Table 1 Diseases identified in people admitted to skilled nursing homes by sex and age
Women | Men | Total | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Age (years) | 65–74 | 75–84 | ≥ 85 | 65–74 | 75–84 | ≥ 85 | ||||||||
N | 404 | 2450 | 6015 | 340 | 936 | 1542 | 11,687 | |||||||
2012 | 2013 | 2012 | 2013 | 2012 | 2013 | 2012 | 2013 | 2012 | 2013 | 2012 | 2013 | 2012 | 2013 | |
Parameters | % | % | % | % | % | % | % | % | % | % | % | % | % | % |
Cardiovascular and neurovascular disease | 32.2 | 32.9 | 35.7 | 41.4*** | 44.0 | 52.1*** | 45.0 | 47.6 | 56.6 | 59.9 | 56.7 | 65.0*** | 44.6 | 51.4*** |
Acute | 11.4 | 6.4* | 7.1 | 7.1 | 7.9 | 10.6*** | 14.7 | 5.6*** | 9.6 | 6.9* | 8.9 | 9.8 | 8.4 | 9.2* |
Chronic | 27.5 | 30.4 | 33.5 | 39.0*** | 42.1 | 49.9*** | 38.5 | 45.9 | 53.7 | 58.7* | 54.7 | 63.3*** | 42.3 | 49.3*** |
Coronary heart disease | 9.4 | 8.7 | 10.0 | 11.5 | 12.6 | 14.5** | 15.6 | 16.2 | 22.9 | 22.9 | 22.0 | 23.6 | 14.1 | 15.6** |
Acute coronary syndrome | NA | NA | 0.6 | 0.6 | 0.6 | 0.6 | NA | NA | NA | NA | 0.9 | 0.6 | 0.6 | 0.6 |
Chronic coronary heart disease | 8.9 | 8.2 | 9.4 | 10.9 | 12.0 | 13.9** | 14.4 | 15.6 | 22.5 | 22.4 | 21.1 | 23.0 | 13.5 | 15.0*** |
Stroke | 17.3 | 19.1 | 12.5 | 14.8* | 10.1 | 13.1*** | 23.5 | 22.6 | 17.8 | 19.0 | 13.4 | 16.6* | 12.3 | 14.8*** |
Acute stroke | 8.2 | 4.0* | 4.0 | 2.8* | 3.2 | 3.1 | 10.9 | NA | 5.4 | 2.2*** | 3.5 | 2.5 | 4.0 | 2.9*** |
Stroke sequelae | 9.2 | 15.1* | 8.5 | 12.0*** | 6.8 | 10.0*** | 12.6 | 20.3** | 12.4 | 16.8** | 9.9 | 14.1 | 8.3 | 12.0*** |
Heart failure | 6.2 | 6.2 | 8.7 | 10.3 | 13.3 | 18.9*** | 10.0 | 12.4 | 12.8 | 16.0* | 14.7 | 20.9*** | 12.1 | 16.5** |
Acute | 3.2 | NA | 2.4 | 3.1 | 3.9 | 6.6*** | 3.8 | NA | 3.2 | 4.2 | 4.3 | 6.2*** | 3.5 | 5.3*** |
Chronic | 3.0 | 4.7 | 6.3 | 7.2 | 9.4 | 12.3*** | 6.2 | 10.0 | 9.6 | 11.9 | 10.4 | 14.8* | 8.6 | 11.2*** |
Peripheral arterial occlusive disease | 3.7 | 3.7 | 4.7 | 4.9 | 5.1 | 5.8 | 7.9 | 7.9 | 10.3 | 10.0 | 9.0 | 9.9*** | 6.0 | 6.5 |
Arrhythmias or conduction disorders | 10.4 | 9.9 | 15.8 | 18.9** | 21.6 | 25.9*** | 11.8 | 11.2 | 23.6 | 25.7 | 27.7 | 33.7*** | 20.7 | 24.5*** |
Valvular heart disease | 3.7 | NA | 3.8 | 3.6 | 5.4 | 5.7 | NA | NA | 4.1 | 4.5 | 4.7 | 5.5 | 4.7 | 4.9 |
Diabetes | 17.8 | 20.0 | 18.4 | 18.9 | 13.3 | 13.9 | 20.6 | 23.2 | 23.9 | 24.9 | 17.4 | 17.8 | 16.2 | 16.8 |
Insulin-treated | 5.9 | 8.4 | 6.0 | 6.7 | 4.2 | 5.1* | 5.9 | 10.0* | 7.3 | 9.0 | 5.1 | 6.3 | 5.0 | 6.2*** |
Non-insulin-treated | 11.9 | 11.6 | 12.5 | 12.3 | 9.2 | 8.8 | 14.7 | 13.2 | 16.7 | 15.9 | 12.3 | 11.5 | 11.1 | 10.7 |
Cancer | 10.6 | 11.9 | 13.6 | 14.0 | 13.0 | 13.7 | 12.6 | 14.1 | 23.0 | 25.4 | 25.2 | 26.7 | 15.4 | 16.4* |
Active | 4.5 | 4.7 | 4.0 | 4.3 | 4.0 | 4.4 | 5.0 | 5.0 | 8.5 | 10.8 | 11.3 | 12.3 | 5.4 | 6.0* |
Under surveillance | 6.7 | 7.7 | 10.1 | 10.1 | 9.2 | 9.6 | 8.5 | 9.1 | 15.3 | 16.1 | 15.0 | 15.6 | 10.5 | 10.9 |
Breast | 3.7 | 4.2 | 6.4 | 6.4 | 4.5 | 4.5 | – | – | – | – | – | – | 3.8 | 3.8 |
Colon | NA | NA | 1.6 | 1.6 | 2.2 | 2.5 | NA | NA | 3.4 | 3.7 | 3.1 | 3.2 | 2.3 | 2.5 |
Prostate | – | – | – | – | – | – | 3.8 | 3.2 | 10.1 | 11.3 | 11.2 | 11.6 | 2.4 | 2.5 |
Psychiatric disorders | 39.6 | 43.1 | 21.7 | 23.7 | 9.0 | 11.6*** | 37.1 | 41.5 | 18.3 | 22.8* | 7.5 | 10.6** | 14.1 | 16.8*** |
Psychotic disorders | 13.1 | 14.1 | 3.8 | 4.1 | 1.1 | 1.3 | 13.2 | 12.9 | 2.2 | 2.7 | NA | 0.7 | 2.4 | 2.7 |
Neurotic and mood disorders | 21.5 | 24.3 | 13.3 | 14.4 | 5.2 | 6.9*** | 10.9 | 13.8 | 8.8 | 10.1 | 3.9 | 5.0 | 7.7 | 9.3*** |
Bipolar and manic disorders | 5.7 | 6.7 | 2.4 | 2.7 | 0.6 | 0.6 | NA | 3.8 | 1.4 | 1.5 | NA | NA | 1.2 | 1.4 |
Depression, other mood disorders | 13.1 | 14.4 | 8.2 | 9.0 | 3.1 | 4.4*** | 5.9 | 7.1 | 4.8 | 5.9 | 2.5 | 3.4 | 4.6 | 5.8*** |
Neurotic disorders | 6.2 | 7.9 | 4.8 | 4.9 | 2.0 | 2.5 | 3.8 | 3.5 | 3.8 | 4.1 | 1.4 | 1.6 | 2.8 | 3.2 |
Substance abuse disorders | 5.9 | 5.0 | 1.1 | 1.1 | 0.1 | 0.1 | 8.2 | 8.8 | 1.6 | 1.6 | NA | NA | 0.9 | 0.9 |
Neurological or degenerative diseases | 46.5 | 52.7 | 51.9 | 64.2*** | 35.4 | 48.1*** | 37.6 | 45.0 | 52.2 | 62.0*** | 33.6 | 48.9*** | 40.4 | 52.8*** |
Degenerative diseases | 38.9 | 44.8 | 49.9 | 62.2*** | 34.6 | 47.0*** | 26.5 | 33.8* | 50.3 | 60.0*** | 32.2 | 47.3*** | 38.6 | 50.8*** |
Dementia | 34.9 | 41.1 | 44.3 | 56.6*** | 32.4 | 44.5** | 22.1 | 28.5 | 42.3 | 52.0*** | 27.6 | 42.9*** | 34.8 | 46.9*** |
Parkinson’s disease | 7.9 | 8.9 | 8.2 | 9.5 | 3.4 | 4.1 | 9.1 | 10.9 | 14.9 | 17.2 | 6.6 | 7.7 | 6.1 | 7.1** |
Neurological diseases | 10.6 | 12.4 | 3.3 | 4.3 | 1.7 | 2.5** | 13.8 | 15.3 | 4.4 | 4.8 | 2.3 | 3.0 | 3.0 | 3.8** |
Epilepsy | 4.7 | 6.4 | 1.6 | 2.5* | 0.9 | 1.6*** | 8.8 | 9.7 | 2.8 | 3.2 | 1.5 | 2.0 | 1.7 | 2.4*** |
Chronic respiratory diseases | 10.1 | 9.2 | 10.1 | 10.5 | 10.3 | 12.3 | 16.2 | 16.2 | 14.5 | 16.0 | 13.8 | 16.7* | 11.2 | 12.8*** |
Inflammatory or rare diseases or HIV or AIDS | 4.0 | 3.5 | 4.7 | 4.7 | 3.2 | 3.5 | NA | 2.9 | 3.0 | 2.7 | 2.3 | 3.0 | 3.4 | 3.6 |
Chronic inflammatory diseases | 3.2 | 2.7 | 4.2 | 4.3 | 2.9 | 3.1 | NA | NA | 2.4 | 2.1 | 1.9 | 2.4 | 2.9 | 3.1 |
Rheumatoid arthritis | NA | NA | 2.2 | 2.2 | 1.7 | 1.7 | NA | NA | NA | NA | 1.0 | 1.1 | 1.5 | 1.6 |
Diseases of the liver or of pancreas | 3.7 | 2.5 | 1.9 | 2.0 | 1.4 | 1.4 | 4.4 | 3.5 | 2.7 | 3.5 | 1.4 | 1.6 | 1.8 | 1.8 |
Other chronic diseases | 11.4 | 13.6 | 10.1 | 11.6 | 12.4 | 14.8*** | 9.1 | 11.5 | 7.5 | 8.2 | 7.3 | 9.4* | 10.7 | 12.8*** |