Changes in health and functioning of care home residents over two decades: what can we learn from population-based studies?

Age and Ageing
Robert O BarkerFiona E Matthews

Abstract

Care home residents have complex care and support needs. There is a perception that the needs of residents have increased, but the evidence is limited. We investigated changes in health and functioning of care home residents over two decades in England and Wales. We conducted a repeated cross-sectional analysis over a 24 year period (1992-2016), using data from three longitudinal studies, the Cognitive Function and Ageing Studies (CFAS) I and II and the English Longitudinal Study of Ageing (ELSA). To adjust for ageing of respondents over time results are presented for the 75-84 age group. Analysis of 2,280 observations from 1,745 care home residents demonstrated increases in severe disability (difficulty in at least two from washing, dressing and toileting). The prevalence of severe disability increased from 63% in 1992 to 87% in 2014 (subsequent fall in 2016 although wide confidence intervals). The prevalence of complex multimorbidity (problems in at least three out of six body systems) increased within studies over time, from 33% to 54% in CFAS I/II between 1992 and 2012, and 26% to 54% in ELSA between 2006 and 2016. Over two decades, there has been an increase in disability and the complexity of health problems amongst care ...Continue Reading

References

Sep 19, 2006·International Journal of Epidemiology·Carol BrayneUNKNOWN Medical Research Council Coginitive Function and Ageing Study (CFAS)
Oct 3, 2008·Age and Ageing·Ian P DonaldEileen Burns
Nov 13, 2012·International Journal of Epidemiology·Andrew SteptoeJames Nazroo
Jul 19, 2013·Age and Ageing·Adam Lee GordonJohn R F Gladman
Aug 20, 2017·Lancet·Andrew KingstonUNKNOWN Cognitive Function and Ageing Studies collaboration

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