Predictors of Functional Decline in Nursing Home Residents: The Shelter Project
Rattachement africain : it. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: The aim of our study was to identify independent predictors of functional decline in older nursing home (NH) residents, taking into account both resident and facility characteristics. METHODS: Longitudinal observational study involving 1,760 older (≥65 y) residents of NH participating in the SHELTER* study (57 NH in eight countries). All residents underwent a comprehensive geriatric assessment using the interRAI LTCF. Functional decline was defined as an increase of at least one point in the MDS Long Form ADL scale during a 1 year follow-up. Facility and country effects were taken into account. RESULTS: During the study period 891 (50.6%), NH residents experienced ADL decline. Residents experiencing ADL decline were older, had lower disability at baseline, were more frequently affected by severe dementia and by urinary incontinence, and used more antipsychotics. In the mixed-effect logistic regression model, factors independently associated with a higher risk of functional decline were dementia and urinary incontinence, whereas the presence of a geriatrician was a protective factor. CONCLUSIONS: Both resident and facility characteristics are associated with the risk of functional decline in NH residents. Increasing the quality of healthcare by involving a geriatrician in residents' care might be an important strategy to improve the outcome of this vulnerable population.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Predictors of Functional Decline in Nursing Home Residents: The Shelter Project
- Date Crossref
- 20/12/2019
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Istituti di Ricovero e Cura a Carattere Scientifico pays non établi dans la noticeÉtablissement de santé
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Istituto Nazionale di Riposo e Cura per Anziani pays non établi dans la noticeÉtablissement de santé
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Università Cattolica del Sacro Cuore pays non établi dans la noticeUniversité ou école supérieure
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Marche Polytechnic University pays non établi dans la noticeUniversité ou école supérieure
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Geriatria pays non établi dans la noticeInstitution
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Fondazione Policlinico Universitario A. Gemelli IRCCS pays non établi dans la noticeÉtablissement de santé
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Regional Health Authority of Umbria Health Planning Service pays non établi dans la noticeOrganisme public
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Polytechnic University of Marche Department of Life and Environmental Sciences pays non établi dans la noticeUniversité ou école supérieure
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Unit of Geriatric Pharmacoepidemiology and Clinical Laboratory pays non établi dans la noticeStructure de recherche
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Medical Direction pays non établi dans la noticeInstitution
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Scientific Direction pays non établi dans la noticeInstitution
Istituti di Ricovero e Cura a Carattere Scientifico, Istituto Nazionale di Riposo e Cura per Anziani et Università Cattolica del Sacro Cuore, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.