Explanatory survival model for nursing home residents- a 9-year retrospective cohort study
•Mortality factors for residents with disability include older age, male gender, poor nutritional status (Mini Nutritional Assessment Short-Form
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| Veröffentlicht in: | Archives of gerontology and geriatrics 2021-11, Vol.97, p.104497-104497, Article 104497 |
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| container_title | Archives of gerontology and geriatrics |
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| creator | Kańtoch, Anna Grodzicki, Tomasz Wójkowska-Mach, Jadwiga Heczko, Piotr Gryglewska, Barbara |
| description | •Mortality factors for residents with disability include older age, male gender, poor nutritional status (Mini Nutritional Assessment Short-Form |
| doi_str_mv | 10.1016/j.archger.2021.104497 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2563427507</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0167494321001606</els_id><sourcerecordid>2563427507</sourcerecordid><originalsourceid>FETCH-LOGICAL-c408t-223fa1ce322651c6a36863e249536dc4a5b362688ae2eb2641b5fdba479ebfbd3</originalsourceid><addsrcrecordid>eNqFkEtPwzAQhC0EEqXwE5B85JLiV5zkhFBVHlIlLnDhYjnOpnWVxMFOKvLvcZXeOa00O7Pa-RC6p2RFCZWPh5X2Zr8Dv2KE0agJUWQXaEHzjCWyyOQlWkRflohC8Gt0E8KBECIIkwv0vfntG93pwfkJh9Ef7VE3uHUVNLh2HnejD7bb4b1rAXsItoJuCAnWuEgm0D5qg3ehBzPYI2Dj9s4POAxjNd2iq1o3Ae7Oc4m-Xjaf67dk-_H6vn7eJkaQfEgY47WmBjhjMqVGai5zyYGJIuWyMkKnJZdM5rkGBiWTgpZpXZVaZAWUdVnxJXqY7_be_YwQBtXaYKCJtcCNQbFUcsGylGTRms5WE38OHmrVe9tqPylK1ImlOqgzS3ViqWaWMfc05yD2ONq4DcZCZ6CyPjZXlbP_XPgD6lyBEQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2563427507</pqid></control><display><type>article</type><title>Explanatory survival model for nursing home residents- a 9-year retrospective cohort study</title><source>ScienceDirect Journals (5 years ago - present)</source><creator>Kańtoch, Anna ; Grodzicki, Tomasz ; Wójkowska-Mach, Jadwiga ; Heczko, Piotr ; Gryglewska, Barbara</creator><creatorcontrib>Kańtoch, Anna ; Grodzicki, Tomasz ; Wójkowska-Mach, Jadwiga ; Heczko, Piotr ; Gryglewska, Barbara</creatorcontrib><description>•Mortality factors for residents with disability include older age, male gender, poor nutritional status (Mini Nutritional Assessment Short-Form <12), and urinary incontinence.•A low-dose aspirin had beneficial effect on long-term survival of residents with disability.•The Mini Nutritional Assessment Short-Form scale may be a useful tool for assessing long-term survival in nursing home residents.
There is a gap in the literature regarding the analysis of long-term survival and mortality risk factors among disabled and multimorbid institutionalized populations. The study aimed to analyze 9-year survival, investigate mortality factors, and develop an explanatory survival model for nursing home residents.
A retrospective cohort study with a 9-year follow-up (2009–2018) was conducted among 96 residents of a nursing home with Barthel index ≤ 40. The study was based on baseline measurements performed in 2009, which included results obtained on geriatric scales: Mini Nutritional Assessment Short-Form (MNA-SF) and Abbreviated Mental Test Score (AMTS). Information on demographics, comorbidities, pharmacotherapy, transfers and deaths came from medical records. Kaplan-Meier curves were used to estimate and present survival data. Factors associated with mortality were determined using Cox proportional hazard models.
The median survival was 2.9 years. Mortality during the follow-up period was 83%. Kaplan-Meier curves showed that residents with normal nutritional status (p = 0.002) and taking aspirin (p = 0.005) had a better 9-year survival. The multivariable Cox regression model revealed that the risk of mortality (Hazard Ratio, HR) increased in older age (HR=1.04), male gender (HR=2.08), with risk of malnutrition (HR=3.91), malnutrition (HR=4.84), and presence of urinary incontinence (HR=2.14). The aspirin use was the strongest protective factor against death (HR=0.40).
The aspirin use was associated with better long-term survival for nursing home residents. Factors associated with higher mortality among residents include older age, male gender, poor nutritional status, and urinary incontinence.
We are the first to report the beneficial effects of a low-dose of aspirin on the long-term survival of disabled, institutionalized populations with multimorbidity. Furthermore, this study presents an explanatory model of survival for nursing home residents and identifies the long-term mortality risk factors among disabled residents with multimorbidity.</description><identifier>ISSN: 0167-4943</identifier><identifier>EISSN: 1872-6976</identifier><identifier>DOI: 10.1016/j.archger.2021.104497</identifier><language>eng</language><publisher>Elsevier B.V</publisher><subject>Aspirin ; MNA-SF ; Mortality factors ; Nursing home ; Survival ; Urinary incontinence</subject><ispartof>Archives of gerontology and geriatrics, 2021-11, Vol.97, p.104497-104497, Article 104497</ispartof><rights>2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-223fa1ce322651c6a36863e249536dc4a5b362688ae2eb2641b5fdba479ebfbd3</citedby><cites>FETCH-LOGICAL-c408t-223fa1ce322651c6a36863e249536dc4a5b362688ae2eb2641b5fdba479ebfbd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.archger.2021.104497$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids></links><search><creatorcontrib>Kańtoch, Anna</creatorcontrib><creatorcontrib>Grodzicki, Tomasz</creatorcontrib><creatorcontrib>Wójkowska-Mach, Jadwiga</creatorcontrib><creatorcontrib>Heczko, Piotr</creatorcontrib><creatorcontrib>Gryglewska, Barbara</creatorcontrib><title>Explanatory survival model for nursing home residents- a 9-year retrospective cohort study</title><title>Archives of gerontology and geriatrics</title><description>•Mortality factors for residents with disability include older age, male gender, poor nutritional status (Mini Nutritional Assessment Short-Form <12), and urinary incontinence.•A low-dose aspirin had beneficial effect on long-term survival of residents with disability.•The Mini Nutritional Assessment Short-Form scale may be a useful tool for assessing long-term survival in nursing home residents.
There is a gap in the literature regarding the analysis of long-term survival and mortality risk factors among disabled and multimorbid institutionalized populations. The study aimed to analyze 9-year survival, investigate mortality factors, and develop an explanatory survival model for nursing home residents.
A retrospective cohort study with a 9-year follow-up (2009–2018) was conducted among 96 residents of a nursing home with Barthel index ≤ 40. The study was based on baseline measurements performed in 2009, which included results obtained on geriatric scales: Mini Nutritional Assessment Short-Form (MNA-SF) and Abbreviated Mental Test Score (AMTS). Information on demographics, comorbidities, pharmacotherapy, transfers and deaths came from medical records. Kaplan-Meier curves were used to estimate and present survival data. Factors associated with mortality were determined using Cox proportional hazard models.
The median survival was 2.9 years. Mortality during the follow-up period was 83%. Kaplan-Meier curves showed that residents with normal nutritional status (p = 0.002) and taking aspirin (p = 0.005) had a better 9-year survival. The multivariable Cox regression model revealed that the risk of mortality (Hazard Ratio, HR) increased in older age (HR=1.04), male gender (HR=2.08), with risk of malnutrition (HR=3.91), malnutrition (HR=4.84), and presence of urinary incontinence (HR=2.14). The aspirin use was the strongest protective factor against death (HR=0.40).
The aspirin use was associated with better long-term survival for nursing home residents. Factors associated with higher mortality among residents include older age, male gender, poor nutritional status, and urinary incontinence.
We are the first to report the beneficial effects of a low-dose of aspirin on the long-term survival of disabled, institutionalized populations with multimorbidity. Furthermore, this study presents an explanatory model of survival for nursing home residents and identifies the long-term mortality risk factors among disabled residents with multimorbidity.</description><subject>Aspirin</subject><subject>MNA-SF</subject><subject>Mortality factors</subject><subject>Nursing home</subject><subject>Survival</subject><subject>Urinary incontinence</subject><issn>0167-4943</issn><issn>1872-6976</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqFkEtPwzAQhC0EEqXwE5B85JLiV5zkhFBVHlIlLnDhYjnOpnWVxMFOKvLvcZXeOa00O7Pa-RC6p2RFCZWPh5X2Zr8Dv2KE0agJUWQXaEHzjCWyyOQlWkRflohC8Gt0E8KBECIIkwv0vfntG93pwfkJh9Ef7VE3uHUVNLh2HnejD7bb4b1rAXsItoJuCAnWuEgm0D5qg3ehBzPYI2Dj9s4POAxjNd2iq1o3Ae7Oc4m-Xjaf67dk-_H6vn7eJkaQfEgY47WmBjhjMqVGai5zyYGJIuWyMkKnJZdM5rkGBiWTgpZpXZVaZAWUdVnxJXqY7_be_YwQBtXaYKCJtcCNQbFUcsGylGTRms5WE38OHmrVe9tqPylK1ImlOqgzS3ViqWaWMfc05yD2ONq4DcZCZ6CyPjZXlbP_XPgD6lyBEQ</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Kańtoch, Anna</creator><creator>Grodzicki, Tomasz</creator><creator>Wójkowska-Mach, Jadwiga</creator><creator>Heczko, Piotr</creator><creator>Gryglewska, Barbara</creator><general>Elsevier B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202111</creationdate><title>Explanatory survival model for nursing home residents- a 9-year retrospective cohort study</title><author>Kańtoch, Anna ; Grodzicki, Tomasz ; Wójkowska-Mach, Jadwiga ; Heczko, Piotr ; Gryglewska, Barbara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-223fa1ce322651c6a36863e249536dc4a5b362688ae2eb2641b5fdba479ebfbd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aspirin</topic><topic>MNA-SF</topic><topic>Mortality factors</topic><topic>Nursing home</topic><topic>Survival</topic><topic>Urinary incontinence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kańtoch, Anna</creatorcontrib><creatorcontrib>Grodzicki, Tomasz</creatorcontrib><creatorcontrib>Wójkowska-Mach, Jadwiga</creatorcontrib><creatorcontrib>Heczko, Piotr</creatorcontrib><creatorcontrib>Gryglewska, Barbara</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gerontology and geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kańtoch, Anna</au><au>Grodzicki, Tomasz</au><au>Wójkowska-Mach, Jadwiga</au><au>Heczko, Piotr</au><au>Gryglewska, Barbara</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Explanatory survival model for nursing home residents- a 9-year retrospective cohort study</atitle><jtitle>Archives of gerontology and geriatrics</jtitle><date>2021-11</date><risdate>2021</risdate><volume>97</volume><spage>104497</spage><epage>104497</epage><pages>104497-104497</pages><artnum>104497</artnum><issn>0167-4943</issn><eissn>1872-6976</eissn><abstract>•Mortality factors for residents with disability include older age, male gender, poor nutritional status (Mini Nutritional Assessment Short-Form <12), and urinary incontinence.•A low-dose aspirin had beneficial effect on long-term survival of residents with disability.•The Mini Nutritional Assessment Short-Form scale may be a useful tool for assessing long-term survival in nursing home residents.
There is a gap in the literature regarding the analysis of long-term survival and mortality risk factors among disabled and multimorbid institutionalized populations. The study aimed to analyze 9-year survival, investigate mortality factors, and develop an explanatory survival model for nursing home residents.
A retrospective cohort study with a 9-year follow-up (2009–2018) was conducted among 96 residents of a nursing home with Barthel index ≤ 40. The study was based on baseline measurements performed in 2009, which included results obtained on geriatric scales: Mini Nutritional Assessment Short-Form (MNA-SF) and Abbreviated Mental Test Score (AMTS). Information on demographics, comorbidities, pharmacotherapy, transfers and deaths came from medical records. Kaplan-Meier curves were used to estimate and present survival data. Factors associated with mortality were determined using Cox proportional hazard models.
The median survival was 2.9 years. Mortality during the follow-up period was 83%. Kaplan-Meier curves showed that residents with normal nutritional status (p = 0.002) and taking aspirin (p = 0.005) had a better 9-year survival. The multivariable Cox regression model revealed that the risk of mortality (Hazard Ratio, HR) increased in older age (HR=1.04), male gender (HR=2.08), with risk of malnutrition (HR=3.91), malnutrition (HR=4.84), and presence of urinary incontinence (HR=2.14). The aspirin use was the strongest protective factor against death (HR=0.40).
The aspirin use was associated with better long-term survival for nursing home residents. Factors associated with higher mortality among residents include older age, male gender, poor nutritional status, and urinary incontinence.
We are the first to report the beneficial effects of a low-dose of aspirin on the long-term survival of disabled, institutionalized populations with multimorbidity. Furthermore, this study presents an explanatory model of survival for nursing home residents and identifies the long-term mortality risk factors among disabled residents with multimorbidity.</abstract><pub>Elsevier B.V</pub><doi>10.1016/j.archger.2021.104497</doi><tpages>1</tpages></addata></record> |
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| ispartof | Archives of gerontology and geriatrics, 2021-11, Vol.97, p.104497-104497, Article 104497 |
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| source | ScienceDirect Journals (5 years ago - present) |
| subjects | Aspirin MNA-SF Mortality factors Nursing home Survival Urinary incontinence |
| title | Explanatory survival model for nursing home residents- a 9-year retrospective cohort study |
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