Transitioning of older Australian women into and through the long-term care system: a cohort study using linked data.

Abstract:

BACKGROUND:Over two-thirds of older Australians use different types/levels of aged care at some point in later life. Our aims were to estimate transitional probabilities and to identify risk factors influencing the movement between different levels of long-term care. METHODS:The sample consisted of 9007 women from the 1921-26 birth cohort of the Australian Longitudinal Study on Women's Health. Transitional probabilities between different levels of long-term care were estimated using a continuous-time Markov model. RESULTS:An 11-fold transition rates ratio was observed for the movement from non-user to home and community care (HACC) versus non-user to residential aged care (RAC). The predicted probabilities of remaining in the non-user state, HACC, and RAC after 10 years from the baseline were .28, .24, and .11, respectively. While the corresponding probabilities of dying from these states were .36, .65, and .90. The risk of transitioning from the non-user state to either HACC or RAC was greater for participants who were older at baseline, widowed, living outside of major cities, having difficulties in managing income, or having chronic condition, poor/fair self-rated health, or lower SF-36 scores (p < .05). CONCLUSION:Women spend a substantial period of their later life using long-term care. Typically, this will be in the community setting with a low level of care. The transition to either HACC or RAC was associated with several demographic and health-related factors. Our findings are important for the planning and improvement of long-term care among future generations of older people. TRIAL REGISTRATION:Not applicable.

journal_name

BMC Geriatr

journal_title

BMC geriatrics

authors

Rahman MM,Efird JT,Byles JE

doi

10.1186/s12877-019-1291-z

subject

Has Abstract

pub_date

2019-10-24 00:00:00

pages

286

issue

1

issn

1471-2318

pii

10.1186/s12877-019-1291-z

journal_volume

19

pub_type

杂志文章
  • High risk of malnutrition is associated with low muscle mass in older hospitalized patients - a prospective cohort study.

    abstract:BACKGROUND:Malnutrition, low muscle strength and muscle mass are highly prevalent in older hospitalized patients and associated with adverse outcomes. Malnutrition may be a risk factor for developing low muscle mass. We aimed to investigate the association between the risk of malnutrition and 1) muscle strength and mus...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-017-0505-5

    authors: Pierik VD,Meskers CGM,Van Ancum JM,Numans ST,Verlaan S,Scheerman K,Kruizinga RC,Maier AB

    更新日期:2017-06-05 00:00:00

  • Balancing the struggle to live with dementia: a systematic meta-synthesis of coping.

    abstract:BACKGROUND:People with dementia describe experiences of loss that threaten their autonomy and ability to contribute to society. They often have difficulties with orientation, loss of roll function, and fear about the future, and need help from others. An increasing body of literature also focuses on how people with dem...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-019-1306-9

    authors: Bjørkløf GH,Helvik AS,Ibsen TL,Telenius EW,Grov EK,Eriksen S

    更新日期:2019-10-30 00:00:00

  • Lower body functioning and correlates among older American Indians: The Cerebrovascular Disease and Its Consequences in American Indians Study.

    abstract:BACKGROUND:More than six million American Indians live in the United States, and an estimated 1.6 million will be aged ≥65 years old by 2050 tripling in numbers since 2012. Physical functioning and related factors in this population are poorly understood. Our study aimed to assess lower body functioning and identify th...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-017-0697-8

    authors: Goins RT,Schure M,Jensen PN,Suchy-Dicey A,Nelson L,Verney SP,Howard BV,Buchwald D

    更新日期:2018-01-05 00:00:00

  • Predicting the risk of falling--efficacy of a risk assessment tool compared to nurses' judgement: a cluster-randomised controlled trial [ISRCTN37794278].

    abstract:BACKGROUND:Older people living in nursing homes are at high risk of falling because of their general frailty and multiple pathologies. Prediction of falls might lead to an efficient allocation of preventive measures. Although several tools to assess the risk of falling have been developed, their impact on clinically re...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2318-5-14

    authors: Meyer G,Köpke S,Bender R,Mühlhauser I

    更新日期:2005-11-10 00:00:00

  • Protocol for a Prospective (P) study to develop a model to stratify the risk (RI) of medication (M) related harm in hospitalized elderly (E) patients in the UK (The PRIME study).

    abstract:BACKGROUND:Medication related harm (MRH) is a common cause of morbidity and hospital admission in the elderly, and has significant cost implications for both primary and secondary healthcare resources. The development of risk prediction models has become an increasingly common phenomenon in medicine and can be useful t...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-016-0191-8

    authors: Stevenson J,Parekh N,Ali K,Timeyin J,Bremner S,Van Der Cammen T,Allen J,Schiff R,Harchowal J,Davies G,Rajkumar C

    更新日期:2016-01-19 00:00:00

  • A perturbation-based balance training program for older adults: study protocol for a randomised controlled trial.

    abstract:BACKGROUND:Previous research investigating exercise as a means of falls prevention in older adults has shown mixed results. Lack of specificity of the intervention may be an important factor contributing to negative results. Change-in-support (CIS) balance reactions, which involve very rapid stepping or grasping moveme...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2318-7-12

    authors: Mansfield A,Peters AL,Liu BA,Maki BE

    更新日期:2007-05-31 00:00:00

  • Long-term declines in ADLs, IADLs, and mobility among older Medicare beneficiaries.

    abstract:BACKGROUND:Most prior studies have focused on short-term (≤ 2 years) functional declines. But those studies cannot address aging effects inasmuch as all participants have aged the same amount. Therefore, the authors studied the extent of long-term functional decline in older Medicare beneficiaries who were followed for...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2318-11-43

    authors: Wolinsky FD,Bentler SE,Hockenberry J,Jones MP,Obrizan M,Weigel PA,Kaskie B,Wallace RB

    更新日期:2011-08-16 00:00:00

  • Discordance between physician-rated health and an objective health measure among institutionalized older people.

    abstract:BACKGROUND:Although physician-rated health is emerging as a potentially useful variable in research, with implications in practice, it has not been analyzed. Moreover, one of its most important aspects, namely, concordance with patients' objective health state, has not been investigated. This study sought to measure co...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-015-0074-4

    authors: Damián J,Pastor-Barriuso R,Valderrama-Gama E,de Pedro-Cuesta J

    更新日期:2015-07-09 00:00:00

  • End-of-life care communications and shared decision-making in Norwegian nursing homes--experiences and perspectives of patients and relatives.

    abstract:BACKGROUND:Involving nursing home patients and their relatives in end-of-life care conversations and treatment decisions has recently gained increased importance in several Western countries. However, there is little knowledge about how the patients themselves and their next-of-kin look upon involvement in end-of-life ...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-015-0096-y

    authors: Gjerberg E,Lillemoen L,Førde R,Pedersen R

    更新日期:2015-08-19 00:00:00

  • Projecting the effects of long-term care policy on the labor market participation of primary informal family caregivers of elderly with disability: insights from a dynamic simulation model.

    abstract:BACKGROUND:Using Singapore as a case study, this paper aims to understand the effects of the current long-term care policy and various alternative policy options on the labor market participation of primary informal family caregivers of elderly with disability. METHODS:A model of the long-term care system in Singapore...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-016-0243-0

    authors: Ansah JP,Matchar DB,Malhotra R,Love SR,Liu C,Do Y

    更新日期:2016-03-23 00:00:00

  • A randomised controlled trial investigating motor skill training as a function of attentional focus in old age.

    abstract:BACKGROUND:Motor learning research has had little impact on clinical applications and rarely extended to research about how older adults learn motor skills. There is consistent evidence that motor skill performance and learning can be enhanced by giving learners instructions that direct their attention. The aim of this...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2318-9-15

    authors: de Bruin ED,Swanenburg J,Betschon E,Murer K

    更新日期:2009-05-08 00:00:00

  • The social and economic burden on family caregivers for older adults in the Czech Republic.

    abstract:BACKGROUND:In this paper, we analyse the economic burden of elder care in the Czech Republic by assessing how family members of senior citizens engage in caregiving. To do this, we examined the time and cost associated with caregiving as a function of age, gender, and income of the caregiver. METHODS:A questionnaire c...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-020-01571-2

    authors: Maresova P,Lee S,Fadeyi OO,Kuca K

    更新日期:2020-05-11 00:00:00

  • The descriptive epidemiology of delirium symptoms in a large population-based cohort study: results from the Medical Research Council Cognitive Function and Ageing Study (MRC CFAS).

    abstract:BACKGROUND:In the general population, the epidemiological relationships between delirium and adverse outcomes are not well defined. The aims of this study were to: (1) construct an algorithm for the diagnosis of delirium using the Geriatric Mental State (GMS) examination; (2) test the criterion validity of this algorit...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1471-2318-14-87

    authors: Davis DH,Barnes LE,Stephan BC,MacLullich AM,Meagher D,Copeland J,Matthews FE,Brayne C,MRC Cognitive Function and Ageing Study.

    更新日期:2014-07-28 00:00:00

  • Examining the influence of gender, education, social class and birth cohort on MMSE tracking over time: a population-based prospective cohort study.

    abstract:BACKGROUND:Whilst many studies have analysed predictors of longitudinal cognitive decline, few have described their impact on population distributions of cognition by age cohort. The aim of this paper was to examine whether gender, education, social class and birth cohort affect how mean population cognition changes wi...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1471-2318-12-45

    authors: Matthews F,Marioni R,Brayne C,Medical Research Council Cognitive Function and Ageing Study.

    更新日期:2012-08-13 00:00:00

  • Serum cystatin C, impaired kidney function, and geriatric depressive symptoms among older people living in a rural area: a population-based study.

    abstract:BACKGROUND:The relationship between kidney function and depressive symptoms among elderly people has been rarely investigated in settings of the general population. The aim of our study was to examine the association of serum cystatin C (cysC) and impaired kidney function with geriatric depressive symptoms among older ...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-018-0957-2

    authors: Wu L,Yan Z,Jiang H,Xing H,Li H,Qiu C

    更新日期:2018-11-06 00:00:00

  • Effectiveness and cost-effectiveness of an in-home respite care program in supporting informal caregivers of people with dementia: design of a comparative study.

    abstract:BACKGROUND:Frequent hospitalization and permanent nursing home placement not only affect the well-being of persons with dementia, but also place great financial strain on society. Therefore, it is important to create effective strategies to support informal caregivers so that they can continue to perform their demandin...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-016-0373-4

    authors: Vandepitte S,Van Den Noortgate N,Putman K,Verhaeghe S,Annemans L

    更新日期:2016-12-02 00:00:00

  • The role of gender in the association between personality and task priority in older adults' dual-tasking while walking.

    abstract:BACKGROUND:Falls are a major problem for older adults. Many falls occur when a person's attention is divided between two tasks, such as a dual task (DT) involving walking. Most recently, the role of personality in walking performance was addressed; however, its association with DT performance remains to be determined. ...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-017-0691-1

    authors: Agmon M,Armon G,Denesh S,Doumas M

    更新日期:2018-01-02 00:00:00

  • Study protocol: follow-up home visits with nutrition: a randomised controlled trial.

    abstract:BACKGROUND:Geriatric patients are at high risk of re-admission after discharge. Pre-existing nutritional risk amongst these patients is of primary concern, with former nutritional intervention studies being largely ineffective. None of these studies has included individual dietary counselling by a registered dietician ...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2318-11-90

    authors: Beck AM,Kjær S,Hansen BS,Storm RL,Thal-Jantzen K

    更新日期:2011-12-28 00:00:00

  • Decision-making for receiving paid home care for dementia in the time of COVID-19: a qualitative study.

    abstract:BACKGROUND:The lockdown imposed in the UK on the 23rd of March and associated public health measures of social distancing are likely to have had a great impact on care provision. The aim of this study was to explore the decision-making processes of continued paid home care support for dementia in the time of COVID-19. ...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-020-01719-0

    authors: Giebel C,Hanna K,Cannon J,Eley R,Tetlow H,Gaughan A,Komuravelli A,Shenton J,Rogers C,Butchard S,Callaghan S,Limbert S,Rajagopal M,Ward K,Shaw L,Whittington R,Hughes M,Gabbay M

    更新日期:2020-09-09 00:00:00

  • Measures of frailty in population-based studies: an overview.

    abstract:BACKGROUND:Although research productivity in the field of frailty has risen exponentially in recent years, there remains a lack of consensus regarding the measurement of this syndrome. This overview offers three services: first, we provide a comprehensive catalogue of current frailty measures; second, we evaluate their...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2318-13-64

    authors: Bouillon K,Kivimaki M,Hamer M,Sabia S,Fransson EI,Singh-Manoux A,Gale CR,Batty GD

    更新日期:2013-06-21 00:00:00

  • Validation of a Dutch version of the Geriatric Oral Health Assessment Index (GOHAI-NL) in care-dependent and care-independent older people.

    abstract:BACKGROUND:The GOHAI is a frequently used instrument to measure oral health-related quality of life (OHRQoL) of adults, in particular older people. The aim of this study was to translate the original English version of the GOHAI into a Dutch version (GOHAI-NL), and to test the validity and reliability of the GOHAI-NL i...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-016-0227-0

    authors: Niesten D,Witter D,Bronkhorst E,Creugers N

    更新日期:2016-02-29 00:00:00

  • Incident venous thromboembolic events in the Prospective Study of Pravastatin in the Elderly at Risk (PROSPER).

    abstract:BACKGROUND:Venous thromboembolic events (VTE), including deep venous thrombosis and pulmonary embolism, are common in older age. It has been suggested that statins might reduce the risk of VTE however positive results from studies of middle aged subjects may not be generalisable to elderly people. We aimed to determine...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2318-11-8

    authors: Freeman DJ,Robertson M,Brown EA,Rumley A,Tobias ES,Frölich M,Slagboom PE,Jukema JW,de Craen AJ,Sattar N,Ford I,Gaw A,Greer IA,Lowe GD,Stott DJ

    更新日期:2011-02-22 00:00:00

  • A prospective study of hepatic safety of statins used in very elderly patients.

    abstract:BACKGROUND:Statins play an important role in the care of patients with cardiovascular disease and have a good safety record in clinical practice. Hepatotoxicity is a barrier that limits the ability of primary care physicians to prescribe statins for patients with elevated liver transaminase values and/or underlying liv...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-019-1361-2

    authors: Guo M,Zhao J,Zhai Y,Zang P,Lv Q,Shang D

    更新日期:2019-12-16 00:00:00

  • Osteoporosis, diabetes, and hypertension are major risk factors for mortality in older adults: an intermediate report on a prospective survey of 1467 community-dwelling elderly healthy pensioners in Switzerland.

    abstract:BACKGROUND:Osteoporosis is an important morbidity factor for ageing populations in developed countries. However, compared to the amount of information available on diabetes and cardiovascular disease, little is known about the direct impact of osteoporosis on general mortality in older age. METHODS:We obtained data fr...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-018-0809-0

    authors: Gutzwiller JP,Richterich JP,Stanga Z,Nydegger UE,Risch L,Risch M

    更新日期:2018-05-15 00:00:00

  • Development and piloting of a perturbation stationary bicycle robotic system that provides unexpected lateral perturbations during bicycling (the PerStBiRo system).

    abstract:BACKGROUND:Balance control, and specifically balance reactive responses that contribute to maintaining balance when balance is lost unexpectedly, is impaired in older people. This leads to an increased fall risk and injurious falls. Improving balance reactive responses is one of the goals in fall-prevention training pr...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-021-02015-1

    authors: Batcir S,Livne Y,Lev Lehman R,Edelman S,Schiller L,Lubovsky O,Shani G,Shapiro A,Melzer I

    更新日期:2021-01-21 00:00:00

  • Association between vascular comorbidity and progression of Alzheimer's disease: a two-year observational study in Norwegian memory clinics.

    abstract:BACKGROUND:Vascular risk factors increase the risk of Alzheimer's disease (AD), but there is limited evidence on whether comorbid vascular conditions and risk factors have an impact on disease progression. The aim of this study was to examine the association between vascular disease and vascular risk factors and progre...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-018-0813-4

    authors: Eldholm RS,Persson K,Barca ML,Knapskog AB,Cavallin L,Engedal K,Selbaek G,Skovlund E,Saltvedt I

    更新日期:2018-05-22 00:00:00

  • Prevalence of sarcopenia in multi ethnics adults and the association with cognitive impairment: findings from West-China health and aging trend study.

    abstract:BACKGROUND:Sarcopenia is a condition that is characterized by loss of muscle mass, muscle strength and muscle functional impairment with ageing. It is associated with poor health outcomes, premature death and a significant burden on the global health economy. The prevalence of sarcopenia in China is unknown since most ...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-020-1468-5

    authors: Liu X,Hou L,Xia X,Liu Y,Zuo Z,Zhang Y,Zhao W,Hao Q,Yue J,Dong B

    更新日期:2020-02-17 00:00:00

  • Community resource referral needs among African American dementia caregivers in an urban community: a qualitative study.

    abstract:BACKGROUND:African American caregivers of community-residing persons with dementia are mostly unpaid and have high rates of unmet basic and health needs. The National Alzheimer's Project Act (NAPA) mandates improved coordination of care for persons with dementia and calls for special attention to racial populations at ...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-019-1341-6

    authors: Abramsohn EM,Jerome J,Paradise K,Kostas T,Spacht WA,Lindau ST

    更新日期:2019-11-14 00:00:00

  • The clinical frailty scale predicts functional decline and mortality when used by junior medical staff: a prospective cohort study.

    abstract:BACKGROUND:Increasing frailty is associated with risk of mortality and functional decline in hospitalized older adults, but there is no consensus on the best screening method for use by non-geriatricians. The objective of this study is to determine whether the clinical frailty scale (CFS) can be used to identify patien...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-016-0292-4

    authors: Gregorevic KJ,Hubbard RE,Lim WK,Katz B

    更新日期:2016-06-02 00:00:00

  • The relationships between body composition characteristics and cognitive functioning in a population-based sample of older British men.

    abstract:BACKGROUND:Current research has established obesity as one of the main modifiable risk factors for cognitive impairment. However, evidence on the relationships of total and regional body composition measures as well as sarcopenia with cognitive functioning in the older population remains inconsistent. METHODS:Data are...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-015-0169-y

    authors: Papachristou E,Ramsay SE,Lennon LT,Papacosta O,Iliffe S,Whincup PH,Wannamethee SG

    更新日期:2015-12-21 00:00:00