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01.12.2012 | Research article | Ausgabe 1/2012 Open Access

BMC Health Services Research 1/2012

Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long TERm care (SHELTER) study

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2012
Autoren:
Graziano Onder, Iain Carpenter, Harriet Finne-Soveri, Jacob Gindin, Dinnus Frijters, Jean Claude Henrard, Thorsten Nikolaus, Eva Topinkova, Matteo Tosato, Rosa Liperoti, Francesco Landi, Roberto Bernabei, the SHELTER project
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1472-6963-12-5) contains supplementary material, which is available to authorized users.

Competing interests

IC, HFS, JG, DF, JCH, ET and RB are members of InterRAI.

Authors' contributions

GO, RB: conception and design, analysis and interpretation of data, preparation of the manuscript; IC, HFS, JG, DF, JCH, TN, ET: acquisition and interpretation of data, revision of the manuscript; MT, RL, FL: concept and design, acquisition and interpretation of data, revision of the manuscript. The final version of the manuscript was revised and approved by all authors.

Abstract

Background

Aims of the present study are the following: 1. to describe the rationale and methodology of the Services and Health for Elderly in Long TERm care (SHELTER) study, a project funded by the European Union, aimed at implementing the interRAI instrument for Long Term Care Facilities (interRAI LTCF) as a tool to assess and gather uniform information about nursing home (NH) residents across different health systems in European countries; 2. to present the results about the test-retest and inter-rater reliability of the interRAI LTCF instrument translated into the languages of participating countries; 3 to illustrate the characteristics of NH residents at study entry.

Methods

A 12 months prospective cohort study was conducted in 57 NH in 7 EU countries (Czech Republic, England, Finland, France, Germany, Italy, The Netherlands) and 1 non EU country (Israel). Weighted kappa coefficients were used to evaluate the reliability of interRAI LTCF items.

Results

Mean age of 4156 residents entering the study was 83.4 ± 9.4 years, 73% were female. ADL disability and cognitive impairment was observed in 81.3% and 68.0% of residents, respectively. Clinical complexity of residents was confirmed by a high prevalence of behavioral symptoms (27.5% of residents), falls (18.6%), pressure ulcers (10.4%), pain (36.0%) and urinary incontinence (73.5%). Overall, 197 of the 198 the items tested met or exceeded standard cut-offs for acceptable test-retest and inter-rater reliability after translation into the target languages.

Conclusion

The interRAI LTCF appears to be a reliable instrument. It enables the creation of databases that can be used to govern the provision of long-term care across different health systems in Europe, to answer relevant research and policy questions and to compare characteristics of NH residents across countries, languages and cultures.
Zusatzmaterial
Authors’ original file for figure 1
12913_2011_1925_MOESM1_ESM.pdf
Authors’ original file for figure 2
12913_2011_1925_MOESM2_ESM.pdf
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