The transition from home to nursing home mortality among people with dementia.
J Gerontol B Psychol Sci Soc Sci
; 55(3): S152-62, 2000 May.
Article
em En
| MEDLINE
| ID: mdl-11833983
ABSTRACT
OBJECTIVES:
This article examines the impact of nursing home admission on mortality among persons with dementia, comparing social selection and social causation explanations of excess deaths occurring immediately after relocation.METHODS:
Data from a multiwave panel survey of caregivers to persons with Alzheimer's Disease (N = 555) are analyzed with proportional hazard models of time from illness onset to death of the care recipient and, for those admitted to a nursing home (N = 272), time from admission until death (N = 272).RESULTS:
Relocation is associated with a two-fold increase in mortality risk net of health status. Social selection effects were found for poor health, advanced age, being male, and being White. Patients admitted for reasons other than poor health also experienced elevated mortality immediately following admission, which is inconsistent with a social selection interpretation. However, none of the specific indicators of stressful admission or unsatisfactory nursing home conditions are significantly related to mortality.DISCUSSION:
These data demonstrate selection processes for postadmission mortality, but indicate that the admission of patients in poor health may not fully account for the elevation in mortality that occurs immediately following admission.
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Base de dados:
MEDLINE
Assunto principal:
Admissão do Paciente
/
Doença de Alzheimer
/
Instituição de Longa Permanência para Idosos
/
Casas de Saúde
Tipo de estudo:
Prognostic_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Gerontol B Psychol Sci Soc Sci
Assunto da revista:
CIENCIAS SOCIAIS
/
GERIATRIA
/
PSICOLOGIA
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Estados Unidos