Mémoire, y compris stage professionnalisant[BR]- Séminaires méthodologiques intégratifs[BR]- Mémoire : "Les facteurs associés à l'entrée en maison de repos suite à une hospitalisation pour des troubles liés à une démence"

Abstract

INTRODUCTION. People live longer all over the world. Increasing age is associated with dementia. Dementia is a syndrome degrading memory, reasoning and behavior causing an inability to perform daily activities. Institutionalization of a person with dementia is sometimes necessary when home care becomes insufficient. However, the choice to transfer to a nursing home is not a personal decision but is motivated by a set of medical and social factors. The objective of this study is to determine the predictors of a permanent transfer to a nursing home among the persons aged 65 years and over hospitalized for a dementia-related disorder. METHODOLOGY. This is a cross-sectional study conducted on 5,212 people hospitalized for a primary diagnosis of dementia between 2017 and 2019 in Wallonia. Potential factors studied include administrative data (age, gender, province and length of hospitalization) as well as comorbidities. The data come from the Minimum Hospitalized Summary (RHM) which uses the 10th version of the International Classification of Diseases (ICD-10) to refer to diagnoses. Uni- and multivariate logistic regression analyses were performed to assess the factors that predict transfer to a nursing home. RESULTS. Of the 5,212 people hospitalized, 47% of them went to a nursing home. Institutionalization is influenced by a long length of stay (OR = 4.31; 95% CI 3.56-5.24), care dependence (OR = 2.35; 95% CI 1.99-2.77) and housing-related difficulties (OR = 4.12; 95% CI 3.02-5.67). Conversely, people who are on long-term drug treatment or who are overweight seem slightly less likely to enter a nursing home. CONCLUSION. Our results suggest that moving to a nursing home is associated with social factors. However, given the limited availability and high costs of nursing homes, it is essential to develop interventions and to require better coordination between the hospital and home care services in order to promote home support and therefore delay institutionalization. KEY WORDS. dementia, nursing home admission, hospitalization, RHM