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. 2015 Sep 4;5(3):320-9.
doi: 10.1159/000437382. eCollection 2015 Sep-Dec.

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

Jon N Wergeland  1 , Geir Selbæk  2 , Sverre Bergh  3 , Ulrika Soederhamn  4 , Øyvind Kirkevold  5
Affiliations

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

Jon N Wergeland et al. Dement Geriatr Cogn Dis Extra. .

Erratum in

  • Erratum.
    Wergeland JN, Selbæk G, Bergh S, Soederhamn U, Kirkevold Ø. Wergeland JN, et al. Dement Geriatr Cogn Dis Extra. 2015 Oct 13;5(3):386. doi: 10.1159/000441045. eCollection 2015 Sep-Dec. Dement Geriatr Cogn Dis Extra. 2015. PMID: 26628896 Free PMC article.

Abstract

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.

Keywords: Community-dwelling; Dementia; Domiciliary care; Neuropsychiatric syndrome; Older people.

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Figures

Fig. 1
Fig. 1
Flowchart of participants. * χ2 test.
Fig. 2
Fig. 2
Time until NHA and death of the whole sample and of participants with and without dementia.
See this image and copyright information in PMC

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