Functional transitions among the elderly: patterns, predictors, and related hospital use.

作者: V Mor , V Wilcox , W Rakowski , J Hiris

DOI: 10.2105/AJPH.84.8.1274

关键词:

摘要: OBJECTIVES. This paper describes 6-year rates and correlates of functional change in the elderly, as well associated hospital use. METHODS. The Longitudinal Study on Aging (n = 7527) matched Medicare claims were used to calculate status transition use rates. A hierarchical measure that incorporated activities daily living, instrumental competing risks institutionalization death was assess status. Multinomial logistic regression predict 1990 RESULTS. 12% men women 70 79 years age who initially impaired living improved, about half independent people group remained so. Multivariate analyses revealed age, baseline functioning, self-rated health, comorbidity predicted Both functioning related hospitalization. CONCLUSI...

参考文章(23)
F. D. Wolinsky, Christopher Callahan, J. F. Fitzgerald, R. J. Johnson, Changes in functional status and the risks of subsequent nursing home placement and death. Journal of Gerontology. ,vol. 48, ,(1993)
M. A. Lewis, S. Cretin, R. L. Kane, The Natural History of Nursing Home Patients Gerontologist. ,vol. 25, pp. 382- 388 ,(1985) , 10.1093/GERONT/25.4.382
T Harris, M G Kovar, R Suzman, J C Kleinman, J J Feldman, Longitudinal study of physical ability in the oldest-old. American Journal of Public Health. ,vol. 79, pp. 698- 702 ,(1989) , 10.2105/AJPH.79.6.698
Emmett B. Keeler, Robert L. Kane, David H. Solomon, Short- and long-term residents of nursing homes. Medical Care. ,vol. 19, pp. 363- 370 ,(1981) , 10.1097/00005650-198103000-00011
George A. Kaplan, William J. Strawbridge, Terry Camacho, Richard D. Cohen, Factors associated with change in physical functioning in the elderly: a six-year prospective study Journal of Aging and Health. ,vol. 5, pp. 140- 153 ,(1993) , 10.1177/089826439300500107
Edward H. Yelin, Patricia P. Katz, Transitions in health status among community-dwelling elderly people with arthritis. A national, longitudinal study. Arthritis & Rheumatism. ,vol. 33, pp. 1205- 1215 ,(2010) , 10.1002/ART.1780330822
Sidney Katz, Laurence G. Branch, Michael H. Branson, Joseph A. Papsidero, John C. Beck, David S. Greer, Active life expectancy The New England Journal of Medicine. ,vol. 309, pp. 1218- 1224 ,(1983) , 10.1056/NEJM198311173092005
Laurence G. Branch, Leighton Ku, Transition Probabilities to Dependency, Institutionalization, and Death among the Elderly Over a Decade Journal of Aging and Health. ,vol. 1, pp. 370- 408 ,(1989) , 10.1177/089826438900100306
Laurence Branch, Alan Jette, Connie Evashwick, Marcia Polansky, Genevieve Rowe, Paula Diehr, Toward understanding elders' health service utilization Journal of Community Health. ,vol. 7, pp. 80- 92 ,(1981) , 10.1007/BF01323227
Marian Gornick, Alma McMillan, James Lubitz, A Longitudinal Perspective on Patterns of Medicare Payments Health Affairs. ,vol. 12, pp. 140- 150 ,(1993) , 10.1377/HLTHAFF.12.2.140