Care Settings and Clinical Characteristics of Older Adults with Moderately Severe Dementia

Journal of the American Geriatrics Society
Krista L HarrisonAlexander K Smith

Abstract

Little population-level evidence exists to guide the development of interventions for people with dementia in non-nursing home settings. We hypothesized people living at home with moderately severe dementia would differ in social, functional, and medical characteristics from those in either residential care or nursing home settings. Retrospective cohort study using pooled data from the National Health and Aging Trends Study, an annual survey of a nationally representative sample of Medicare beneficiaries. US national sample. Respondents newly meeting criteria for incident moderately severe dementia, defined as probable dementia with functional impairment: 728 older adults met our definition between 2012 and 2016. Social characteristics examined included age, sex, race/ethnicity, country of origin, income, educational attainment, partnership status, and household size. Functional characteristics included help with daily activities, falls, mobility device use, and limitation to home or bed. Medical characteristics included comorbid conditions, self-rated health, hospital stay, symptoms, and dementia behaviors. Extrapolated to the population, an estimated 3.3 million older adults developed incident moderately severe dementia betwe...Continue Reading

References

Jan 1, 1992·International Psychogeriatrics·S G Sclan, B Reisberg
Jul 1, 1997·Journal of the American Dietetic Association
Apr 23, 2002·JAMA : the Journal of the American Medical Association·Kristine YaffeKenneth E Covinsky
Feb 3, 2005·Journal of Palliative Medicine·Susan L MitchellBrant E Fries
Aug 19, 2006·Alzheimer Disease and Associated Disorders·Susan L MitchellJoan M Teno
Dec 13, 2006·Neurology·James E GalvinJohn C Morris
Nov 8, 2007·Journal of Palliative Medicine·Rebecca L Trotta
Sep 1, 2009·Journal of the American Medical Directors Association·Michelle Lee, Joshua Chodosh
Aug 7, 2010·Canadian Journal on Aging = La Revue Canadienne Du Vieillissement·Natasha Fernandes, Byron G Spencer
Feb 19, 2013·BMC Palliative Care·Barbara GomesIrene J Higginson
May 27, 2015·JAMA Internal Medicine·Katherine A OrnsteinSarah L Szanton
Jul 23, 2015·Journal of the American Geriatrics Society·Christopher M CallahanDaniel O Clark
Aug 20, 2015·The New England Journal of Medicine·Amy S Kelley, R Sean Morrison
Oct 27, 2015·Annals of Internal Medicine·Amy S KelleyJonathan S Skinner
Feb 16, 2016·British Journal of Nursing : BJN·Miharu Nakanishi, Yuki Miyamoto
Mar 19, 2016·Health Services Research·Amy S KelleyChristine S Ritchie
Aug 8, 2018·Journal of the American Geriatrics Society·Nengliang Aaron YaoBruce Leff

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Citations

Jul 1, 2020·Journal of the American Geriatrics Society·Vedika KumarKatherine A Ornstein
Sep 25, 2020·American Journal of Alzheimer's Disease and Other Dementias·Ana R QuiñonesStephen M Thielke
May 21, 2020·Clinical Interventions in Aging·Siyuan YangBing Yang
Oct 8, 2020·International Psychogeriatrics·Raimundo Mateos, Jesús Antonio García-Casal
Dec 4, 2020·Journal of the American Geriatrics Society·Jinjiao WangYue Li
Jul 19, 2020·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Jinjiao WangYue Li
Aug 26, 2020·Journal of the American Medical Directors Association·Lena Marmstål HammarAnne-Marie Boström
Apr 16, 2021·Journal of the American Geriatrics Society·Lauren J Hunt, Krista L Harrison
Jun 4, 2021·Journal of the American Medical Directors Association·Norma B CoeJoshua Chodosh
May 18, 2020·Journal of Pain and Symptom Management·Catherine E SchneiderUNKNOWN HAS-QOL Trial Investigators
Jul 11, 2021·Journal of the American Geriatrics Society·María P ArandaChanee Fabius
Oct 1, 2021·International Journal of Geriatric Psychiatry·Nicole D BoydChristine S Ritchie

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