagnostic reason for admission was an inability to carry out activities of daily living. In this cohort, rates of nursing home utilization increased with age. Women at all ages used nursing homes at a higher rate than men, although their probability of survival once admitted was greater. Admission rates were higher over time or prior to death than when observed cross-sectionally. Rates were highest in the year prior to death but declined at time of death.
对居住在南加州一个中上层社区的1302名男性和女性，确定了1972年至1986年期间的疗养院使用比率。入院的主要诊断原因是痴呆、癌症和中风，入院的主要非诊断原因是无法进行日常生活活动。在这个队列中，疗养院使用比率随年龄增长而增加。各年龄段女性使用疗养院的比率高于男性，尽管她们入院后的存活概率更高。随着时间推移或在死亡前的入院率高于横断面观察时的入院率。入院率在死亡前一年最高，但在死亡时下降。
