Advance Directives Among Nursing Home Residents with Mild, Moderate and Advanced Dementia (S715)

Abstract

logistic regression to identify factors associated with ER use.Results. Mean age of participants was 60, 65% were black, 61% had multimorbidity, 57% were functionally impaired, and 85% scored <27 on the MOCA. At baseline, 52% reported pain, 53% experienced physical distress, 37% reported psychological distress, and 46% reported loneliness. At 6 months, 44% used the ER; 21% visited multiple times. Factors associated with ER use included pain (p<0.001), functional impairment (p¼0.02), loneliness (p¼0.04), multimorbidity (p¼0.006), and safety concerns (p¼0.002). After adjustment, pain (p¼0.02) and safety concerns (p¼0.04) remained associated with ER use.