Transitions in the functional status of disabled community-living older adults over a 3-year follow-up period

被引:38
作者
Nikolova, Rossitza [1 ,2 ]
Demers, Louise [1 ,2 ]
Beland, Francois [3 ,4 ]
Giroux, Francine [1 ]
机构
[1] Montreal Geriatr Univ Inst, Res Ctr, Montreal, PQ H3W 1W5, Canada
[2] Univ Montreal, Sch Rehabil, Montreal, PQ H3C 3J7, Canada
[3] Univ Montreal, Dept Hlth Adm, Montreal, PQ H2V 4P3, Canada
[4] Univ Montreal, McGill Univ, Sir Mortimer B Davis Jewish Gen Hosp, Res Grp Integrated,Serv Older Persons Solidage, Montreal, PQ H3T 1E2, Canada
关键词
Disabled older adults; Functional status transitions; DISABILITY; TRENDS; TRAJECTORIES; PREDICTORS; RECOVERY; LIFE; CARE;
D O I
10.1016/j.archger.2009.11.003
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
The purpose of this study was to investigate transitions over time in the functional status of disabled community-living elderly. The study explored clinical and socio-demographic predictors of functional status decline. Data from the SIPA 3-year longitudinal study were analyzed (n = 1164). Three categories of functional status were defined: no important disability, significant IADL disability and significant IADL disability. At baseline, results show that the prevalence rates were 26.9%, 58.6% and 14.5% for the three categories of functional status. After 12 months, about 50-60% of participants had remained in the same status, while some 10-15% of those with baseline significant disability had improved. The patterns of transitions between 12 and 36 months of follow-up were slightly different. The results indicated more deterioration (13-38%) and less improvement (6-9%). After controlling for baseline functional status, the best predictors for functional decline at 36 months were prior disability, functional limitations, cognitive impairment and comorbidity burden. We found that older adults' functional status may decline or improve even if the participants are disabled. Disabled conditions play a crucial role in the development of future disability and preventive actions need to be implemented. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:12 / 17
页数:6
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