Life-Space Mobility Predicts Nursing Home Admission Over 6 Years
Life-Space Mobility Predicts Nursing Home Admission Over 6 Years
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DOI：
10.1177/0898264313497507
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发表时间：
2013-09-01
影响因子：
2.8
通讯作者：
Brown, Cynthia J.
中科院分区：
文献类型：
--
作者：
Sheppard, Kendra D.;Sawyer, Patricia;Brown, Cynthia J.
目的：探讨6岁以上社区老年人基线生活空间流动性与入住养老院(NH)的关系。方法：使用前瞻性观察性队列研究的数据，该队列研究包括1,000名65岁的联邦医疗保险受益人的随机抽样，按种族(非裔美国人和非西班牙裔白人)、性别和城乡居住地分层。在家庭访谈中评估了基线的生活空间流动性。参与者每6个月通过电话联系一次，以确定NH入院情况、生活空间评估(LSA)得分和生命状态(活着或去世)。采用多因素Logistic回归分析生活空间流动性与NH入院的相关性。结果：在6年内，无论先前承认的危险因素如何，基线生活空间得分每降低1分，NH入院的几率增加2%。讨论：LSA可能是识别有NH入院风险的老年人的有用工具。
Objective: To explore the association between baseline life-space mobility and nursing home (NH) admission among community-dwelling older adults over 6 years. Methods: Using data from a prospective, observational cohort study consisting of a random sample of 1,000 Medicare beneficiaries 65 years of age stratified by race (African American and non-Hispanic White), sex, and rural/urban residence. Baseline life-space mobility was assessed during in-home interviews. Participants were contacted by telephone every 6 months to ascertain NH admissions, Life-Space Assessment (LSA) scores, and vital status (living or deceased). Using multivariate logistic regression, the significance and independence of the relationship of life-space mobility with NH admission were examined. Results: Over 6 years, the odds of NH admission increased 2% for every one point lower baseline life-space score independent of previously recognized risk factors. Discussion: The LSA may be a useful tool to identify older adults at risk of NH admission.