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Analysis of care-pathways of older adults hospitalized for influenza-like illness before institutionalization: a French SNDS-based study

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Retrospective observational study analyzes pre-institutionalization care pathways in older adults, highlighting rehabilitation's role.

The study aims to describe the care pathways of older adults hospitalized for influenza-like illness prior to admission to nursing homes.
Retrospective observational study based on the French National Health System (SNDS).
Included patients aged ≥ 65 years hospitalized for influenza-like illness within six months before nursing home admission.
State sequence analysis (SSA) used to identify patient clusters based on healthcare events.
1,239 (1.1%) out of 119,869 nursing home admissions had prior hospitalization for influenza-like illness.
70% of patients were vaccinated against influenza, with a median age of 88 years and significant comorbidities such as hypertension (75%) and neurodegenerative disorders (31.3%).
31.2% were transferred to rehabilitation before nursing home admission, with total healthcare costs exceeding €20 million.

Contini et al. (2026) studied this question.

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