title: Profile of patients with amyotrophic lateral sclerosis across continuum of care.
abstract: OBJECTIVE
  This study describes the socio-demographic and clinical profile of persons with amyotrophic lateral sclerosis (ALS) in home care, nursing homes and complex continuing care settings in several Canadian jurisdictions.
  
  
  METHODS
  A cross-sectional study was conducted using available Resident Assessment Instrument (RAI 2.0 and RAI Home Care) national databases from 1996- 2011. The profile of ALS patients was compared with patients without pre-specified neurological conditions.
  
  
  RESULTS
  There were 2,092 ALS patients identified in these settings. Persons with ALS were more likely than those in the comparison group to suffer from health instability (25.4%) and minor to major depressive symptoms (27.2%) , to experience falls (44.0%) and weight loss (22.9%), to require extensive assistance in activities of daily living (54.9%), and to receive rehabilitation services: physical (23.9%), speech language pathology (8.9%), and occupational therapy 43.3%).
  
  
  CONCLUSIONS
  The ALS population in this study are greatly affected by a number of health issues. They are more likely than the comparison group to require therapies, medical interventions, and psychotropic drug use. While persons with ALS have a poor prognosis, a great deal could be done to enhance their quality of life and the quality of care they receive.
authors.forename: Vahe
authors.initials: V
authors.lastname: Kehyayan
authors.forename: Lawrence
authors.initials: L
authors.lastname: Korngut
authors.forename: Nathalie
authors.initials: N
authors.lastname: Jetté
authors.forename: John P
authors.initials: JP
authors.lastname: Hirdes
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000690:Amyotrophic Lateral Sclerosis / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation; D002170:Canada / Q000453:epidemiology; D003430:Cross-Sectional Studies; D016208:Databases, Factual; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D003865:Major Depressive Disorder / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006699:Home Care Services; D016852:Housing for the Elderly; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D009788:Occupational Therapy / Q000706:statistics & numerical data; D026741:Physical Therapy Modalities / Q000706:statistics & numerical data; D013070:Speech Therapy / Q000706:statistics & numerical data; D015431:Weight Loss