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Centre for Policy on Ageing | |
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| Predictors of nursing home placement from assisted living settings in Canada | | Author(s) | Colleen J Maxwell, Andrea Soo, David B Hogan |
| Journal title | Canadian Journal on Aging, vol 32, no 4, December 2013 |
| Publisher | Cambridge University Press, December 2013 |
| Pages | pp 333-348 |
| Source | journals.cambridge.org/cjg |
| Keywords | Sheltered housing ; Admission [nursing homes] ; Longitudinal surveys ; Canada. |
| Annotation | The authors sought to estimate the incidence of long-term care (LTC) placement, and to identify resident- and facility-level predictors of placement among older residents of designated assisted living (AL) facilities in Alberta, Canada. Included were 1,086 AL residents from 59 facilities. Research nurses completed interRAI-AL resident assessments and interviewed family caregivers and administrators. Predictors of placement were identified with multivariable Cox proportional hazards models. The cumulative incidence of LTC admission was 18.3% by 12 months. Significantly increased risk for placement was evident for older residents and those with poor social relationships, little involvement in activities, cognitive and/or functional impairment, health instability, recent falls and hospitalizations/emergency department visits, and severe bladder incontinence. Residents from larger facilities, with a Licensed Practice Nurse (LPN) and/or Registered Nurse (RN) on-site 24/7 and with an affiliated primary care physician, showed lower risk of placement. These findings highlight clinical and policy areas where targeted interventions may delay LTC admissions. (RH). |
| Accession Number | CPA-150626289 A |
| Classmark | KLA: LHB:QKH: 3J: 7S |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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