PMID: 9550798Apr 29, 1998Paper

Daily functioning and health care utilization among persons 85 years old and older

Nederlands tijdschrift voor geneeskunde
A Bootsma-van der WielD L Knook

Abstract

Description of the activities of daily living and the use of care in relation to several determinants in persons aged 85 years and over. Cross-sectional survey. General population from the city of Leiden, the Netherlands. A representative sample from the inhabitants aged 85 years and over of the city of Leiden was enrolled. A physician visited 239 'oldest old' (response rate 83%) at their places of residence, in 1991/'92. Data were obtained on health (joint disorder, cardiovascular disease, diabetes mellitus, Parkinson's disease; disorders in cognition, eyesight, hearing; limitation of mobility), self care and household activities in daily living and the use of care (informal care by neighbours or family, (geriatric) home help, district nurse, private help). Statistical analysis was performed by non-parametric tests and logistic regression. Of the 'oldest old' 111 (46%) lived independently, and 67 of them (28% of the total group) had no professional help. Almost all 'oldest old' had at least one health disorder. In all, 129 women (77%) and 43 men (61%) had restrictions in basic and (or) instrumental activities of daily living. These restrictions were strongly related to disorders in cognition, vision and mobility, less related ...Continue Reading

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