Baseline Differences and Trajectories of Change for Deceased, Placed, and Community Residing Alzheimer Disease Patients
| Autor: | Steven H. Belle, Henry Michael Arrighi, Bozena Zdaniuk, Arthur S. Zbrozek, Sara J. Czaja, Richard Schulz |
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| Rok vydání: | 2010 |
| Předmět: |
Male
Gerontology medicine.medical_specialty Activities of daily living Article Central nervous system disease Health services Alzheimer Disease Internal medicine Activities of Daily Living medicine Homes for the Aged Humans Aged business.industry Cognitive disorder medicine.disease Home Care Services Long-Term Care Memory problems Nursing Homes Psychiatry and Mental health Clinical Psychology Long-term care Caregivers Baseline characteristics Female Geriatrics and Gerontology Alzheimer's disease business |
| Zdroj: | Alzheimer Disease & Associated Disorders. 24:143-150 |
| ISSN: | 0893-0341 |
| DOI: | 10.1097/wad.0b013e3181b795b7 |
| Popis: | This study identifies predictors of placement or death in a large ethnically/racially diverse sample of moderately impaired Alzheimer disease patients residing in the community. Patients and caregivers were followed for 18 months with 4 assessments at 6-month intervals. Multinomial regression was used to identify caregiver and patient baseline characteristics and changes over time as predictors of patient placement in a long-term care facility (n=180), patient death (not preceded by placement, n=187), or remaining in the community at home (n=583). Our findings reveal important differences between death and placement when compared with continued home care. Both death and placement are significantly associated with increased activities of daily living limitations (Exp(B)=1.285, P=0.017; Exp(B)=0.1.202, P=0.038, for death and placement, compared with home care, respectively), having a nonspouse caregiver [Exp(B)=0.325, P=0.026; Exp(B)=0.386, P=0.050, for death and placement, respectively], and being a male patient [Exp(B)=0.367, P=0.003; Exp(B)=0.439, P=0.016, for death and placement, respectively]. Death and placement differ with respect to health service use, race, and group assignment. Whites are more likely to be placed rather than remain at home when compared with African American [Ex(B)=0.520, P=0.028] or Hispanic [Exp(B)=0.338, P |
| Databáze: | OpenAIRE |
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