Unexplained Absences and Risk of Death and Injury Among Nursing Home Residents: A Systematic Review
Abstract Background Unexplained absence of nursing home (NH) residents is one of the most challenging issues related to the care of older people. The aim of this review was to examine the death and injury outcomes of unexplained absence of NH residents. Method We searched MEDLINE, CINAHL, EMBASE, Ps...
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| Veröffentlicht in: | Journal of the American Medical Directors Association 2017-04, Vol.18 (4), p.366.e1-366.e15 |
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| creator | Woolford, Marta H., BHSc(Honours) Weller, Carolina, PhD Ibrahim, Joseph E., MBBS, PhD |
| description | Abstract Background Unexplained absence of nursing home (NH) residents is one of the most challenging issues related to the care of older people. The aim of this review was to examine the death and injury outcomes of unexplained absence of NH residents. Method We searched MEDLINE, CINAHL, EMBASE, PsycINFO, AgeLine, and Cochrane Library to identify qualitative and quantitative studies published in the English language. Data on death and injury were collated, and aggregate proportions were calculated where possible. Results Nine studies were identified; most (n = 6) were conducted in the United States. Persons with dementia formed the study population in all studies. There were 1440 individual unexplained absences reported across the 9 studies. We calculated a rate of 82 deaths and 61 injuries per 1000 incidents of unexplained absence. Extreme temperatures were the most common cause of death. Most individuals left by foot, and were found within a 1-mile radius of place last seen in green vegetation and waterways. Conclusion This review provides valuable insight into death and injury outcomes. Further studies are recommended to improve understanding and prevent adverse outcomes. |
| doi_str_mv | 10.1016/j.jamda.2017.01.007 |
| format | Article |
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The aim of this review was to examine the death and injury outcomes of unexplained absence of NH residents. Method We searched MEDLINE, CINAHL, EMBASE, PsycINFO, AgeLine, and Cochrane Library to identify qualitative and quantitative studies published in the English language. Data on death and injury were collated, and aggregate proportions were calculated where possible. Results Nine studies were identified; most (n = 6) were conducted in the United States. Persons with dementia formed the study population in all studies. There were 1440 individual unexplained absences reported across the 9 studies. We calculated a rate of 82 deaths and 61 injuries per 1000 incidents of unexplained absence. Extreme temperatures were the most common cause of death. Most individuals left by foot, and were found within a 1-mile radius of place last seen in green vegetation and waterways. Conclusion This review provides valuable insight into death and injury outcomes. Further studies are recommended to improve understanding and prevent adverse outcomes.</description><identifier>ISSN: 1525-8610</identifier><identifier>EISSN: 1538-9375</identifier><identifier>DOI: 10.1016/j.jamda.2017.01.007</identifier><identifier>PMID: 28242190</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>absconding ; Aged ; Aged, 80 and over ; Death ; dementia ; dignity ; Elopement ; Female ; Humans ; Internal Medicine ; Male ; Medical Education ; Middle Aged ; Nursing Homes ; residential aged care ; wandering ; Wandering Behavior ; Wounds and Injuries</subject><ispartof>Journal of the American Medical Directors Association, 2017-04, Vol.18 (4), p.366.e1-366.e15</ispartof><rights>AMDA – The Society for Post-Acute and Long-Term Care Medicine</rights><rights>2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine</rights><rights>Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-e360c1a2256710318995748335e669eb752ba4d844cfc339bc8d7ee7433e1b5a3</citedby><cites>FETCH-LOGICAL-c480t-e360c1a2256710318995748335e669eb752ba4d844cfc339bc8d7ee7433e1b5a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jamda.2017.01.007$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28242190$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Woolford, Marta H., BHSc(Honours)</creatorcontrib><creatorcontrib>Weller, Carolina, PhD</creatorcontrib><creatorcontrib>Ibrahim, Joseph E., MBBS, PhD</creatorcontrib><title>Unexplained Absences and Risk of Death and Injury Among Nursing Home Residents: A Systematic Review</title><title>Journal of the American Medical Directors Association</title><addtitle>J Am Med Dir Assoc</addtitle><description>Abstract Background Unexplained absence of nursing home (NH) residents is one of the most challenging issues related to the care of older people. The aim of this review was to examine the death and injury outcomes of unexplained absence of NH residents. Method We searched MEDLINE, CINAHL, EMBASE, PsycINFO, AgeLine, and Cochrane Library to identify qualitative and quantitative studies published in the English language. Data on death and injury were collated, and aggregate proportions were calculated where possible. Results Nine studies were identified; most (n = 6) were conducted in the United States. Persons with dementia formed the study population in all studies. There were 1440 individual unexplained absences reported across the 9 studies. We calculated a rate of 82 deaths and 61 injuries per 1000 incidents of unexplained absence. Extreme temperatures were the most common cause of death. Most individuals left by foot, and were found within a 1-mile radius of place last seen in green vegetation and waterways. Conclusion This review provides valuable insight into death and injury outcomes. Further studies are recommended to improve understanding and prevent adverse outcomes.</description><subject>absconding</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Death</subject><subject>dementia</subject><subject>dignity</subject><subject>Elopement</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical Education</subject><subject>Middle Aged</subject><subject>Nursing Homes</subject><subject>residential aged care</subject><subject>wandering</subject><subject>Wandering Behavior</subject><subject>Wounds and Injuries</subject><issn>1525-8610</issn><issn>1538-9375</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUFv1DAQhSMEoqXwC5CQj1wSxnYcO0ggrUqhlSqQWnq2HHsWnCbOYifQ_fc43cKBC6cZjd6b0fumKF5SqCjQ5k1f9WZ0pmJAZQW0ApCPimMquCpbLsXjtWeiVA2Fo-JZSj1AlrbN0-KIKVYz2sJxYW8C3u0G4wM6sukSBouJmODIlU-3ZNqSD2jm7_eTi9AvcU824xS-kc9LTD7X82lEcoXJOwxzeks25HqfZhzN7G2e__T463nxZGuGhC8e6klx8_Hs6-l5efnl08Xp5rK0tYK5RN6ApYYx0UgKnKq2FbJWnAtsmhY7KVhnaqfq2m4t521nlZOIsuYcaScMPyleH_bu4vRjwTTr0SeLw2ACTkvSVEmmpMzbs5QfpDZOKUXc6l30o4l7TUGvdHWv7-nqla4GqjPd7Hr1cGDpRnR_PX9wZsG7gwBzzBw96mT9itT5iHbWbvL_OfD-H78dfPDWDLe4x9RPSwyZoKY6MQ36en3w-l8qOQBXgv8GuFWfew</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Woolford, Marta H., BHSc(Honours)</creator><creator>Weller, Carolina, PhD</creator><creator>Ibrahim, Joseph E., MBBS, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170401</creationdate><title>Unexplained Absences and Risk of Death and Injury Among Nursing Home Residents: A Systematic Review</title><author>Woolford, Marta H., BHSc(Honours) ; Weller, Carolina, PhD ; Ibrahim, Joseph E., MBBS, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-e360c1a2256710318995748335e669eb752ba4d844cfc339bc8d7ee7433e1b5a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>absconding</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Death</topic><topic>dementia</topic><topic>dignity</topic><topic>Elopement</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical Education</topic><topic>Middle Aged</topic><topic>Nursing Homes</topic><topic>residential aged care</topic><topic>wandering</topic><topic>Wandering Behavior</topic><topic>Wounds and Injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Woolford, Marta H., BHSc(Honours)</creatorcontrib><creatorcontrib>Weller, Carolina, PhD</creatorcontrib><creatorcontrib>Ibrahim, Joseph E., MBBS, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Medical Directors Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Woolford, Marta H., BHSc(Honours)</au><au>Weller, Carolina, PhD</au><au>Ibrahim, Joseph E., MBBS, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unexplained Absences and Risk of Death and Injury Among Nursing Home Residents: A Systematic Review</atitle><jtitle>Journal of the American Medical Directors Association</jtitle><addtitle>J Am Med Dir Assoc</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>18</volume><issue>4</issue><spage>366.e1</spage><epage>366.e15</epage><pages>366.e1-366.e15</pages><issn>1525-8610</issn><eissn>1538-9375</eissn><abstract>Abstract Background Unexplained absence of nursing home (NH) residents is one of the most challenging issues related to the care of older people. The aim of this review was to examine the death and injury outcomes of unexplained absence of NH residents. Method We searched MEDLINE, CINAHL, EMBASE, PsycINFO, AgeLine, and Cochrane Library to identify qualitative and quantitative studies published in the English language. Data on death and injury were collated, and aggregate proportions were calculated where possible. Results Nine studies were identified; most (n = 6) were conducted in the United States. Persons with dementia formed the study population in all studies. There were 1440 individual unexplained absences reported across the 9 studies. We calculated a rate of 82 deaths and 61 injuries per 1000 incidents of unexplained absence. Extreme temperatures were the most common cause of death. Most individuals left by foot, and were found within a 1-mile radius of place last seen in green vegetation and waterways. Conclusion This review provides valuable insight into death and injury outcomes. Further studies are recommended to improve understanding and prevent adverse outcomes.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28242190</pmid><doi>10.1016/j.jamda.2017.01.007</doi></addata></record> |
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| subjects | absconding Aged Aged, 80 and over Death dementia dignity Elopement Female Humans Internal Medicine Male Medical Education Middle Aged Nursing Homes residential aged care wandering Wandering Behavior Wounds and Injuries |
| title | Unexplained Absences and Risk of Death and Injury Among Nursing Home Residents: A Systematic Review |
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