Cristin-resultat-ID: 1857917
Sist endret: 12. januar 2021, 09:42
NVI-rapporteringsår: 2020
Resultat
Vitenskapelig artikkel
2020

Time from dementia diagnosis to nursing-home admission and death among persons with dementia: A multistate survival analysis

Bidragsytere:
  • Marit Mjørud
  • Geir Selbæk
  • Espen Bjertness
  • Trine Holt Edwin
  • Knut Engedal
  • Anne Brita Knapskog
  • mfl.

Tidsskrift

PLOS ONE
ISSN 1932-6203
e-ISSN 1932-6203
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2020
Publisert online: 2020
Volum: 15
Hefte: 12
Artikkelnummer: e0243513
Open Access

Importkilder

Scopus-ID: 2-s2.0-85097311012

Beskrivelse Beskrivelse

Tittel

Time from dementia diagnosis to nursing-home admission and death among persons with dementia: A multistate survival analysis

Sammendrag

Objectives: To estimate transition times from dementia diagnosis to nursing-home (NH) admission or death and to examine whether sex, education, marital status, level of cognitive impairment and dementia aetiology are associated with transition times. Design: Markov multistate survival analysis and flexible parametric models. Setting: Participants were recruited from the Norwegian Registry of Persons Assessed for Cognitive Symptoms (NorCog) in specialist healthcare between 2008 and 2017 and followed until August 2019, a maximum of 10.6 years follow-up time (mean 4.4 years, SD 2.2). Participants’ address histories, emigration and vital status were retrieved from the National Population Registry from time of diagnosis and linked to NorCog clinical data. Participants 2,938 home-dwelling persons with dementia, ages 40–97 years at time of diagnosis (mean 76.1, SD 8.5). Results: During follow-up, 992 persons (34%) were admitted to nursing-homes (NHs) and 1,556 (53%) died. Approximately four years after diagnosis, the probability of living in a NH peaked at 19%; thereafter, the probability decreased due to mortality. Median elapsed time from dementia diagnosis to NH admission among those admitted to NHs was 2.28 years (IQR 2.32). The probability of NH admission was greater for women than men due to women´s lower mortality rate. Persons living alone, particularly men, had a higher probability of NH admission than cohabitants. Age, dementia aetiology and severity of cognitive impairment at time of diagnosis did not influence the probability of NH admission. Those with fewer than 10 years of education had a lower probability of NH admission than those with 10 years or more, and this was independent of the excess mortality in the less-educated group. Conclusion: Four years after diagnosis, half of the participants still lived at home, while NH residency peaked at 19%. Those with fewer than 10 years of education were less often admitted to NH.

Bidragsytere

Marit Mjørud

  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for aldring og helse ved Sykehuset i Vestfold HF
  • Tilknyttet:
    Forfatter
    ved Geriatrisk avdeling ved Oslo universitetssykehus HF
Aktiv cristin-person

Geir Selbæk

  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for aldring og helse ved Sykehuset i Vestfold HF
  • Tilknyttet:
    Forfatter
    ved Geriatrisk avdeling ved Oslo universitetssykehus HF
  • Tilknyttet:
    Forfatter
    ved Geriatrisk avdeling ved Universitetet i Oslo

Espen Bjertness

  • Tilknyttet:
    Forfatter
    ved Avdeling for samfunnsmedisin og global helse ved Universitetet i Oslo

Trine Holt Edwin

  • Tilknyttet:
    Forfatter
    ved Geriatrisk avdeling ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Geriatrisk avdeling ved Oslo universitetssykehus HF
  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for aldring og helse ved Sykehuset i Vestfold HF

Knut Arne Engedal

Bidragsyterens navn vises på dette resultatet som Knut Engedal
  • Tilknyttet:
    Forfatter
    ved Nasjonalt senter for aldring og helse ved Sykehuset i Vestfold HF
  • Tilknyttet:
    Forfatter
    ved Geriatrisk avdeling ved Oslo universitetssykehus HF
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