FUNCTIONAL TRANSITIONS AMONG THE ELDERLY - PATTERNS, PREDICTORS, AND RELATED HOSPITAL USE

被引:248
作者
MOR, V [1 ]
WILCOX, V [1 ]
RAKOWSKI, W [1 ]
HIRIS, J [1 ]
机构
[1] BROWN UNIV, DEPT COMMUNITY HLTH, PROVIDENCE, RI 02912 USA
关键词
D O I
10.2105/AJPH.84.8.1274
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. This paper describes 6-year rates and correlates of functional change in the elderly, as well as associated hospital use. Methods. The Longitudinal Study on Aging (n = 7527), and matched Medicate claims were used to calculate 6-year functional status transition rates and hospital use rates. A hierarchical measure that incorporated activities of daily living, and competing risks of institutionalization and death was used to assess functional status. Multinomial logistic regression was used to predict 1990 status. Results. The functional status of 12% of men and women 70 to 79 years of age who were initially impaired in instrumental activities of daily living improved, and about half of the initially independent people in that age group remained so. Multivariate analyses revealed that age, baseline functioning, self-rated health, and comorbidity predicted 1990 status. Both baseline functioning and functional change were related to hospitalization. Conclusions. This study supports others that have shown some long-term functional improvement, but more commonly decline in the elderly. Furthermore, it documents the link between functional decline and increased hospital use.
引用
收藏
页码:1274 / 1280
页数:7
相关论文
共 36 条
  • [21] ESTIMATES OF CHANGE IN CHRONIC DISABILITY AND INSTITUTIONAL INCIDENCE AND PREVALENCE RATES IN THE UNITED-STATES ELDERLY POPULATION FROM THE 1982, 1984, AND 1989 NATIONAL LONG-TERM-CARE SURVEY
    MANTON, KG
    CORDER, LS
    STALLARD, E
    [J]. JOURNALS OF GERONTOLOGY, 1993, 48 (04): : S153 - S166
  • [22] RISK OF FUNCTIONAL DECLINE AMONG WELL ELDERS
    MOR, V
    MURPHY, J
    MASTERSONALLEN, S
    WILLEY, C
    RAZMPOUR, A
    JACKSON, ME
    GREER, D
    KATZ, S
    [J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 1989, 42 (09) : 895 - 904
  • [23] RAKOWSKI W, 1991, J AGING HLTH, V0003
  • [24] RAKOWSKI W, 1992, 120TH ANN M AM PUBL
  • [25] ROGERS RG, 1992, J AGING HLTH, V0004
  • [26] THE HIERARCHICAL RELATIONSHIP BETWEEN ACTIVITIES OF DAILY LIVING AND INSTRUMENTAL ACTIVITIES OF DAILY LIVING
    SPECTOR, WD
    KATZ, S
    MURPHY, JB
    FULTON, JP
    [J]. JOURNAL OF CHRONIC DISEASES, 1987, 40 (06): : 481 - 489
  • [27] STEARNS SC, 1993, AUG M AM STAT ASS
  • [28] VERBRUGGE LM, 1992, J AGING HEALTH, V4, P212
  • [29] WILCOX V, 1992, NOV ANN SCI M GER SO
  • [30] WOLINSKY FD, 1993, J GERONTOL, V48, pS93