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Centre for Policy on Ageing | |
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| The combined effects of baseline vulnerability and acute hospital events on the development of functional dependence among community living older persons | | Author(s) | Thomas M Gill, Christianna S Williams, Mary E Tinetti |
| Journal title | The Journals of Gerontology Series A: Biological sciences and Medical Sciences, vol 54A, no 7, July 1999 |
| Pages | pp M377-383 |
| Keywords | Self care capacity ; At risk ; Living in the community ; Admission [hospitals] ; Professional workers. |
| Annotation | Many older people who are highly vulnerable do not develop functional dependence, whereas some with low vulnerability do develop functional dependence. This study determines the combined effects of baseline vulnerability and precipitating events in the development of functional dependence, by analysing data from two prospective, population-based cohort studies. The development cohort included 799 community-living people aged 72+ independent in activities of daily living (ADLs). A validation cohort included 1,051 comparable people. Participants were classified by baseline vulnerability, on the basis of physical performance, cognitive status, and age, and by exposure to potential precipitating events. Functional dependence developed in 109 (13.6%) participants in the development cohort and in 100 (9.3%) in the validation cohort. Rates of functional dependence for low, intermediate, and high vulnerability groups were 7.1%, 17.2% and 40.1% in the development cohort, and 4.8%, 15% and 28% in the validation cohort. Baseline vulnerability and precipitating hospital events contribute independently to the development of functional dependence. (RH). |
| Accession Number | CPA-991220234 A |
| Classmark | CA: CA3: K4: LD:QKH: T7 |
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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