Evidence map›Paper›PMID 42802775›Full record

ArticleThe journal of nursing home research sciences2025

Social Connectedness Among Nursing Home Residents with Dementia by Hospice Enrollment.

F L Troiani, J Rumbut, J Tjia

Abstract read
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Article in The journal of nursing home research sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

F L TroianiDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, USA.
J RumbutDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, USA.
J TjiaDepartment of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, MA, USA.

Funding

Longitudinal Patterns of Symptoms, Medication and Hospice Use in Nursing Home Residents Approaching End of LifeK24AG068300 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI TJIA, JENNIFER · 2020 to 2024
$949k
NIA NIH HHS K24 AG068300
6 · The paper itself

Abstract

backgroundNursing home residents with dementia are at risk for social isolation, particularly in the time period preceding death. Whether hospice enrollment affects social connectedness in this vulnerable population is unclear.

objectiveAmong nursing home residents with dementia, to describe the prevalence of social connectedness up to 3 months prior to death and to characterize the association of hospice enrollment with social connectedness. DESIGN SETTING AND

participantsDecedent cohort study of nursing home residents with dementia in the United States who died in 2018. Data sources include the Minimum Data Set 3.0, the Medicare Master Beneficiary Summary File and Hospice files. MEASUREMENTS: Main outcome measure is the Social Connectedness Index, a validated measure of social connection in the nursing home based on behavioral symptoms, wandering and receipt of care (range 0-5; 5=socially connected). Multivariable logistic regression characterizes the association of hospice enrollment with social connectedness.

resultsOf 212,253 nursing home decedents with dementia in 2018, 80.4% (n=170,566) were socially connected (SCI=5). In adjusted analysis, relative to not being enrolled in hospice, enrollment in hospice with an admitting diagnosis of dementia was associated with increased odds of being socially connected (adjusted odds ratio (AOR) 1.20; 95% confidence interval (95%CI) 1.16-1.23) but being in hospice for a primary diagnosis other than dementia was associated with decreased odds of social connectedness (AOR 0.92; 95% CI 0.89-0.94).

conclusionSocial connectedness differed among nursing home decedents with dementia by hospice enrollment. Hospice enrollment plays an important role in quality of life for nursing home residents.

Indexed as

Dementiahospicelonelinessnursing homesocial connectedness

Identifiers

PMID42802775
PMCPMC13616203

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