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Wergeland JN, Selbæk G, Bergh S, et al. Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care. Dement Geriatr Cogn Dis Extra. 2015;5(3):320-9doi: 10.1159/000437382.
Wergeland, J. N., Selbæk, G., Bergh, S., Soederhamn, U., & Kirkevold, �. �. (2015). Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care. Dementia and geriatric cognitive disorders extra, 5(3), 320-9. https://doi.org/10.1159/000437382
Wergeland, Jon N, et al. "Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care." Dementia and geriatric cognitive disorders extra vol. 5,3 (2015): 320-9. doi: https://doi.org/10.1159/000437382
Wergeland JN, Selbæk G, Bergh S, Soederhamn U, Kirkevold Ø. Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care. Dement Geriatr Cogn Dis Extra. 2015 Sep 04;5(3):320-9. doi: 10.1159/000437382. eCollection 2015. PMID: 26483831; PMCID: PMC4608662.
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Dement Geriatr Cogn Dis Extra. 2015 Sep 04;5(3):320-9. doi: 10.1159/000437382. eCollection 2015.

Predictors for Nursing Home Admission and Death among Community-Dwelling People 70 Years and Older Who Receive Domiciliary Care.

Dementia and geriatric cognitive disorders extra

Jon N Wergeland, Geir Selbæk, Sverre Bergh, Ulrika Soederhamn, Øyvind Kirkevold

Affiliations

  1. Norwegian Center for Research, Education and Service Development, Vestfold Hospital Trust, Tønsberg, Norway ; Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.
  2. Norwegian Center for Research, Education and Service Development, Vestfold Hospital Trust, Tønsberg, Norway ; Center for Old Age Psychiatric Research, Innlandet Hospital Trust, Ottestad, Norway ; Department of Nursing Science, Faculty of Medicine, University of Oslo, Oslo, Norway.
  3. Center for Old Age Psychiatric Research, Innlandet Hospital Trust, Ottestad, Norway.
  4. Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.
  5. Norwegian Center for Research, Education and Service Development, Vestfold Hospital Trust, Tønsberg, Norway ; Center for Old Age Psychiatric Research, Innlandet Hospital Trust, Ottestad, Norway ; Faculty of Health, Care and Nursing, Gjøvik University College, Gjøvik, Norway.

PMID: 26483831 PMCID: PMC4608662 DOI: 10.1159/000437382

Abstract

AIM: The aim of this study was to analyze which variables predicted nursing home admission (NHA) and death.

METHODS: 1,001 recipients of domiciliary care were assessed three times in a 3-year period. Through bivariate and multivariate Cox proportional hazards regression models, associations between a covariate and the outcomes were analyzed.

RESULTS: Participants with dementia had a higher risk of NHA (odds ratio 3.88, 95% confidence interval 2.92-5.16) compared to participants without dementia. The Neuropsychiatric Inventory sub-syndrome psychosis, poorer functional impairment and age were associated with NHA. Female sex, age, worse medical health and functional impairment were associated with death.

CONCLUSION: Support to the caregiver and education on how to meet and cope with behavioral disturbance, depressive mood and sub-syndrome psychosis will probably enable the family to better adapt to late life changes.

Keywords: Community-dwelling; Dementia; Domiciliary care; Neuropsychiatric syndrome; Older people

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