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Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care.

Wergeland JN, Selbæk G, Bergh S, Soederhamn U, Kirkevold Ø - Dement Geriatr Cogn Dis Extra (2015)

Bottom Line: Through bivariate and multivariate Cox proportional hazards regression models, associations between a covariate and the outcomes were analyzed.The Neuropsychiatric Inventory sub-syndrome psychosis, poorer functional impairment and age were associated with NHA.Female sex, age, worse medical health and functional impairment were associated with death.

View Article: PubMed Central - PubMed

Affiliation: Norwegian Center for Research, Education and Service Development, Vestfold Hospital Trust, Tønsberg, Norway ; Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.

ABSTRACT

Aim: The aim of this study was to analyze which variables predicted nursing home admission (NHA) and death.

Methods: 1,001 recipients of domiciliary care were assessed three times in a 3-year period. Through bivariate and multivariate Cox proportional hazards regression models, associations between a covariate and the outcomes were analyzed.

Results: Participants with dementia had a higher risk of NHA (odds ratio 3.88, 95% confidence interval 2.92-5.16) compared to participants without dementia. The Neuropsychiatric Inventory sub-syndrome psychosis, poorer functional impairment and age were associated with NHA. Female sex, age, worse medical health and functional impairment were associated with death.

Conclusion: Support to the caregiver and education on how to meet and cope with behavioral disturbance, depressive mood and sub-syndrome psychosis will probably enable the family to better adapt to late life changes.

No MeSH data available.


Related in: MedlinePlus

Flowchart of participants. * χ2 test.
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Figure 1: Flowchart of participants. * χ2 test.

Mentions: A total of 1,796 people were eligible for inclusion. Of these, 795 (44.3%) declined participation. Those who declined were more often women (72.7 vs. 68.2%, p = 0.04) and older (mean age 85.0 ± 6.2 vs. 83.4 ± 5.7 years, p < 0.001) than those who participated. The baseline sample comprised 1,001 participants (fig. 1).


Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care.

Wergeland JN, Selbæk G, Bergh S, Soederhamn U, Kirkevold Ø - Dement Geriatr Cogn Dis Extra (2015)

Flowchart of participants. * χ2 test.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4608662&req=5

Figure 1: Flowchart of participants. * χ2 test.
Mentions: A total of 1,796 people were eligible for inclusion. Of these, 795 (44.3%) declined participation. Those who declined were more often women (72.7 vs. 68.2%, p = 0.04) and older (mean age 85.0 ± 6.2 vs. 83.4 ± 5.7 years, p < 0.001) than those who participated. The baseline sample comprised 1,001 participants (fig. 1).

Bottom Line: Through bivariate and multivariate Cox proportional hazards regression models, associations between a covariate and the outcomes were analyzed.The Neuropsychiatric Inventory sub-syndrome psychosis, poorer functional impairment and age were associated with NHA.Female sex, age, worse medical health and functional impairment were associated with death.

View Article: PubMed Central - PubMed

Affiliation: Norwegian Center for Research, Education and Service Development, Vestfold Hospital Trust, Tønsberg, Norway ; Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.

ABSTRACT

Aim: The aim of this study was to analyze which variables predicted nursing home admission (NHA) and death.

Methods: 1,001 recipients of domiciliary care were assessed three times in a 3-year period. Through bivariate and multivariate Cox proportional hazards regression models, associations between a covariate and the outcomes were analyzed.

Results: Participants with dementia had a higher risk of NHA (odds ratio 3.88, 95% confidence interval 2.92-5.16) compared to participants without dementia. The Neuropsychiatric Inventory sub-syndrome psychosis, poorer functional impairment and age were associated with NHA. Female sex, age, worse medical health and functional impairment were associated with death.

Conclusion: Support to the caregiver and education on how to meet and cope with behavioral disturbance, depressive mood and sub-syndrome psychosis will probably enable the family to better adapt to late life changes.

No MeSH data available.


Related in: MedlinePlus