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Factors associated with six-month mortality in recipients of community-based long-term care
Author(s)Terri R Fried, Daphna M Pollack, Mary E Tinetti
Journal titleJournal of the American Geriatrics Society, vol 46, no 2, February 1998
Pagespp 193-197
KeywordsDeath rate [statistics] ; Living in the community ; Community care ; Long term ; United States of America.
AnnotationThe purpose of this study was to identify factors associated with 6-month mortality in older people in a publicly financed CBLTC (community-based long-term care) programme. Because of the relevance of identifying those at high risk of death for care planning, the authors studied new clients admitted, since many decisions about care are made at the outset. The authors examined factors demonstrated previously to be associated with mortality in older people living in the community and nursing home residents, to determine their applicability to a home-bound population. Participants included those aged 65 and over admitted to Connecticut's Community-Based Services program between 1 January 1988 and 31 March 1991. There were 718 deaths among the 6784 clients. Male sex, presence of cancer, heart disease, chronic obstructive pulmonary disease, nutritional problems, functional impairment, severe cognitive impairment, self-assessment of health as poor, and hospitalisation were independently associated with 6-month mortality in bivariate and multivariate analyses. Clinical data obtained during routine assessment of CBLTC clients can therefore be used to assess short-term mortality. (RH).
Accession NumberCPA-981117011 A
ClassmarkS5: K4: PA: 4Q: 7T

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