ArticleJournal of pain and symptom management2013
Symptom burden predicts nursing home admissions among older adults.
Article in Journal of pain and symptom management, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association of anorexia/appetite loss with malnutrition and mortality in older populations: A systematic literature review.Journal of cachexia, sarcopenia and muscle · 2023Pooled it
- Physical activity, health symptoms, and falls in older adults with different cognition levels: evidence from the Health and Retirement Study.BMC geriatrics · 2026Article
- Psychological Resilience and Physical Function in Veterans With Chronic Kidney Disease: A Brief Report.Journal of the American Geriatrics Society · 2025Article
- Subjective geriatric complaints as predictors of disability and mortality in community-dwelling older adults: a 5-year cohort study.Age and ageing · 2025Article
- Trajectories of Physical Resilience Among Older Veterans With Stage 4 CKD.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024Article
- Life-Space Mobility: Normative Values From a National Cohort of U.S. Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024Article
- Quality of Life and Health Determinants of Informal Caregivers Aged 65 Years and Over.Epidemiologia (Basel, Switzerland) · 2023Article
- Prevalence of unpaid caregiving, pain, and depression in older seriously ill patients undergoing elective surgery.Journal of the American Geriatrics Society · 2023Article
- Changes in symptom burden from 2019 to 2021 amongst community-dwelling older adults in Finland.Age and ageing · 2023Article
- Reserve and resilience in CKD: concept introduction and baseline results from the Physical REsilience Prediction in Advanced REnal Disease (PREPARED) study.BMC nephrology · 2022Article
- Symptom burden in community-dwelling older people: temporal trends in the Helsinki Aging Study.Aging clinical and experimental research · 2021Article
- Symptom Profiles, Health-Related Quality of Life, and Clinical Blood Markers among Korean Community-Dwelling Older Adults Living with Chronic Conditions.International journal of environmental research and public health · 2021Article
- Usefulness of a Kampo Medicine on Stress-Induced Delayed Gastric Emptying in Mice.Evidence-based complementary and alternative medicine : eCAM · 2020Article
- Symptom Burden Among Community-Dwelling Older Adults in the United States.Journal of the American Geriatrics Society · 2019Article
- Development and validation of classifiers and variable subsets for predicting nursing home admission.BMC medical informatics and decision making · 2017Article
- Association Between Symptom Burden and Time to Hospitalization, Nursing Home Placement, and Death Among the Chronically Ill Urban Homebound.Journal of pain and symptom management · 2016Article
- Symptom burden in community-dwelling older people with multimorbidity: a cross-sectional study.BMC geriatrics · 2015Article
- Reducing hospital readmission rates: current strategies and future directions.Annual review of medicine · 2014Review
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
contextSymptom burden has been associated with functional decline in community-dwelling older adults and may be responsive to interventions. Known predictors of nursing home (NH) admission are often nonmodifiable.
objectivesTo determine if symptom burden independently predicted NH admission among community-dwelling older adults over an eight and a half-year follow-up period.
methodsA random sample of community-dwelling Medicare beneficiaries in Alabama, stratified by race, gender, and rural/urban residence had baseline in-home assessments of sociodemographic measurements, Charlson comorbidity count, and symptoms. Symptom burden was derived from a count of 10 patient-reported symptoms. Nursing home admissions were determined from telephone interviews conducted every six months over the eight and a half years of study. Cox proportional hazard modeling was used to examine the significance of symptom burden as a predictor for NH admission after adjusting for other variables.
resultsThe mean ± SD age of the sample (N = 999) was 75.3 ± 6.7 years, and the sample was 51% rural, 50% African American, and 50% male. Thirty-eight percent (n = 380) had symptom burden scores ≥2. Seventy-five participants (7.5%) had confirmed dates for NH admission during the eight and a half years of follow-up. Using Cox proportional hazard modeling, symptom burden remained an independent predictor of time to NH placement (hazard ratio = 1.11; P = 0.02), even after adjustment for comorbidity count, race, sex, and age.
conclusionSymptom burden is an independent risk factor for NH admission. Aggressive management of symptoms in older adults may reduce or delay NH admission.
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