Risk factors for nursing home placement in older adults with and without dementia
Risk factors for nursing home placement in older adults with and without dementia
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DOI：
10.1177/0898264307299359
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发表时间：
2007-04-01
影响因子：
2.8
通讯作者：
Slack, April
中科院分区：
文献类型：
--
作者：
Andel, Ross;Hyer, Kathryn;Slack, April
目的：作者探讨了易感性、使能性和需求特征对痴呆和非痴呆参与者养老院安置（NHP）风险的影响。方法：参与者是佛罗里达的1,943名新登记的医疗保险/医疗补助受益人，他们接受了老年事务部的健康服务评估。他们在1998-1999财政年度至少65岁，并随访长达4年。结果如下：考克斯比例风险回归分析表明，基线特征，包括年龄较大，白色种族，糖尿病，失禁，中风，并与工具活动的困难增加的风险NHP在那些没有痴呆症。照顾者、丧偶、关节炎和心脏病降低了风险。只有年龄、种族和婚姻状况对痴呆症患者有预测作用。讨论：痴呆症在NHP风险中起着核心作用。了解NHP在这一相对脆弱的人群中的风险因素具有重要的政策意义。
Objective: The authors explored the effect of predisposing, enabling, and need characteristics on risk of nursing home placement (NHP) in participants with and without dementia. Method: Participants were 1,943 newly enrolled Medicare/Medicaid beneficiaries in Florida who were evaluated for health services by the Department of Elder Affairs. They were at least 65 years of age during fiscal year 1998-1999 and were followed for up to 4 years. Results: Cox proportional hazard regressions indicated that baseline characteristics including older age, White race, diabetes, incontinence, stroke, and difficulties with instrumental activities increased risk of NHP in those without dementia. Caregiver, widowed status, arthritis, and heart disease reduced the risk. Only age, race, and marital status were predictive among participants with dementia. Discussion: Dementia plays a central role in risk of NHP. Understanding risk factors for NHP in this relatively vulnerable population has important policy implications.