TY - JOUR
T1 - Predicting Functional Decline of Older Men Living in Veteran Homes by Minimum Data Set
T2 - Implications for Disability Prevention Programs in Long Term Care Settings
AU - Chen, Liang Yu
AU - Liu, Li Kuo
AU - Liu, Chien Liang
AU - Peng, Li Ning
AU - Lin, Ming Hsien
AU - Chen, Liang Kung
AU - Lan, Chung Fu
AU - Chang, Po Lun
N1 - Funding Information:
This study was supported by the Veteran Affairs Commission , Executive Yuan, Republic of China (Taiwan).
PY - 2013/4
Y1 - 2013/4
N2 - Objective: To evaluate the risk and protective factors for functional decline of veteran home residents in Taiwan to develop disability prevention programs in long term care settings. Design: A prospective cohort study. Setting: Two veteran homes in Taiwan. Participants: A total of 1045 residents of veteran homes. Intervention: None. Measurements: Minimum data set (MDS), resident assessment protocols (RAP), MDS-COGS, Resource Utilization Group-III Activities of Daily Living scale, MDS Social engagement scale, MDS Pain scale. Results: A total of 1045 (83.0 ± 5.1 years, all men) residents completed the study, and 11.3% of them developed significant functional decline during the study period. Participants with long-term institutionalization history (odds ratio [OR] 2.966, confidence interval [CI] 1.270-6.927), underlying cerebrovascular disease (OR 4.432, CI 1.994-9.852) and dementia (OR 2.150, CI 1.029-4.504), and higher sum of RAP triggers (OR 1.366, CI 1.230-1.517) were more likely to develop functional decline, whereas those who had better social engagement were significantly protective from functional decline (OR 0.528, CI 0.399-0.697). Conclusions: Cerebrovascular disease, dementia, higher sum of RAP triggers, and long-term institutionalization were independent risk factors for functional decline, whereas better social engagement had a protective effect on functional dependence. Further study is needed to develop an integrated disability prevention program based on the discoveries of this study.
AB - Objective: To evaluate the risk and protective factors for functional decline of veteran home residents in Taiwan to develop disability prevention programs in long term care settings. Design: A prospective cohort study. Setting: Two veteran homes in Taiwan. Participants: A total of 1045 residents of veteran homes. Intervention: None. Measurements: Minimum data set (MDS), resident assessment protocols (RAP), MDS-COGS, Resource Utilization Group-III Activities of Daily Living scale, MDS Social engagement scale, MDS Pain scale. Results: A total of 1045 (83.0 ± 5.1 years, all men) residents completed the study, and 11.3% of them developed significant functional decline during the study period. Participants with long-term institutionalization history (odds ratio [OR] 2.966, confidence interval [CI] 1.270-6.927), underlying cerebrovascular disease (OR 4.432, CI 1.994-9.852) and dementia (OR 2.150, CI 1.029-4.504), and higher sum of RAP triggers (OR 1.366, CI 1.230-1.517) were more likely to develop functional decline, whereas those who had better social engagement were significantly protective from functional decline (OR 0.528, CI 0.399-0.697). Conclusions: Cerebrovascular disease, dementia, higher sum of RAP triggers, and long-term institutionalization were independent risk factors for functional decline, whereas better social engagement had a protective effect on functional dependence. Further study is needed to develop an integrated disability prevention program based on the discoveries of this study.
KW - Cognitive impairment
KW - Functional decline
KW - Long term care facility
KW - Minimum data set
KW - Social engagement
UR - http://www.scopus.com/inward/record.url?scp=84877995167&partnerID=8YFLogxK
U2 - 10.1016/j.jamda.2013.01.017
DO - 10.1016/j.jamda.2013.01.017
M3 - Article
AN - SCOPUS:84877995167
SN - 1525-8610
VL - 14
SP - 309.e9-309.e13
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 4
ER -
