All-Cause 1-, 5-, and 10-Year Mortality in Elderly People According to Activities of Daily Living Stage
Objectives To examine the independent association between five stages of activities of daily living (ADLs) and mortality after accounting for known diagnostic and sociodemographic risk factors. Design For five stages of ADLs (0 to IV), determined according to the severity and pattern of ADL limitati...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2012-03, Vol.60 (3), p.485-492 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 60 |
| creator | Stineman, Margaret G. Xie, Dawei Pan, Qiang Kurichi, Jibby E. Zhang, Zi Saliba, Debra Henry-Sánchez, John T. Streim, Joel |
| description | Objectives
To examine the independent association between five stages of activities of daily living (ADLs) and mortality after accounting for known diagnostic and sociodemographic risk factors.
Design
For five stages of ADLs (0 to IV), determined according to the severity and pattern of ADL limitations, unadjusted life expectancies and adjusted associations with mortality were estimated using a Cox proportional hazards regression model.
Setting
Community.
Participants
Nine thousand four hundred forty‐seven participants aged 70 and older from the second Longitudinal Study of Aging.
Measurements
One‐, 5‐, and 10‐year survival and time to death.
Results
Median life expectancy was 10.6 years for participants with no ADL limitations and 6.5, 5.1, 3.8, and 1.6 years for those at ADL stages I, II, III, and IV, respectively. The sociodemographic‐ and diagnostic‐adjusted hazard of death at 1 year was five times as great at stage IV as at stage 0 (hazard ratio = 5.6, 95% confidence interval = 3.8–8.3). The associations between ADL stage and mortality declined over time but remained statistically significant at 5 and 10 years.
Conclusion
ADL stage continued to explain mortality risk after adjusting for known risk factors including advanced age, stroke, and cancer. ADL stages might aid clinical care planning and policy as a powerful prognostic indicator particularly of short‐term mortality, improving on current ADL measures by profiling activity limitations of relevance to determining community support needs. |
| doi_str_mv | 10.1111/j.1532-5415.2011.03867.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_927988613</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2608184771</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5797-6e613bef92a128eaa9c789a9cdc5482e81295fafc170104ab5c0eb09979482d53</originalsourceid><addsrcrecordid>eNqNkU2P0zAQhi0EYrsLfwFZSIgLDrYTJ_aBQ1V2u0BZkBZYcbJcZ1K5uEmxE2j_PQ4tReKEJX--zzsezSCEGc1YGi_XGRM5J6JgIuOUsYzmsqyy3T00OQn30YRSyoksWXGGzmNcU8o4lfIhOuM8F7xgxQStpt6TmRkiYEZeYJGmaev0EfkKJuD3XeiNd_0euxZf-hqC3-OP0G094Km1Xahdu8J9ly69--F6BxF3DX5tXOIW6SWpt71ZwSP0oDE-wuPjfoE-X11-ml2TxYf5m9l0QayoVEVKKFm-hEZxw7gEY5StpEprbUUhOUjGlWhMY1lFGS3MUlgKS6pUpZJci_wCPT_E3Ybu-wCx1xsXLXhvWuiGqBWvlEwlyRP59B9y3Q2hTcmNUJULUdAEyQNkQxdjgEZvg9uYsNeM6rEVeq3Hiuux4npshf7dCr1L1ifH-MNyA_XJ-Kf2CXh2BEy0xjfBtNbFv5woBSvLMdFXB-6n87D_7wT02_nteEp-cvC72MPu5Dfhm05qJfTdzVx_KW7eldd3Uov8F23Kr8g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>927735540</pqid></control><display><type>article</type><title>All-Cause 1-, 5-, and 10-Year Mortality in Elderly People According to Activities of Daily Living Stage</title><source>MEDLINE</source><source>Wiley Online Library</source><creator>Stineman, Margaret G. ; Xie, Dawei ; Pan, Qiang ; Kurichi, Jibby E. ; Zhang, Zi ; Saliba, Debra ; Henry-Sánchez, John T. ; Streim, Joel</creator><creatorcontrib>Stineman, Margaret G. ; Xie, Dawei ; Pan, Qiang ; Kurichi, Jibby E. ; Zhang, Zi ; Saliba, Debra ; Henry-Sánchez, John T. ; Streim, Joel</creatorcontrib><description>Objectives
To examine the independent association between five stages of activities of daily living (ADLs) and mortality after accounting for known diagnostic and sociodemographic risk factors.
Design
For five stages of ADLs (0 to IV), determined according to the severity and pattern of ADL limitations, unadjusted life expectancies and adjusted associations with mortality were estimated using a Cox proportional hazards regression model.
Setting
Community.
Participants
Nine thousand four hundred forty‐seven participants aged 70 and older from the second Longitudinal Study of Aging.
Measurements
One‐, 5‐, and 10‐year survival and time to death.
Results
Median life expectancy was 10.6 years for participants with no ADL limitations and 6.5, 5.1, 3.8, and 1.6 years for those at ADL stages I, II, III, and IV, respectively. The sociodemographic‐ and diagnostic‐adjusted hazard of death at 1 year was five times as great at stage IV as at stage 0 (hazard ratio = 5.6, 95% confidence interval = 3.8–8.3). The associations between ADL stage and mortality declined over time but remained statistically significant at 5 and 10 years.
Conclusion
ADL stage continued to explain mortality risk after adjusting for known risk factors including advanced age, stroke, and cancer. ADL stages might aid clinical care planning and policy as a powerful prognostic indicator particularly of short‐term mortality, improving on current ADL measures by profiling activity limitations of relevance to determining community support needs.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/j.1532-5415.2011.03867.x</identifier><identifier>PMID: 22352414</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Hoboken, NJ: Blackwell Publishing Ltd</publisher><subject>Activities of Daily Living ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cause of Death ; Epidemiology ; Female ; General aspects ; Geriatric Assessment ; Humans ; Life Expectancy ; Longitudinal Studies ; Male ; Medical sciences ; Miscellaneous ; Mortality ; Mortality - trends ; Motor ability ; Older people ; Proportional Hazards Models ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Factors ; staging ; Survival Rate ; United States - epidemiology</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2012-03, Vol.60 (3), p.485-492</ispartof><rights>2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society</rights><rights>2015 INIST-CNRS</rights><rights>2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.</rights><rights>2012 American Geriatrics Society and Wiley Periodicals, Inc</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5797-6e613bef92a128eaa9c789a9cdc5482e81295fafc170104ab5c0eb09979482d53</citedby><cites>FETCH-LOGICAL-c5797-6e613bef92a128eaa9c789a9cdc5482e81295fafc170104ab5c0eb09979482d53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1532-5415.2011.03867.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1532-5415.2011.03867.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27915,27916,45565,45566</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25651663$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22352414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stineman, Margaret G.</creatorcontrib><creatorcontrib>Xie, Dawei</creatorcontrib><creatorcontrib>Pan, Qiang</creatorcontrib><creatorcontrib>Kurichi, Jibby E.</creatorcontrib><creatorcontrib>Zhang, Zi</creatorcontrib><creatorcontrib>Saliba, Debra</creatorcontrib><creatorcontrib>Henry-Sánchez, John T.</creatorcontrib><creatorcontrib>Streim, Joel</creatorcontrib><title>All-Cause 1-, 5-, and 10-Year Mortality in Elderly People According to Activities of Daily Living Stage</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Objectives
To examine the independent association between five stages of activities of daily living (ADLs) and mortality after accounting for known diagnostic and sociodemographic risk factors.
Design
For five stages of ADLs (0 to IV), determined according to the severity and pattern of ADL limitations, unadjusted life expectancies and adjusted associations with mortality were estimated using a Cox proportional hazards regression model.
Setting
Community.
Participants
Nine thousand four hundred forty‐seven participants aged 70 and older from the second Longitudinal Study of Aging.
Measurements
One‐, 5‐, and 10‐year survival and time to death.
Results
Median life expectancy was 10.6 years for participants with no ADL limitations and 6.5, 5.1, 3.8, and 1.6 years for those at ADL stages I, II, III, and IV, respectively. The sociodemographic‐ and diagnostic‐adjusted hazard of death at 1 year was five times as great at stage IV as at stage 0 (hazard ratio = 5.6, 95% confidence interval = 3.8–8.3). The associations between ADL stage and mortality declined over time but remained statistically significant at 5 and 10 years.
Conclusion
ADL stage continued to explain mortality risk after adjusting for known risk factors including advanced age, stroke, and cancer. ADL stages might aid clinical care planning and policy as a powerful prognostic indicator particularly of short‐term mortality, improving on current ADL measures by profiling activity limitations of relevance to determining community support needs.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cause of Death</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Geriatric Assessment</subject><subject>Humans</subject><subject>Life Expectancy</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Mortality</subject><subject>Mortality - trends</subject><subject>Motor ability</subject><subject>Older people</subject><subject>Proportional Hazards Models</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk Factors</subject><subject>staging</subject><subject>Survival Rate</subject><subject>United States - epidemiology</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU2P0zAQhi0EYrsLfwFZSIgLDrYTJ_aBQ1V2u0BZkBZYcbJcZ1K5uEmxE2j_PQ4tReKEJX--zzsezSCEGc1YGi_XGRM5J6JgIuOUsYzmsqyy3T00OQn30YRSyoksWXGGzmNcU8o4lfIhOuM8F7xgxQStpt6TmRkiYEZeYJGmaev0EfkKJuD3XeiNd_0euxZf-hqC3-OP0G094Km1Xahdu8J9ly69--F6BxF3DX5tXOIW6SWpt71ZwSP0oDE-wuPjfoE-X11-ml2TxYf5m9l0QayoVEVKKFm-hEZxw7gEY5StpEprbUUhOUjGlWhMY1lFGS3MUlgKS6pUpZJci_wCPT_E3Ybu-wCx1xsXLXhvWuiGqBWvlEwlyRP59B9y3Q2hTcmNUJULUdAEyQNkQxdjgEZvg9uYsNeM6rEVeq3Hiuux4npshf7dCr1L1ifH-MNyA_XJ-Kf2CXh2BEy0xjfBtNbFv5woBSvLMdFXB-6n87D_7wT02_nteEp-cvC72MPu5Dfhm05qJfTdzVx_KW7eldd3Uov8F23Kr8g</recordid><startdate>201203</startdate><enddate>201203</enddate><creator>Stineman, Margaret G.</creator><creator>Xie, Dawei</creator><creator>Pan, Qiang</creator><creator>Kurichi, Jibby E.</creator><creator>Zhang, Zi</creator><creator>Saliba, Debra</creator><creator>Henry-Sánchez, John T.</creator><creator>Streim, Joel</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201203</creationdate><title>All-Cause 1-, 5-, and 10-Year Mortality in Elderly People According to Activities of Daily Living Stage</title><author>Stineman, Margaret G. ; Xie, Dawei ; Pan, Qiang ; Kurichi, Jibby E. ; Zhang, Zi ; Saliba, Debra ; Henry-Sánchez, John T. ; Streim, Joel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5797-6e613bef92a128eaa9c789a9cdc5482e81295fafc170104ab5c0eb09979482d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cause of Death</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Geriatric Assessment</topic><topic>Humans</topic><topic>Life Expectancy</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Mortality</topic><topic>Mortality - trends</topic><topic>Motor ability</topic><topic>Older people</topic><topic>Proportional Hazards Models</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk Factors</topic><topic>staging</topic><topic>Survival Rate</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stineman, Margaret G.</creatorcontrib><creatorcontrib>Xie, Dawei</creatorcontrib><creatorcontrib>Pan, Qiang</creatorcontrib><creatorcontrib>Kurichi, Jibby E.</creatorcontrib><creatorcontrib>Zhang, Zi</creatorcontrib><creatorcontrib>Saliba, Debra</creatorcontrib><creatorcontrib>Henry-Sánchez, John T.</creatorcontrib><creatorcontrib>Streim, Joel</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stineman, Margaret G.</au><au>Xie, Dawei</au><au>Pan, Qiang</au><au>Kurichi, Jibby E.</au><au>Zhang, Zi</au><au>Saliba, Debra</au><au>Henry-Sánchez, John T.</au><au>Streim, Joel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>All-Cause 1-, 5-, and 10-Year Mortality in Elderly People According to Activities of Daily Living Stage</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2012-03</date><risdate>2012</risdate><volume>60</volume><issue>3</issue><spage>485</spage><epage>492</epage><pages>485-492</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>Objectives
To examine the independent association between five stages of activities of daily living (ADLs) and mortality after accounting for known diagnostic and sociodemographic risk factors.
Design
For five stages of ADLs (0 to IV), determined according to the severity and pattern of ADL limitations, unadjusted life expectancies and adjusted associations with mortality were estimated using a Cox proportional hazards regression model.
Setting
Community.
Participants
Nine thousand four hundred forty‐seven participants aged 70 and older from the second Longitudinal Study of Aging.
Measurements
One‐, 5‐, and 10‐year survival and time to death.
Results
Median life expectancy was 10.6 years for participants with no ADL limitations and 6.5, 5.1, 3.8, and 1.6 years for those at ADL stages I, II, III, and IV, respectively. The sociodemographic‐ and diagnostic‐adjusted hazard of death at 1 year was five times as great at stage IV as at stage 0 (hazard ratio = 5.6, 95% confidence interval = 3.8–8.3). The associations between ADL stage and mortality declined over time but remained statistically significant at 5 and 10 years.
Conclusion
ADL stage continued to explain mortality risk after adjusting for known risk factors including advanced age, stroke, and cancer. ADL stages might aid clinical care planning and policy as a powerful prognostic indicator particularly of short‐term mortality, improving on current ADL measures by profiling activity limitations of relevance to determining community support needs.</abstract><cop>Hoboken, NJ</cop><pub>Blackwell Publishing Ltd</pub><pmid>22352414</pmid><doi>10.1111/j.1532-5415.2011.03867.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0002-8614 |
| ispartof | Journal of the American Geriatrics Society (JAGS), 2012-03, Vol.60 (3), p.485-492 |
| issn | 0002-8614 1532-5415 |
| language | eng |
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| source | MEDLINE; Wiley Online Library |
| subjects | Activities of Daily Living Aged Aged, 80 and over Biological and medical sciences Cause of Death Epidemiology Female General aspects Geriatric Assessment Humans Life Expectancy Longitudinal Studies Male Medical sciences Miscellaneous Mortality Mortality - trends Motor ability Older people Proportional Hazards Models Public health. Hygiene Public health. Hygiene-occupational medicine Risk Factors staging Survival Rate United States - epidemiology |
| title | All-Cause 1-, 5-, and 10-Year Mortality in Elderly People According to Activities of Daily Living Stage |
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