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. 2019 Jul;34(7):999-1007.
doi: 10.1002/gps.5101. Epub 2019 Apr 17.

Predicting admission to long-term care and mortality among community-based, dependent older people in Ireland

Niamh Aspell  1   2 , Maria O'Sullivan  3 , Eamon O'Shea  4 , Kate Irving  5 , Chloe Duffy  3 , Rebecca Gorman  3 , Austin Warters  2
Affiliations

Predicting admission to long-term care and mortality among community-based, dependent older people in Ireland

Niamh Aspell et al. Int J Geriatr Psychiatry. 2019 Jul.

Abstract

Objective: To identify factors that predict admission to long-term care (LTC) and mortality among community-based, dependent older people in Ireland, who were in receipt of formal home support.

Methods: An audit was conducted of all community-dwelling older adults receiving government funded home support during 2017 in the Dublin North Central, Health Service Executive administrative area. Data were extracted from the Common Summary Assessment Report (CSAR), a mandatory form used in the provision of home support. Multiple logistic regression analysis was used to examine the factors associated with admission to LTC and mortality, with the results presented as odds ratios (OR) and 95% confidence intervals.

Results: The audit comprised 1597 community-dwelling older adults with a mean age of 83.3 (SD: 7.2) years. The prevalence of transition to LTC and mortality was 8% and 9%, respectively, during the 12-month period. Factors significantly associated with admission to LTC were "cognitive dysfunction" [OR 2.10 (1.41-3.14), P < .001] and the intensity of home support [OR 1.05 (1.01-1.06), P < .003], as measured by weekly formal care hours. Physical dependency and advanced age (aged 95 years +) were significantly associated with mortality in this population (P < .001).

Conclusion: "Cognitive dysfunction" and intensity of formal home support were associated with transition to LTC, while physical dependency and advanced age were associated with mortality. Investment in personalised, cognitive-specific, services and supports are necessary to keep people with dementia and related cognitive impairments living at home for longer.

Keywords: ageing; balance of care; dementia; domiciliary care; long-term care.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

References

    1. United Nations . World Report on Ageing; Highlights. In: Department of Economic and Social Affairs Population Division, ed: United Nations; 2017.
    1. World Health Organisation . The growing need for home health care for the elderly: home health care for the elderly as an integral part of primary health care services. World Health Organisation; 2015.
    1. Renee R, Martin K, Suzanne S, Martin O, Jane F, Clive B. The cost of care homes for people with dementia in England: a modelling approach. Int J Geriatr Psychiatry. 2017;32(12):1466‐1475. - PubMed
    1. Tucker S, Brand C, Wilberforce M, Abendstern M, Challis D. Identifying alternatives to old age psychiatry inpatient admission: an application of the balance of care approach to health and social care planning. BMC Health Serv Res. 2015;15(1):267. - PMC - PubMed
    1. Sixsmith A, Sixsmith J. Ageing in place in the United Kingdom. Ageing Int. 2008;32(3):219‐235.

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