Evidence map›Paper›PMID 30902676›Full record

ArticleJournal of the American Medical Directors Association2019

Sociodemographic Factors and Characteristics of Caregivers as Determinants of Skilled Nursing Facility Admissions When Modeled Jointly With Functional Limitations.

Terese Sara Høj Jørgensen, Heather Allore, Janet L MacNeil Vroomen, Brent Vander Wyk, George O Agogo

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Directors Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Fragmented Readmissions From a Nursing Facility in Medicare Beneficiaries.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Article
  4. Article
  5. Gatekeepers: The Association of Caregiving Network Characteristics With Emergency Department Use by Persons Living With Dementia.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  6. Patterns of Caregiving Among Older Adults With and Without Dementia: A Latent Class Analysis.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  7. Observational
  8. Article
  9. Article
  10. Predictors of Residential Care Admission in Community-Dwelling Older People With Dementia.Journal of the American Medical Directors Association · 2020
    Observational
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Terese Sara Høj JørgensenSection of Social Medicine, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark; Section of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT. Electronic address: Tshj@sund.ku.dk.
Heather AlloreSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT; Department of Biostatistics, Yale School of Public Health, New Haven, CT.
Janet L MacNeil VroomenSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Brent Vander WykSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
George O AgogoSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT.
Yale University · USUniversity of Copenhagen · DK

Funding

The National Health and Trends StudyU01AG032947 · NIA · JOHNS HOPKINS UNIVERSITY · PI VICKI A. FREEDMAN, JENNIFER ANN SCHRACK · 2008 to 2026
$169.4M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Albert C Shaw · 2002 to 2026
$37.9M
Yale Alzheimer Disease Research CenterP50AG047270 · NIA · YALE UNIVERSITY · PI MAROTTOLI, RICHARD · 2015 to 2019
$8.3M
Individualized Absolute Risk calculator For Persons With Multiple Chronic ConditionsR01AG047891 · NIA · YALE UNIVERSITY · PI ALLORE, HEATHER GWYNN · 2015 to 2017
$990k
NIA NIH HHS P30 AG021342NIA NIH HHS P50 AG047270NIA NIH HHS R01 AG047891NIA NIH HHS U01 AG032947
6 · The paper itself

Abstract

objectivesWe examined whether previously identified relationships between sociodemographic factors and caregivers for skilled nursing facility (SNF) admissions are replicated when jointly accounting for longitudinal change in functional limitations. We further explored the impact of caregivers by investigating the relationship between caregiver's characteristics and SNF admissions.

designLongitudinal follow-up study.

settingThe United States of America.

participantsIn total, 3875 older Americans from the 2011-2015 rounds of the National Health and Aging Trends Study linked with Centers for Medicare and Medicaid Services. MEASURES: Sociodemographic factors and caregiver's characteristics were used to predict change in functional limitations from baseline and time to first SNF admission using a joint modeling approach.

resultsIn total, 11.3% of the study population had a SNF admission during follow-up. For sociodemographic factors, non-Hispanic white, <9th grade education, and having at least 1 caregiver were associated with higher hazards of SNF admission than other race/ethnicity, college or higher education, and no caregiver, respectively. In contrast, living with a partner or living with others was associated with lower hazard of SNF admissions. For characteristics of caregivers, medical-supportive caregiver was associated with increased hazard of SNF admissions, whereas partner caregiver was protective of SNF admissions. Jointly modeling SNF admissions and change in functional limitations resulted in greater precision of effect estimates than modeling these outcomes separately. CONCLUSIONS AND IMPLICATIONS: The study provides insight that can help identify high-risk populations for future interventions to prevent or delay SNF admissions. The relation between caregivers and SNF admissions depended on caregiver's characteristics. Future work should focus on providing help to those without a partner caregiver or needing help managing their health to ensure independent living and improve the well-being of older adults. Precision increased when jointly modeling the SNF admission with change in functional limitations.

Indexed as

Skilled Nursing FacilitiesAgedAged, 80 and overCaregiversDisability EvaluationFamily CharacteristicsFemaleHumansLongitudinal StudiesMalePatient AdmissionRace FactorsSex FactorsUnited Statesfunctional limitationsjoint modelingSkilled nursing facility admissions

Identifiers

PMID30902676
PMCPMC7444598
OpenAlexW2923633652

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.