Schreuder Miranda C, Joling Karlijn J, Groen Wim G, Perry Marieke, Landeweer Elleke G M, Luijendijk Hendrika J, Zuidema Sytse U
Department of Primary- and Long-Term Care, University of Groningen, University Medical Center Groningen, PO Box 196, 9700AD, Groningen, The Netherlands.
Department of Medicine for Older People, Amsterdam UMC, Location Vrije Universiteit Amsterdam, De Boelelaan 1117, Amsterdam, The Netherlands.
Eur Geriatr Med. 2024 Dec;15(6):1949-1956. doi: 10.1007/s41999-024-01064-0. Epub 2024 Oct 1.
One third of Dutch nursing home residents relocated at least once during length of stay. Roughly 75 percent were individual relocations and the other 25 percent concerned group relocations. The average yearly number of individual relocations was about 3 times as high in the first 4 months after admission compared with later periods.
We performed an historical cohort study of pseudonymized registration data from a Dutch electronic health record. We selected data from nursing home residents aged 65 years and older who stayed on a ward for physical impairment or dementia and passed away between 2015 and 2019. Our study sample consisted of 26,060 long-stay nursing home residents from 67 nursing homes in the Netherlands. We examined the number of relocations, trends over time, individual versus group relocations and relocation destinations.
We found that approximately one-third of long-stay nursing home residents relocated at least once with an average of 36 relocations per 100 residents per year. Roughly, 75 percent of relocations were individual relocations and 25 percent concerned group relocations. In the first 4 months after admission, the average number of individual relocations per 100 resident per year was about 3 times as often compared to later periods after admission. Most individual relocations were within the same type of care.
A considerable proportion of Dutch long-stay nursing home residents experienced one or more relocations. Relocations for individual reasons occurred mostly in the first months after admission. Further investigation is warranted to explore which factors lead to relocations.
在荷兰养老院居住的居民中，有三分之一在住院期间至少搬过一次家。大约75%是个人搬家，另外25%是集体搬家。入院后头4个月的个人年平均搬家次数比之后的时期高出约3倍。
我们对来自荷兰电子健康记录的化名登记数据进行了一项历史性队列研究。我们选取了2015年至2019年间在因身体损伤或痴呆而设立的病房中居住并去世的65岁及以上养老院居民的数据。我们的研究样本包括来自荷兰67家养老院的26,060名长期居住的养老院居民。我们研究了搬家次数、随时间的趋势、个人搬家与集体搬家以及搬家目的地。
我们发现，大约三分之一的长期居住养老院居民至少搬过一次家，平均每年每100名居民有36次搬家。大致来说，75%的搬家是个人搬家，25%是集体搬家。入院后头4个月，每100名居民每年的个人平均搬家次数比入院后的后期高出约3倍。大多数个人搬家发生在同一类型的护理机构内。
相当一部分荷兰长期居住养老院居民经历过一次或多次搬家。因个人原因的搬家大多发生在入院后的头几个月。有必要进一步调查以探究哪些因素导致了搬家。
