Jennifer R Evans1, Liam Smeeth, Astrid E Fletcher. 1. International Centre for Eye Health, Non-Communicable DiseaseEpidemiology Unit, London School of Hygiene and Tropical Medicine, London, England. jennifer.evans@lshtm.ac.uk
Abstract
OBJECTIVE: To assess the risk of nursing home admission in a representative sample of older, visually impaired, community-dwelling people 75 years and older living in Great Britain. DESIGN: Prospective study. SETTING:General practices (n = 53). PARTICIPANTS: Participants in the Medical Research Council trial of assessment and management of older people in the community (N = 14 037). Main Outcome Measure Nursing home admission (nursing or residential care). RESULTS: After a mean of 4 years' follow-up, 14.1% of visually impaired participants were living in nursing homes (95% confidence interval [CI], 11.9%-16.3%; age- and sex-adjusted risk ratio, 1.47 [95% CI, 1.25-1.73]). Adjusting for a wide range of confounding factors eliminated this significant association (risk ratio, 1.08 [95% CI, 0.91-1.28]). CONCLUSIONS: The association between visual impairment and risk of nursing home admission was eliminated after controlling for a wide range of other confounding factors and comorbidities. This underlines the importance of taking a wider view of an older person's health rather than focusing on a single impairment or disability.
RCT Entities:
OBJECTIVE: To assess the risk of nursing home admission in a representative sample of older, visually impaired, community-dwelling people 75 years and older living in Great Britain. DESIGN: Prospective study. SETTING: General practices (n = 53). PARTICIPANTS: Participants in the Medical Research Council trial of assessment and management of older people in the community (N = 14 037). Main Outcome Measure Nursing home admission (nursing or residential care). RESULTS: After a mean of 4 years' follow-up, 14.1% of visually impaired participants were living in nursing homes (95% confidence interval [CI], 11.9%-16.3%; age- and sex-adjusted risk ratio, 1.47 [95% CI, 1.25-1.73]). Adjusting for a wide range of confounding factors eliminated this significant association (risk ratio, 1.08 [95% CI, 0.91-1.28]). CONCLUSIONS: The association between visual impairment and risk of nursing home admission was eliminated after controlling for a wide range of other confounding factors and comorbidities. This underlines the importance of taking a wider view of an older person's health rather than focusing on a single impairment or disability.
Authors: Barry W Rovner; Robin J Casten; Mark T Hegel; Robert W Massof; Benjamin E Leiby; William S Tasman Journal: Contemp Clin Trials Date: 2010-10-23 Impact factor: 2.226