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Risk factors for nursing home placement in a population-based dementia cohort
Author(s)G E Smith, E Kokmen, P C O'Brien
Journal titleJournal of the American Geriatrics Society, vol 48, no 5, May 2000
Pagespp 519-525
KeywordsDementia ; At risk ; Admission [nursing homes] ; United States of America.
AnnotationThe Mayo Clinical Medical Records linkage system was used to identify all patients with onset of dementia between 1980 and 1984 in Rochester, Minnesota. Of the 314 dementia patients, 282 took residence in licensed skilled nursing homes for at least 6 weeks, suggestive of custodial care, at some point during the course of their illness. In a control group, 162 out of 323 required nursing home placement. For the control group, predictors of nursing home admissions included: initial age; being divorced; living in a town home, apartment or assisted living apartment; change in Charlson comorbidity score; and change in amount of daily living assistance required. Within the dementia sample, there were seven predictors of nursing home admission: total number of years of education; age at onset of dementia; being single; living in a retirement or supervised apartment at onset; change in Charlson comorbidity score; and a change in the amount of daily assistance required. Cumulative incidence of placement was 90% in the dementia cohort and 50% in the controls. While some variables are associated with nursing home admissions for both group, level of education seems to provide a protective effect. (RH).
Accession NumberCPA-000824216 A
ClassmarkEA: CA3: LHB:QKH: 7T

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