Predictors of Hospitalization in Italian Nursing Home Residents: The U.L.I.S.S.E. Project

Antonio Cherubini, Paolo Eusebi, Giuseppina Dell'Aquila, Francesco Landi, Beatrice Gasperini, Roberta Bacuccoli, Giuseppe Menculini, Roberto Bernabei, Fabrizia Lattanzio, Carmelinda Ruggiero

Research output: Contribution to journalArticlepeer-review


Objective: To examine resident and facility characteristics associated with hospitalization in a cohort of Italian older nursing home residents. Design: A longitudinal observational study. Setting: The nursing homes participating in the U.L.I.S.S.E. study, a project evaluating the quality of care for older persons in Italy. Setting Participants: Nursing home residents in 31 Italian nursing homes. Measurement: Each resident underwent a comprehensive geriatric assessment at baseline, and after 6months and 1 year by means of the RAI MDS 2.0. Facility characteristics were collected using an ad hoc designed questionnaire. Hospitalizations were self-reported by facilities. Results: A total of 170 (11.6%) of 1466 nursing home residents were admitted to the hospital at least once during the study period. Female gender and higher physician, nurse, and nursing assistant hours per resident were predictive of a lower probability to be admitted to the hospital, whereas a diagnosis of arrhythmia, a previous urinary tract infection, and polypharmacy were associated with a higher probability of being hospitalized. Conclusion: These findings suggest that a reduction of hospitalization of nursing home residents could be achieved by providing an adequate amount of care and optimizing the management of chronic diseases and polypharmacy. This hypothesis should be tested in future clinical trials.

Original languageEnglish
JournalJournal of the American Medical Directors Association
Issue number1
Publication statusPublished - Jan 2012


  • Arrhythmia
  • Gender
  • Hospitalization
  • Nursing homes
  • Polypharmacy
  • Staffing
  • Urinary tract infection

ASJC Scopus subject areas

  • Medicine(all)
  • Nursing(all)
  • Health Policy


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