Predicting admission to long‐term care and mortality among community‐based, dependent older people in Ireland

Objective To identify factors that predict admission to long‐term care (LTC) and mortality among community‐based, dependent older people in Ireland, who were in receipt of formal home support. Methods An audit was conducted of all community‐dwelling older adults receiving government funded home supp...

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Bibliographic Details
Published in:International journal of geriatric psychiatry 2019-07, Vol.34 (7), p.999-1007
Main Authors: Aspell, Niamh, O'Sullivan, Maria, O'Shea, Eamon, Irving, Kate, Duffy, Chloe, Gorman, Rebecca, Warters, Austin
Format: Article
Language:English
Subjects:
Age
Aged
Aged, 80 and over
ageing
balance of care
Cognitive ability
Cognitive Dysfunction - nursing
dementia
Dementia - nursing
Dementia disorders
domiciliary care
Female
Geriatric psychiatry
Hospitalization - statistics & numerical data
Humans
Independent Living
Ireland
Long-Term Care - statistics & numerical data
long‐term care
Male
Mortality
Odds Ratio
Older people
Prevalence
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Summary:Objective To identify factors that predict admission to long‐term care (LTC) and mortality among community‐based, dependent older people in Ireland, who were in receipt of formal home support. Methods An audit was conducted of all community‐dwelling older adults receiving government funded home support during 2017 in the Dublin North Central, Health Service Executive administrative area. Data were extracted from the Common Summary Assessment Report (CSAR), a mandatory form used in the provision of home support. Multiple logistic regression analysis was used to examine the factors associated with admission to LTC and mortality, with the results presented as odds ratios (OR) and 95% confidence intervals. Results The audit comprised 1597 community‐dwelling older adults with a mean age of 83.3 (SD: 7.2) years. The prevalence of transition to LTC and mortality was 8% and 9%, respectively, during the 12‐month period. Factors significantly associated with admission to LTC were “cognitive dysfunction” [OR 2.10 (1.41‐3.14), P 
ISSN:0885-6230
1099-1166
DOI:10.1002/gps.5101