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

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...

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Main Authors: Jon N. Wergeland, Geir Selbæk, Sverre Bergh, Ulrika Soederhamn, Øyvind Kirkevold
Format: Article
Language:English
Published: Karger Publishers 2015-09-01
Series:Dementia and Geriatric Cognitive Disorders Extra
Subjects:
Online Access:http://www.karger.com/Article/FullText/437382
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author Jon N. Wergeland
Geir Selbæk
Sverre Bergh
Ulrika Soederhamn
Øyvind Kirkevold
author_facet Jon N. Wergeland
Geir Selbæk
Sverre Bergh
Ulrika Soederhamn
Øyvind Kirkevold
author_sort Jon N. Wergeland
collection DOAJ
description 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.
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spelling doaj.art-86fa3b5667db463bada8fb4b1e8f6d772022-12-22T01:31:01ZengKarger PublishersDementia and Geriatric Cognitive Disorders Extra1664-54642015-09-015332032910.1159/000437382437382Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary CareJon N. WergelandGeir SelbækSverre BerghUlrika SoederhamnØyvind KirkevoldAim: 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.http://www.karger.com/Article/FullText/437382Neuropsychiatric syndromeDementiaOlder peopleDomiciliary careCommunity-dwelling
spellingShingle Jon N. Wergeland
Geir Selbæk
Sverre Bergh
Ulrika Soederhamn
Øyvind Kirkevold
Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care
Dementia and Geriatric Cognitive Disorders Extra
Neuropsychiatric syndrome
Dementia
Older people
Domiciliary care
Community-dwelling
title Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care
title_full Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care
title_fullStr Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care
title_full_unstemmed Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care
title_short Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care
title_sort predictors for nursing home admission and death among community dwelling people 70 years and older who receive domiciliary care
topic Neuropsychiatric syndrome
Dementia
Older people
Domiciliary care
Community-dwelling
url http://www.karger.com/Article/FullText/437382
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