Evidence map›Paper›PMID 32646821›Full record

Observational studyJournal of the American Medical Directors Association2020

Predictors of Residential Care Admission in Community-Dwelling Older People With Dementia.

Hamish Jamieson, Rebecca Abey-Nesbit, Prasad S Nishtala, Heather Allore, Ling Han, Joanne M Deely, John W Pickering

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Medical Directors Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Hamish JamiesonDepartment of Medicine, University of Otago, Christchurch, New Zealand; Burwood Hospital, Christchurch, New Zealand. Electronic address: hamish.jamieson@otago.ac.nz.
Rebecca Abey-NesbitDepartment of Medicine, University of Otago, Christchurch, New Zealand.
Prasad S NishtalaDepartment of Pharmacy and Pharmacology, University of Bath, Bath, UK.
Heather AlloreDepartment of Biostatistics, Yale School of Public Health, New Haven, CT, USA; Department of Internal Medicine, School of Medicine, Yale University, New Haven, CT, USA.
Ling HanDepartment of Internal Medicine, School of Medicine, Yale University, New Haven, CT, USA.
Joanne M DeelyCanterbury District Health Board, Christchurch, New Zealand; Research Management Office, Lincoln University, Lincoln, New Zealand.
John W PickeringDepartment of Medicine, University of Otago, Christchurch, New Zealand.
University of Otago · NZYale University · USChristchurch Hospital · NZLincoln University · NZUniversity of Bath · GB

Funding

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 CenterP30AG066508 · NIA · YALE UNIVERSITY · PI STEPHEN M STRITTMATTER, CHRISTOPHER H VAN DYCK · 2020 to 2026
$30.2M
Yale Alzheimer Disease Research CenterP50AG047270 · NIA · YALE UNIVERSITY · PI MAROTTOLI, RICHARD · 2015 to 2019
$8.3M
NIA NIH HHS P30 AG021342NIA NIH HHS P30 AG066508NIA NIH HHS P50 AG047270
6 · The paper itself

Abstract

objectivesThe objectives of this study were to identify variables associated with dementia and entry into aged residential care (ARC) and derive and validate a risk prediction model for dementia and entry into ARC.

designThis was an observational study of prospectively collected Home Care International Residential Assessment Instrument (interRAI-HC) assessment data. SETTING AND

participantsParticipants included all people age ≥65 years who had completed an interRAI-HC assessment between July 1, 2012 and June 30, 2018. Exclusion criteria included death or entry into ARC within 30 days of assessment and not living at home at the time of the assessment. MEASURES: InterRAI data from 94,202 older New Zealanders were evaluated for presence or absence of dementia. A multivariable competing-risks model for entry into ARC with death as the competing event was used to estimate subdistribution hazard ratios (SHR).

resultsIn total, there were 18,672 (19.8%) persons with dementia (PWD). PWD were almost twice as likely to enter ARC as persons without dementia [42.8% vs 25.3%; difference 17.5% (95% confidence interval 16.7%‒18.2%)]. PWD at highest risk of entering ARC were those where there was a desire to live elsewhere (SHR 1.44), depression (indicated, SHR 1.15), poor cognitive performance (Cognitive Performance Scale minimal SHR 1.32 and severe plus SHR 1.91), and wandering (SHR 1.19). Factors associated with reduced risks of PWD entering ARC were living with a child or relative, alcohol consumption, and comorbidities. CONCLUSIONS AND IMPLICATIONS: A desire to live elsewhere, social isolation, independent activities of daily living, and depression were independently associated with entry into ARC. Supporting caregivers may improve outcomes for PWD that delay entry into ARC. Future revisions of the interRAI questionnaire could provide more insight on this matter.

Indexed as

DementiaHome Care ServicesActivities of Daily LivingAgedHospitalizationHumansIndependent Livingaged residential care facilitiesDementiaethnicityolder peoplerisk prediction model

Identifiers

PMID32646821
PMCPMC7641960
OpenAlexW3038643515

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.