This page is alzhub.org's plain-English summary of a published study, not the paper itself. It is generated from the record we hold for this study, sourced and linked below — check the original for the full text and methods.

71/100

✓ Peer-reviewed alzhub usefulness score 71 out of 100. Health systems and care delivery

Topic: Health services, long-term care and technology

Plain-language summary

Of 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). Mortality 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.

Cite this study APA, Vancouver, BibTeX · download .bib or .ris

APA 7th

MacRae, J., Ciminata, G., Geue, C., Lynch, E., Shenkin, S. D., Quinn, T. J., et al. (2025). Mortality in long-term care residents: retrospective national cohort study. BMJ supportive & palliative care. https://doi.org/10.1136/spcare-2024-005163

Vancouver

MacRae J, Ciminata G, Geue C, Lynch E, Shenkin SD, Quinn TJ, et al. Mortality in long-term care residents: retrospective national cohort study. BMJ supportive & palliative care. 2025. doi:10.1136/spcare-2024-005163. PMID: 39384193.

BibTeX

@article{macrae2025-39384193,
  author  = {MacRae, Jane and Ciminata, Giorgio and Geue, Claudia and Lynch, Ellen and Shenkin, Susan D and Quinn, Terence J and Burton, Jennifer Kirsty},
  title   = {{Mortality in long-term care residents: retrospective national cohort study}},
  journal = {BMJ supportive \& palliative care},
  year    = {2025},
  doi     = {10.1136/spcare-2024-005163},
  pmid    = {39384193},
  url     = {https://doi.org/10.1136/spcare-2024-005163}
}

Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 7 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.

How to read this study

Design: this is a follow-up (cohort) study. People are observed over time and not assigned to anything, so an association can reflect other differences between groups. Look at how long follow-up lasted, how many dropped out, and whether the authors adjusted for age, education and other health conditions.
Size: the record lists 892 participants. Ask whether that is enough for the question, and who they were.
Effect: the record reports “84.8%; 77.5%; 20.5%”. A statistically significant result can still be small in daily life.

What the evidence grade means here

This page is graded moderate. alzhub.org assigns the grade automatically from keywords in the abstract, not from reading the paper. Moderate means the abstract mentions a cohort, case-control or longitudinal design. It can add at most 5 of the 100 points in the study score, and it is a label about design, not a verdict on whether the findings are true.

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Key findings

Of 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).

Study details

Study designcohort study
Participants892
Effect size84.8%; 77.5%; 20.5%
Evidence strengthModerate

How this study scored 71/100

Published in a peer-reviewed journal, and it is a cohort study following people over time. Scored zero for randomized / 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, multicenter collaboration and free to read, so those were left out: it earned 40 of the 56 points we could judge it on, which is 71 out of 100.

Component	Points	Why
Journal tier	7 / 10	Tier 3 — peer-reviewed journal (BMJ supportive & palliative care)
Journal's citation record	— / 4	No journal record from OpenAlex — left out of this score
Study design	7 / 12	A cohort study following people over time
Strength of evidence	3 / 5	Rated “moderate” in our summary
Peer-review validation	10 / 10	Peer-reviewed. Published as an article in a named peer-reviewed journal.
How recent	4 / 5	2025 — within 3 year(s) of the newest study here
Sample size	2 / 4	892 participants
Effect reported	2 / 3	Effect reported as a number, without an interval or test
Studied in people	3 / 3	Studied in people (participant count stated)
Randomized / blinded	0 / 2	No randomization 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
Multicenter collaboration	— / 3	Institutions not listed — left out of this score
Indexed in PubMed	2 / 2	Indexed in PubMed (PMID 39384193)
Free to read	— / 2	Access not recorded — left out of this score
Points	40 / 56	Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 40 of the 56 points we could judge it on is 71 out of 100.
Total	71 / 100	—

What each of these 20 components measures, and what this score is not →

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