Effects of residence in Alzheimer disease special care units on functional outcomes.
BACKGROUND
Alzheimer disease special care units (SCUs) in nursing homes are increasingly prevalent, but little is known about their effects on residents' outcomes.


OBJECTIVE
To analyze the effect of SCU residence on the rates at which residents decline in functional status.


METHODS
A cohort of nursing home residents assessed at multiple points during about 1 year. Facility staff completed all assessments using the Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS).


METHODS
Medicare- or Medicaid-certified nursing facilities.


METHODS
All nursing home residents in 1993 and early 1994 in Kansas, Maine, Mississippi, and South Dakota. Serial MDS assessments of 77337 residents in more than 800 facilities, including 1228 residents in 48 facilities with SCUs.


METHODS
Decline in locomotion, transferring, toileting, eating, dressing, and a summary activities of daily living index; decline in urinary and bowel continence; and significant weight loss.


RESULTS
No statistically significant difference was observed in the speed of decline for residents in SCUs and traditional units in any of the 9 outcomes. Residents were matched on a variety of characteristics, and subgroup analyses were performed. In none did we observe a pattern of better outcomes among SCU residents.


CONCLUSIONS
Although SCUs may have provided unmeasured benefits to families and residents, it does not appear that those benefits included any slowing in the rates of functional decline experienced by individuals with dementia.
Phillips
C D
CD
Myers Research Institute, Menorah Park Center for the Aging, Beachwood, OH, USA.
Sloane
P D
PD
Hawes
C
C
Koch
G
G
Han
J
J
Spry
K
K
Dunteman
G
G
Williams
R L
RL
D000203:Activities of Daily Living; D000368:Aged; D000544:Alzheimer Disease / Q000451:nursing* / Q000503:physiopathology*; D003071:Cognition; D015331:Cohort Studies; D018450:Disease Progression; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D009735:Nursing Homes / Q000458:organization & administration* / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care / Q000379:methods*; D014481:United States