Yuchi Young1. 1. State University of New York (SUNY) at Albany, School of Public Health, Rensselaer, NY 12144, USA. yyoung@albany.edu
Abstract
OBJECTIVE: Identify risk factors for and time to permanent transition from independent living units to nursing home among residents in a continuing care retirement community (CCRC). METHODS: Prospective cohort study (n=298) among residents at least 75 years of age living independently at baseline. Proportional hazard regression identified risk factors associated with permanent transition from sociodemographic and health status data. RESULTS: During the 3-year follow-up, 11% of the subjects were permanently transferred. Predictive factors were depression (relative risk [RR] 3.9; 95% CI 1.5-9.8), incontinence (RR 3.8; 95% CI 1.3-11.4), impaired cognition (RR 3.6; 95% CI 1.1-11.3), and dependence on activities of daily living disability (RR 1.5; 95% CI 1.3-1.8). Compared with those with no risk factors, presence of all 4 increased the relative risk to 74-fold and shortened the time to permanent transition by 32 months. CONCLUSION: Prevention and treatment for depression, incontinence, and programs to improve or maintain cognitive function and ability to perform activities of daily living among CCRC residents may prolong their independent living life.
OBJECTIVE: Identify risk factors for and time to permanent transition from independent living units to nursing home among residents in a continuing care retirement community (CCRC). METHODS: Prospective cohort study (n=298) among residents at least 75 years of age living independently at baseline. Proportional hazard regression identified risk factors associated with permanent transition from sociodemographic and health status data. RESULTS: During the 3-year follow-up, 11% of the subjects were permanently transferred. Predictive factors were depression (relative risk [RR] 3.9; 95% CI 1.5-9.8), incontinence (RR 3.8; 95% CI 1.3-11.4), impaired cognition (RR 3.6; 95% CI 1.1-11.3), and dependence on activities of daily living disability (RR 1.5; 95% CI 1.3-1.8). Compared with those with no risk factors, presence of all 4 increased the relative risk to 74-fold and shortened the time to permanent transition by 32 months. CONCLUSION: Prevention and treatment for depression, incontinence, and programs to improve or maintain cognitive function and ability to perform activities of daily living among CCRC residents may prolong their independent living life.
Authors: Bret T Howrey; Soham Al Snih; Kyu K Jana; Mary Kristen Peek; Kenneth J Ottenbacher Journal: J Gerontol A Biol Sci Med Sci Date: 2015-10-07 Impact factor: 6.053
Authors: Mary D Naylor; Karen B Hirschman; Alexandra L Hanlon; Katherine M Abbott; Kathryn H Bowles; Janice Foust; Shivani Shah; Cynthia Zubritsky Journal: J Am Med Dir Assoc Date: 2015-09-26 Impact factor: 4.669
Authors: Malcolm B Doupe; Jeff Poss; Peter G Norton; Allan Garland; Natalia Dik; Shauna Zinnick; Lisa M Lix Journal: BMC Health Serv Res Date: 2018-04-11 Impact factor: 2.655