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...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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Karger Publishers
2015-09-01
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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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format | Article |
id | doaj.art-86fa3b5667db463bada8fb4b1e8f6d77 |
institution | Directory Open Access Journal |
issn | 1664-5464 |
language | English |
last_indexed | 2024-12-10T22:32:30Z |
publishDate | 2015-09-01 |
publisher | Karger Publishers |
record_format | Article |
series | Dementia and Geriatric Cognitive Disorders Extra |
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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