Incidence and Predictive Factors of Functional Decline in Older People Living in Nursing Homes: A Systematic Review

Moreno-Martin, Pau; Jerez-Roig, Javier; Rierola-Fochs, Sandra; Oliveira, Vinícius Rosa; Farrés-Godayol, Pau; Souza, Dyego Leandro Bezerra de; Giné-Garriga, María; Booth, Joanne; Skelton, Dawn A.; Minobes-Molina, Eduard

doi:10.1016/j.jamda.2022.05.001

Cited by 9 publications

(19 citation statements)

References 43 publications

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“…Moreover, "waking at midnight" may reflect sleeping conditions, an aspect that has been less explored. 7 Sleeping conditions can now be more easily detected using non-wearable devices such as under-mattress sensors that monitor sleep patterns; 27 this may help care staff prevent PF decline in residents.…”

Section: Discussionmentioning

confidence: 99%

“…28,29 However, there is no research consensus on the relationship between BMI and PF decline. 7 The BI has the advantage of measuring 10 aspects of PF, 18 which is more than other instruments such as the MDS long-form scale (7 aspects) and the Katz index (6 aspects). 30 The BI is considered more suitable for finding significant information about a patient's status because of its ability to assess comprehensive functional capacity.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, early detection of “waking at midnight” and escorting residents to bed may contribute to preventing falls and the maintenance of PF. Moreover, “waking at midnight” may reflect sleeping conditions, an aspect that has been less explored 7 . Sleeping conditions can now be more easily detected using non‐wearable devices such as under‐mattress sensors that monitor sleep patterns; 27 this may help care staff prevent PF decline in residents.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have shown that a low BMI indicates muscle weakness, which progresses to sarcopenia, leading to PF decline 28,29 . However, there is no research consensus on the relationship between BMI and PF decline 7 . The BI has the advantage of measuring 10 aspects of PF, 18 which is more than other instruments such as the MDS long‐form scale (7 aspects) and the Katz index (6 aspects) 30 .…”

Section: Discussionmentioning

confidence: 99%

“…One of the main quality indicators of LTC in older adults is physical function (PF). Studies have reported the negative effects of PF decline 7 in nursing home residents, such as higher mortality 8,9 and unexpected death. 10 Thus, preventing PF decline is important.…”

Section: Introductionmentioning

confidence: 99%

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Physical function decline predictors in nursing home residents using new national quality indicators

Noguchi‐Watanabe,

Ishikawa,

Ikuta

et al. 2023

Geriatrics Gerontology Int

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AimTo determine the predictors of physical function (PF) decline among nursing home residents using items from the Long‐term care Information system For Evidence (LIFE), a system launched in 2021 to ensure the quality of long‐term care.MethodsThe LIFE data of 1648 residents from 45 nursing homes in Japan were retrospectively collected in July 2021 (T0) and January 2022 (T1), including demographics, PF assessed by the Barthel index (BI), nutrition and oral health, and cognitive function. The Dementia Behavior Disturbance scale was used to assess the frequency of certain behaviors, such as “waking at midnight.” The predictors of PF decline, defined as a decrease ≥5 in the BI score at T1 compared with that at T0, were determined using mixed‐effects logistic regression analyses. PF at T0 was classified into high (>60 BI) and low (≤60 BI) groups.ResultsThe participants' mean age was 87.2 ± 7.1 years, and 45.3% experienced PF decline. The significant predictors of PF decline were age ≥ 90 years, body mass index <18.5 kg/m2, dementia diagnosis, moderate and severe cognitive impairments, not vocalizing reciprocal exchanges at will, always “waking at midnight,” and high PF at T0.ConclusionsThe LIFE items predicted PF decline among nursing home residents, suggesting that LIFE data can be used to ensure the quality of long‐term care. Geriatr Gerontol Int 2023; ••: ••–••.

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Section: Discussionmentioning

confidence: 99%