NURSING HOME ADMISSION FROM RESIDENTIAL CARE FACILITY: NATIONAL HEALTH AGING TRENDS STUDY (NHATS) 2011–2019
2024

Risk Factors for Nursing Home Admission from Residential Care Facilities

Sample size: 970 publication Evidence: moderate

Author Information

Author(s): Son Jung Yoen, Marriott Deanna J, Struble Laura, Weiyun Chen, Larson Janet

Primary Institution: University of Michigan

Hypothesis

This study aimed to identify baseline and time-varying factors associated with transfers to a nursing home over 8 years.

Conclusion

Better physical performance and maintaining physical activity are linked to a lower risk of nursing home admission.

Supporting Evidence

  • Those with better physical performance at baseline had a lower risk for nursing home admission.
  • College-educated residents showed a significantly lower risk for nursing home admission.
  • Maintaining physical activity was associated with a lower risk for nursing home admission.
  • Fewer difficulties in activities of daily living were linked to a lower risk for nursing home admission.

Takeaway

Older people in care homes who stay active and are in good shape are less likely to move to a nursing home.

Methodology

Cox proportional hazards regression was used to examine predictors associated with nursing home admission.

Limitations

Limited studies have examined risk factors for nursing home admission, and prior research had short follow-ups.

Participant Demographics

Mean age at baseline was 85.7 years, with 67.2% women and 83.1% White.

Statistical Information

Confidence Interval

HR=0.83, CI=0.79-0.88; HR=0.58, CI=0.37-0.86; HR=0.56, CI=0.37-0.86; HR=0.87, CI=0.80-0.94; HR=1.13, CI=1.02-1.26

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2997

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