Risk profiles for nursing home placement of rural elderly: a cluster analysis of psychogeriatric indicators.
In an effort to better understand the clinical and functional status of patients served by our Rural Elder Outreach Program, more effectively identify risk groups, and more efficiently target services, we performed a cluster analysis on 92 older adults served by our program. The first cluster included patients with very poor health, mild cognitive impairment, very high care demands, and migrating toward active risk for institutionalization. The second cluster included patients with poor physical but good mental health, intact cognition, high care demands, and at passive risk. The third cluster comprised patients with high functional, physical, and cognitive impairment, intensive care demands, moderate mental health problems, poor insight into their situation, and at active risk for institutionalization.
Abraham
I L
IL
Center on Aging and Health, University of Virginia, Charlottesville 22901.
Currie
L J
LJ
Neese
J B
JB
Yi
E S
ES
Thompson-Heisterman
A A
AA
D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D016000:Cluster Analysis; D005260:Female; D015577:Geriatric Assessment; D005852:Geriatric Psychiatry; D006301:Health Services Needs and Demand; D006304:Health Status; D006305:Health Status Indicators; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D016743:Mental Competency; D008875:Middle Aged; D009735:Nursing Homes; D010343:Patient Admission; D018570:Risk Assessment; D012307:Risk Factors; D012424:Rural Population; D012494:Sampling Studies