A Risk Scoring System for the Prediction of Functional Deterioration, Institutionalization, and Mortality Among Medicare Beneficiaries

McClintock, Heather F.; Kurichi, Jibby E.; Kwong, Pui L.; Xie, Dawei; Stineman, Margaret G.; Bogner, Hillary R.

doi:10.1097/phm.0000000000000942

Cited by 4 publications

(2 citation statements)

References 25 publications

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“…Older populations experience some level of difficulties in performing IADL with deterioration of physical and cognitive functioning [ 4 ]. Increased dependence in older adults is associated with hospitalization and admission to long-term care facilities, leading to increase in morbidity and mortality from diseases along with a decrease in quality of life [ 5 , 6 ]. Increased dependence in older adults also increases social burden due to increased care needs and medical costs [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Changes in instrumental activities daily living limitations and their associated factors according to gender in community-residing older adults: A longitudinal cohort study

Moon,

Oh,

Chung

et al. 2024

PLoS ONE

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Background Increases in dependence among older adults cause increases in care needs and social care burden. Instrumental activities of daily living (IADL) are often used to assess the independence of older adults residing in communities. Various factors affect IADL limitations, but few studies confirm gender differences in IADL limitations in older adults. This study explored the changes in incidence of IADL limitations across 14 years and identified the factors associated with IADL limitations according to gender among older adults in Korea. Method This study uses secondary data analysis with 2006–2020 data from the Korean Longitudinal Study of Aging (KLoSA), a longitudinal cohort study. Among the total 10,254 participants, 1,230 adults aged 65 years and over who met the criteria were included in the final analysis. For each IADL item, a limitation was defined when the response was partial or complete dependence. Multivariate logistic regression was performed to identify the factors (in 2006) associated with IADL limitations in 2020. Results The mean age of the participants at baseline was 69.64 years (SD 3.93), and 61.0% of participants were female. Total scores for IADL limitations increased gradually across 14 years in all participants, and observed changes were statistically significant. The top three ranked items of IADL limitations differed according to gender in 2020: the top limitations in men were preparing meals, laundry, and using public transportation, and the top limitations in women were using public transportation, going out, and handling money. Factors associated with total IADL limitations were grip strength in men and age, dementia, fear of fall, and grip strength in women. Factors associated with the top three ranked items of IADL limitations differed according to gender. Conclusion The incidence of IADL limitations gradually increased in all participants over a 14-year period. In older adults in Korea, gender differences were confirmed in the factors associated with IADL limitations, as well as in the main limited activities. To minimize IADL limitations in community-residing older adults, it is necessary to plan tailored interventions.

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Section: Introductionmentioning

confidence: 99%

Changes in instrumental activities daily living limitations and their associated factors according to gender in community-residing older adults: A longitudinal cohort study

Moon,

Oh,

Chung

et al. 2024

PLoS ONE

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“…9 It has been widely reported that various physiological, psychological and behavioural factors play roles in explaining the possible pathways through which cognitive function affected the health and mortality of OAs. 10,11 From the physiological perspective, cognitive impairment is associated with physical disability, 12 institutionalisation, 13 hospitalisations 14 and mortality among community-dwelling and hospitalised OAs. 15 Villarreal 16 indicated that the effects of socio-demographic factors on the decline of functional status may be direct or indirect via physiological processes.…”

Section: Introductionmentioning

confidence: 99%

Physical and behavioural factors, negative emotion and cognitive function among near‐centenarians and centenarians in China

Zhang

et al. 2019

Australas J Ageing

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Centenarians, defined as the population aged 100 years or over, have been a symbol of longevity in most countries historically. 1 According to the Brocklehurst's textbook, 2 it is estimated there will be 850 000 centenarians living in the United States in 2050. Similarly, as an ageing society, there were 47 000 centenarians in China in 2012, 3 and the number of older adults (OAs) aged 60 or above is expected to reach 483 million, 4 representing 1/4 of the older people worldwide. 5 Along with rapid ageing, the population of Chinese OAs suffering from dementia has been projected to rise from 9 million in 2010 to 18 million by 2030. 6

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Trends and Factors Affecting Functional Limitations on Activities of Daily Living Performance Among Korean Adults With Disabilities, 2008–2020: A Longitudinal Study

OH,

NGUYEN,

MOON

et al. 2024

Journal of Nursing Research

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Background Loss of the ability to perform activities of daily living (ADLs) leads to negative health outcomes such as reduced quality of life, institutionalization, and mortality. In Korea, the proportion of older adults with disabilities is increasing along with rapid population aging. Therefore, providing a comprehensive approach to the prevention and management of ADL limitations in people with disabilities is necessary. This can be accomplished by understanding the trends and factors affecting these limitations over time. Purpose This study was developed to examine the longitudinal trend and factors affecting ADL limitations over time among people with disabilities in Korea. Methods Data from 346 people with disabilities in the 2008–2020 Korean Welfare Panel Study were used. Bivariate analysis and a Kendall trend test were performed to determine the longitudinal trends for ADL limitations, and multiple logistic regression was used to evaluate whether relevant variables could predict these limitations. Results The prevalence of ADL limitations among people with disabilities increased by 16.5% over the 12 years of the study. The highest rate of increase in these limitations over time was found in people with mental disorders (27.8%), those over 65 years of age (27.3%), and those with depression (25.6%). In multiple logistic regression, the odds ratios of the variables were slightly different at each survey wave. However, severe disability and low educational level were consistently found to be associated with ADL limitations over time. Conclusions The findings provide evidence of a significant relationship between level of disability and/or educational status and ADL limitations in people with disabilities in Korea. To prevent the development of ADL limitations in people with disabilities, comprehensive identification of longitudinal trends and factors affecting ADL limitations is necessary. Early intervention, including integrated services such as home rehabilitation services to prevent ADL limitations, especially for disabled people with severe disabilities and low educational levels, has the potential to delay ADL limitations.

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A Risk Scoring System for the Prediction of Functional Deterioration, Institutionalization, and Mortality Among Medicare Beneficiaries

Abstract: A risk scoring system predicting Medicare beneficiaries' risk of functional deterioration, institutionalization, and mortality based on demographic and clinical indicators may feasibly be developed with implications for healthcare delivery.

Cited by 4 publications

References 25 publications

Changes in instrumental activities daily living limitations and their associated factors according to gender in community-residing older adults: A longitudinal cohort study

Changes in instrumental activities daily living limitations and their associated factors according to gender in community-residing older adults: A longitudinal cohort study

Physical and behavioural factors, negative emotion and cognitive function among near‐centenarians and centenarians in China

Trends and Factors Affecting Functional Limitations on Activities of Daily Living Performance Among Korean Adults With Disabilities, 2008–2020: A Longitudinal Study

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