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


CONCLUSIONS
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.
Norwegian Center for Research, Education and Service Development, Vestfold Hospital Trust, Tønsberg, Norway ; Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.
Jon N
JN
Wergeland
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.
Geir
G
Selbæk
Center for Old Age Psychiatric Research, Innlandet Hospital Trust, Ottestad, Norway.
Sverre
S
Bergh
Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.
Ulrika
U
Soederhamn
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.
Øyvind
Ø
Kirkevold
Community-dwelling; Dementia; Domiciliary care; Neuropsychiatric syndrome; Older people