Evidence map›Paper›PMID 39384193›Full record

ArticleBMJ supportive & palliative care2025

Mortality in long-term care residents: retrospective national cohort study.

Jane MacRae, Giorgio Ciminata, Claudia Geue, Ellen Lynch, Susan D Shenkin, Terence J Quinn, Jennifer Kirsty Burton

Abstract read
In one paragraph

Article in BMJ supportive & palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jane MacRaeAcademic Geriatric Medicine, School of Cardiovascular and Metabolic Health, Collge of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, UK.
Giorgio CiminataHealth Economics and Health Technology Assessment, School of Health & Wellbeing, College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, UK.
Claudia GeueHealth Economics and Health Technology Assessment, School of Health & Wellbeing, College of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, UK.
Ellen LynchSocial Care Analytical Unit, Health and Social Care Analysis, Scottish Government, Edinburgh, UK.
Susan D ShenkinAgeing and Health Research Group and Advanced Care Research Centre, Usher Institute, University of Edinburgh, Edinburgh, UK.
Terence J QuinnAcademic Geriatric Medicine, School of Cardiovascular and Metabolic Health, Collge of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, UK.
Jennifer Kirsty BurtonAcademic Geriatric Medicine, School of Cardiovascular and Metabolic Health, Collge of Medical, Veterinary & Life Sciences, University of Glasgow, Glasgow, UK jenni.burton@glasgow.ac.uk.ORCID http://orcid.org/0000-0002-4752-6988

Funding

Chief Scientist Office PCL/21/01
6 · The paper itself

Abstract

objectivesMortality trends among people living in long-term care settings have been poorly understood. Linking data offers the potential to provide real-world, long-term national follow-up. Our aim was to describe patterns and associations with mortality among people moving-in to care homes in Scotland.

methodsA retrospective cohort study was undertaken using routinely collected national social care data from the Scottish Care Home Census. These data were indexed and linked to national health data and mortality records for individuals moving- in to care homes in Scotland between 1 April 2013 and 31 March 2016. Location of death, underlying causes and time to death are reported. Survival analysis was undertaken using the Gompertz model for human mortality adjusted for key variables.

resultsOf 23 892 individuals moving-in to care homes, 20 250 (84.8%) died by 31 May 2020. Most deaths occurred in the care home setting (77.5%), with a fifth (20.5%) occurring in the hospital. 0.1% died the day they moved-in, 3.2% within a month, 24.2% within a year and 85% by 7 years. Dementia codes account for more than a third of all deaths (35.1%). Median survival time was shorter (701 vs 951 days; 23 vs 32 months) for those moving-in from the hospital, compared with the community. The adjusted HR for moving-in from the hospital was 1.19 (95% CI 1.15 to 1.22).

conclusionsMortality is common in Scotland's care homes but varies in timing. Dementia is the most common cause. Those moving-in from the hospital are more likely to die sooner, and this evidence provides opportunities to improve support for all involved.

Indexed as

Long-Term CareMortalityNursing HomesAgedAged, 80 and overCause of DeathCohort StudiesFemaleHumansMaleMiddle AgedRetrospective StudiesScotlandNursing Home carePalliative CareSocial care

Identifiers

PMID39384193
PMCPMC12772553

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.