nearly one in five nursing home residents with advanced dementia experiences burdensome transitions in the last 90 days of life.
To reach these conclusions, the team analyzed federal databases of nursing home and Medicare records accumulated between 2000 and 2007.
In all, they found 474,829 patients who were older than 66, had advanced cognitive impairment, and lived in a nursing home 120 days before their death.
Of these, 90,228 residents experienced at least one burdensome transition, defined as either a transfer in the last three days of life, returning to a different nursing home than the one they lived in before they went to the hospital, or multiple hospitalizations in the last 90 days of life.
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