Memory care reduces nursing home admissions among assisted-living residents with dementia.

Memory care reduces nursing home admissions among assisted-living residents with dementia.
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DOI:
10.1002/alz.12513
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发表时间:
2022-10
期刊:
Alzheimer's & dementia : the journal of the Alzheimer's Association
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其他
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我们比较了阿尔茨海默病和相关痴呆(ADRD)居民在记忆护理辅助生活和一般辅助生活中的疗养院和医院入院情况。大型(bbb25个床位)辅助生活社区医疗保险受益人ADRD的回顾性研究。通过风险差异和生存分析,我们比较了两组患者在医院、疗养院和长期(90天)疗养院的住院情况。记忆护理辅助生活的居民调整后住院风险较低(风险差= - 1.8个百分点[P = 0.014],风险比= 0.93[0.87 - 1.00]),进入养老院的风险较低(风险差= - 2.2个百分点[P < .001],风险比= 0.87[- 0.79 - 0.95]),进入长期养老院的风险较低(风险差= - 1.1个百分点[P < .001],风险比= 0.71[0.57 -;0.88])。与一般的辅助生活相比,记忆护理与养老院安置率的降低有关,尤其是长期住院。
We compare nursing-home and hospital admissions among residents with Alzheimer’s disease and related dementias (ADRD) in memory-care assisted living to those in general assisted living. Retrospective study of Medicare beneficiaries with ADRD in large (>25 bed) assisted-living communities. We compared admission to a hospital, to a nursing home, and long-term (>90 day) admission to a nursing home between the two groups, using risk differences and survival analysis. Residents in memory-care assisted living had a lower adjusted risk of hospitalization (risk difference = −1.8 percentage points [P = .014], hazard ratio = 0.93 [0.87–1.00]), a lower risk of nursing-home admission (risk difference = −2.2 percentage points [P < .001], hazard ratio = 0.87 [−.79–0.95]), and a lower risk of a long-term nursing home admission (risk difference = −1.1 percentage points [P < .001], hazard ratio = 0.71 [0.57–;0.88]). Memory care is associated with reduced rates of nursing-home placement, particularly long-term stays, compared to general assisted living.
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