JAMDA
Volume 10, Issue 7 , Pages 491-497, September 2009

Factors Associated With Permanent Transition From Independent Living to Nursing Home in a Continuing Care Retirement Community

  • Yuchi Young, DrPH

      Affiliations

    • Corresponding Author InformationAddress correspondence to Yuchi Young, DrPH, School of Public Health, One University Place, Room 171, Rensselaer, NY 12144.

State University of New York (SUNY) at Albany, School of Public Health

published online 06 August 2009.

Objective

Identify risk factors for and time to permanent transition from independent living units to nursing home among residents in a continuing care retirement community (CCRC).

Methods

Prospective cohort study (n=298) among residents at least 75 years of age living independently at baseline. Proportional hazard regression identified risk factors associated with permanent transition from sociodemographic and health status data.

Results

During the 3-year follow-up, 11% of the subjects were permanently transferred. Predictive factors were depression (relative risk [RR] 3.9; 95% CI 1.5–9.8), incontinence (RR 3.8; 95% CI 1.3–11.4), impaired cognition (RR 3.6; 95% CI 1.1–11.3), and dependence on activities of daily living disability (RR 1.5; 95% CI 1.3–1.8). Compared with those with no risk factors, presence of all 4 increased the relative risk to 74-fold and shortened the time to permanent transition by 32 months.

Conclusion

Prevention and treatment for depression, incontinence, and programs to improve or maintain cognitive function and ability to perform activities of daily living among CCRC residents may prolong their independent living life.

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 The author has no conflict of interest regarding this article.

PII: S1525-8610(09)00112-1

doi:10.1016/j.jamda.2009.03.019

JAMDA
Volume 10, Issue 7 , Pages 491-497, September 2009

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