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Lower respiratory infections in nursing home residents with dementia: a tale of two countries
Mehr DR, van der Steen JT, Kruse RL, Ooms ME, Rantz M, Ribbe MW.. The Gerontologist, 2003-04-01
Topic: Risk, prevention and care in population studies
Purpose A focus on palliative care for residents with dementia is much more common in Dutch nursing homes than in the United States. We compared treatment and mortality in U.S. and Dutch nursing home residents with lower respiratory infections (LRI), which are often the immediate cause of death in dementia. Design and methods We studied two prospective cohorts--a study of pneumonia (n = 706) conducted in 61 psychogeriatric nursing homes throughout the Netherlands and 701 subjects with likely dementia from a study of LRIs in 36 nursing homes in Missouri. Results Nursing home residents with dementia were more often treated without antibiotics in the Netherlands (23%) than in Missouri (15%). Indicators of severe illness operate in opposite directions: more severe illness is associated with antibiotic treatment in the United States, but with palliative treatment without antibiotics in the Netherlands. Implications Our findings are consistent with others in indicating problems with transition to palliative care for U.S. nursing home residents with dementia.
Key findings
- Results Nursing home residents with dementia were more often treated without antibiotics in the Netherlands (23%) than in Missouri (15%).
- Indicators of severe illness operate in opposite directions: more severe illness is associated with antibiotic treatment in the United States, but with palliative treatment without antibiotics in the Netherlands.
- Implications Our findings are consistent with others in indicating problems with transition to palliative care for U.S. nursing home residents with dementia.
Study details
- Participants706
- Evidence strengthLow
How this study scored 45/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record and multi-centre collaboration, so those were left out: it earned 26 of the 58 points we could judge it on, which is 45 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (The Gerontologist) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2003 — older than 20 years, still counted |
| Sample size | 2 / 4 | 706 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 12711728) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Points | 26 / 58 | Scored on 11 of 20 parts. We have no data for the rest, so they are left out: 26 of the 58 points we could judge it on is 45 out of 100. |
| Total | 45 / 100 | — |
What each of these 20 components measures, and what this score is not →
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APA 7th
Mehr, D. R., van der Steen, J. T., Kruse, R. L., Ooms, M. E., Rantz, M., & Ribbe, M. W. (2003). Lower respiratory infections in nursing home residents with dementia: a tale of two countries. The Gerontologist. https://doi.org/10.1093/geront/43.suppl_2.85
Vancouver
Mehr DR, van der Steen JT, Kruse RL, Ooms ME, Rantz M, Ribbe MW. Lower respiratory infections in nursing home residents with dementia: a tale of two countries. The Gerontologist. 2003. doi:10.1093/geront/43.suppl_2.85. PMID: 12711728.
BibTeX
@article{mehr2003-12711728,
author = {Mehr, D. R. and van der Steen, J. T. and Kruse, R. L. and Ooms, M. E. and Rantz, M. and Ribbe, M. W.},
title = {{Lower respiratory infections in nursing home residents with dementia: a tale of two countries}},
journal = {The Gerontologist},
year = {2003},
doi = {10.1093/geront/43.suppl_2.85},
pmid = {12711728},
url = {https://doi.org/10.1093/geront/43.suppl_2.85}
}