Memory care reduces nursing home admissions among assisted-living residents with dementia

被引：13

作者：

Cornell, Portia Y. ^{[2
]}

Zhang, Wenhan ^{[2
]}

Smith, Lindsey ^{[3
]}

Rahman, Momotazur ^{[2
]}

Grabowski, David C. ^{[4
]}

Carder, Paula ^{[3
]}

Thomas, Kali S. ^{[1
,2
]}

机构：

[1] Providence VA Med Ctr, Ctr Innovat Long Term Serv & Supports, Providence, RI USA

[2] Brown Univ, Ctr Gerontol & Hlth Care Res, Sch Publ Hlth, 121 S Main St,Ste 6, Providence, RI 02903 USA

[3] Oregon Hlth & Sci Univ Portland State Univ Sch Pu, Portland, OR USA

[4] Harvard Med Sch, Dept Hlth Care Policy, Boston, MA 02115 USA

来源：

ALZHEIMERS & DEMENTIA | 2022年 / 18卷 / 10期

关键词：

Alzheimer's disease and related dementias; assisted living; dementia care; hospitalization; memory care; nursing home admission; residential care; PREVALENCE; OUTCOMES;

D O I：

10.1002/alz.12513

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Introduction We compare nursing-home and hospital admissions among residents with Alzheimer's disease and related dementias (ADRD) in memory-care assisted living to those in general assisted living. Methods Retrospective study of Medicare beneficiaries with ADRD in large (>25 bed) assisted-living communities. We compared admission to a hospital, to a nursing home, and long-term (>90 day) admission to a nursing home between the two groups, using risk differences and survival analysis. Results Residents in memory-care assisted living had a lower adjusted risk of hospitalization (risk difference = -1.8 percentage points [P = .014], hazard ratio = 0.93 [0.87-1.00]), a lower risk of nursing-home admission (risk difference = -2.2 percentage points [P < .001], hazard ratio = 0.87 [-.79-0.95]), and a lower risk of a long-term nursing home admission (risk difference = -1.1 percentage points [P < .001], hazard ratio = 0.71 [0.57-0.88]). Discussion Memory care is associated with reduced rates of nursing-home placement, particularly long-term stays, compared to general assisted living.

引用

页码：1880 / 1888

页数：9

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