Predicting nursing home admission in the U.S: a meta-analysis
2007

Predicting Nursing Home Admission in the U.S.

Sample size: 178056 publication 10 minutes Evidence: high

Author Information

Author(s): Joseph E. Gaugler, Sue Duval, Keith A. Anderson, Robert L. Kane

Primary Institution: University of Minnesota

Hypothesis

This meta-analysis aimed to identify predictors of nursing home admission among older adults in the U.S.

Conclusion

The study identified that having three or more dependencies in activities of daily living, cognitive impairment, and prior nursing home use are strong predictors of nursing home admission.

Supporting Evidence

  • Older adults with three or more activities of daily living dependencies had 3.25 times the odds of nursing home admission.
  • Cognitive impairment was associated with a 2.54 times higher likelihood of nursing home entry.
  • Prior nursing home use increased the odds of future admission by 3.47 times.

Takeaway

The study found that older people who need a lot of help with daily tasks or have memory problems are more likely to move into a nursing home.

Methodology

The study conducted a meta-analysis of 77 reports across 12 data sources, focusing on predictors of nursing home admission using longitudinal designs.

Potential Biases

Potential bias due to reliance on non-representative samples in some studies included in the meta-analysis.

Limitations

The study relied on published data, which may not capture all relevant predictors and interactions between variables.

Participant Demographics

The sample consisted of older adults aged 65 and over, with varying levels of functional and cognitive impairment.

Statistical Information

P-Value

0.00

Confidence Interval

95% CI, 2.56–4.09

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2318-7-13

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication