Memory care reduces nursing home admissions among assisted‐living residents with dementia
| Autor: | Portia Y. Cornell, Wenhan Zhang, Lindsey Smith, Momotazur Rahman, David C. Grabowski, Paula Carder, Kali S. Thomas |
|---|---|
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Alzheimers Dement |
| ISSN: | 1552-5279 1552-5260 |
| Popis: | INTRODUCTION: We compare nursing-home and hospital admissions among residents with Alzheimer’s disease and related dementias (ADRD) in memory-care assisted living to those in general assisted living. METHODS: Retrospective study of Medicare beneficiaries with ADRD in large (>25 bed) assisted-living communities. We compared admission to a hospital, to a nursing home, and long-term (>90 day) admission to a nursing home between the two groups, using risk differences and survival analysis. RESULTS: Residents in memory-care assisted living had a lower adjusted risk of hospitalization (risk difference = −1.8 percentage points [P = .014], hazard ratio = 0.93 [0.87–1.00]), a lower risk of nursing-home admission (risk difference = −2.2 percentage points [P < .001], hazard ratio = 0.87 [−.79–0.95]), and a lower risk of a long-term nursing home admission (risk difference = −1.1 percentage points [P < .001], hazard ratio = 0.71 [0.57–;0.88]). DISCUSSION: Memory care is associated with reduced rates of nursing-home placement, particularly long-term stays, compared to general assisted living. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|