Outcome of nursing home care for residents with alcohol use disorders

Carol L. Joseph, Jennifer Rasmussen, Linda Ganzini, Roland M. Atkinson

    Research output: Contribution to journalArticle

    13 Citations (Scopus)

    Abstract

    Objectives. 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. Design. Retrospective cohort study with participant interviews at NH admission and 3 years later. Setting. Urban Veterans Affairs (VA) Medical Center and Nursing Home Care Unit (NHCU). Participants. 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. Results. 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). Of the 21 participants with active AUD at NHCU entry, 11 resumed drinking after discharge and six still met criteria for active AUD 3 years later. Conclusions. The subset of NHCU patients with active AUD continued to incur alcohol-related hospitalizations and institutionalizations following NHCU discharge and suffered early mortality relative to their peers. Effective models of care for this subset of patients should be sought.

    Original languageEnglish (US)
    Pages (from-to)767-772
    Number of pages6
    JournalInternational Journal of Geriatric Psychiatry
    Volume12
    Issue number7
    DOIs
    StatePublished - Jul 1997

    Fingerprint

    Home Care Services
    Nursing Care
    Nursing Homes
    Alcohols
    Health Services
    Veterans
    Mortality
    Hospitalization
    Facility Regulation and Control
    Demography
    Episode of Care
    Interviews
    Institutionalization
    Drinking Behavior
    Patient-Centered Care
    Long-Term Care
    Diagnostic and Statistical Manual of Mental Disorders
    Alcohol Drinking
    Alcoholism
    Drinking

    Keywords

    • Alcohol
    • Elderly
    • Nursing homes

    ASJC Scopus subject areas

    • Geriatrics and Gerontology
    • Psychiatry and Mental health

    Cite this

    Outcome of nursing home care for residents with alcohol use disorders. / Joseph, Carol L.; Rasmussen, Jennifer; Ganzini, Linda; Atkinson, Roland M.

    In: International Journal of Geriatric Psychiatry, Vol. 12, No. 7, 07.1997, p. 767-772.

    Research output: Contribution to journalArticle

    Joseph, Carol L. ; Rasmussen, Jennifer ; Ganzini, Linda ; Atkinson, Roland M. / Outcome of nursing home care for residents with alcohol use disorders. In: International Journal of Geriatric Psychiatry. 1997 ; Vol. 12, No. 7. pp. 767-772.
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