Results of Cox regression analysis for determinants and adverse outcome hospitalization in elderly managed care patients in Switzerland, years 2008–2012.

<p>Results of Cox regression analysis for determinants and adverse outcome hospitalization in elderly managed care patients in Switzerland, years 2008–2012.</p

Proportion of persons in managed care models aged more than 65 years receiving PIM with 95 % confidence interval; years 2008-2012 (standardised for Swiss population); new Beers criteria.

<p>Proportion of persons in managed care models aged more than 65 years receiving PIM with 95 % confidence interval; years 2008-2012 (standardised for Swiss population); new Beers criteria.</p

Characteristics and hospitalizations in elderly Swiss managed care patients with potentially inappropriate medication (PIM) use versus non-PIM use, years 2008–2012.

a<p>Two-sample Wilcoxon-tests for age, no. of different medication used, no. of chronic diseases, total costs previous year; ×2-tests for comparing difference between the two groups PIM use and Non-PIM use.</p

Proportion of persons in managed care models aged more than 65 years receiving PIM with 95% confidence interval; years 2008–2010 (standardised for Swiss population); old Beers criteria.

<p>Proportion of persons in managed care models aged more than 65 years receiving PIM with 95% confidence interval; years 2008–2010 (standardised for Swiss population); old Beers criteria.</p

Kaplan-Meier curve comparing persons in managed care models aged more than 65 years receiving PIM and time to first hospitalization and persons without PIM-prescription and time to first hospitalization in Switzerland, years 2008–2012.

<p>Kaplan-Meier curve comparing persons in managed care models aged more than 65 years receiving PIM and time to first hospitalization and persons without PIM-prescription and time to first hospitalization in Switzerland, years 2008–2012.</p

Results of multivariate logistic regression analysis of determinants for PIM exposure in elderly managed care patients in Switzerland, years 2008–2012.

<p>Results of multivariate logistic regression analysis of determinants for PIM exposure in elderly managed care patients in Switzerland, years 2008–2012.</p

Determinants for receiving non-invasive ischemia testing before coronary angiography, controlled for high risk patients.

<p>Odds ratio (OR). Lower Confidence Interval (LCI). Upper Confidence Interval (UCI). Coronary Angiography (CA). Anatomical-Therapeutic-Chemical-Classification (ATC) group 1 = Aspirin, platelet aggregation inhibitors, Group 2 = statins, lipid modifying agents, group 3 = antihypertensives, diuretics, beta blocking agents, calcium channel blockers, agents acting on the renin-angiotensin system, group 4 = antidiabetics. Pharmaceutical cost groups (PCG).</p><p>°High risk patients: having received therapeutic cardiac intervention within one month after or 18 months prior to diagnostic CA.</p><p>*p<0.05.</p><p>Determinants for receiving non-invasive ischemia testing before coronary angiography, controlled for high risk patients.</p

Descriptive statistics of study population.

<p>Anatomical-Therapeutic-Chemical-Classification (ATC) group 1 = Aspirin, platelet aggregation inhibitors, Group 2 = statins, lipid modifying agents, group 3 = antihypertensives, diuretics, beta blocking agents, calcium channel blockers, agents acting on the renin-angiotensin system, group 4 = antidiabetics. Coronary Angiography (CA). Non-invasive ischemia testing (NIIT). Pharmaceutical cost groups (PCG).</p><p>°High risk patients: having received therapeutic cardiac intervention within one month after or 18 Months prior to diagnostic CA.</p><p>*p<0.05.</p><p>Descriptive statistics of study population.</p

Data_Sheet_3_Perceived dilemma between protective measures and social isolation in nursing homes during the COVID-19 pandemic: a mixed methods study among Swiss nursing home directors.pdf

BackgroundCoronavirus pandemic (COVID-19) particularly affected older adults, with the highest risks for nursing home residents. Stringent governmental protective measures for nursing homes unintendedly led to social isolation of residents. Nursing home directors (NDs) found themselves in a dilemma between implementing protective measures and preventing the social isolation of nursing home residents.ObjectivesThe objectives of this study were to describe protective measures implemented, to investigate NDs’ perception of social isolation and its burden for nursing home residents due to these measures, and to explore experiences of NDs in the context of the dilemma.MethodsCross-sectional embedded mixed-method study carried out by an online survey between April 27 and June 09, 2022, among NDs in the German-speaking part of Switzerland. The survey consisted of 84 closed-ended and nine open-ended questions. Quantitative findings were analyzed with descriptive statistics and qualitative data were evaluated using content analysis.ResultsThe survey was completed by 398 NDs (62.8% female, mean age 55 [48–58] years) out of 1′044 NDs invited.NDs were highly aware of the dilemma. The measures perceived as the most troublesome were restrictions to leave rooms, wards or the home, restrictions for visitors, and reduced group activities. NDs and their teams developed a variety of strategies to cope with the dilemma, but were burdened themselves by the dilemma.ConclusionAs NDs were burdened themselves by the responsibility of how to deal best with the dilemma between protective measures and social isolation, supportive strategies for NDs are needed.</p

Data_Sheet_4_Perceived dilemma between protective measures and social isolation in nursing homes during the COVID-19 pandemic: a mixed methods study among Swiss nursing home directors.docx

BackgroundCoronavirus pandemic (COVID-19) particularly affected older adults, with the highest risks for nursing home residents. Stringent governmental protective measures for nursing homes unintendedly led to social isolation of residents. Nursing home directors (NDs) found themselves in a dilemma between implementing protective measures and preventing the social isolation of nursing home residents.ObjectivesThe objectives of this study were to describe protective measures implemented, to investigate NDs’ perception of social isolation and its burden for nursing home residents due to these measures, and to explore experiences of NDs in the context of the dilemma.MethodsCross-sectional embedded mixed-method study carried out by an online survey between April 27 and June 09, 2022, among NDs in the German-speaking part of Switzerland. The survey consisted of 84 closed-ended and nine open-ended questions. Quantitative findings were analyzed with descriptive statistics and qualitative data were evaluated using content analysis.ResultsThe survey was completed by 398 NDs (62.8% female, mean age 55 [48–58] years) out of 1′044 NDs invited.NDs were highly aware of the dilemma. The measures perceived as the most troublesome were restrictions to leave rooms, wards or the home, restrictions for visitors, and reduced group activities. NDs and their teams developed a variety of strategies to cope with the dilemma, but were burdened themselves by the dilemma.ConclusionAs NDs were burdened themselves by the responsibility of how to deal best with the dilemma between protective measures and social isolation, supportive strategies for NDs are needed.</p