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. 2013 Sep;25(6):907-20.
doi: 10.1177/0898264313497507. Epub 2013 Aug 21.

Life-space mobility predicts nursing home admission over 6 years

Kendra D Sheppard  1 , Patricia Sawyer, Christine S Ritchie, Richard M Allman, Cynthia J Brown
Affiliations

Life-space mobility predicts nursing home admission over 6 years

Kendra D Sheppard et al. J Aging Health. 2013 Sep.

Abstract

Objective: To explore the association between baseline life-space mobility and nursing home (NH) admission among community-dwelling older adults over 6 years.

Methods: Using data from a prospective, observational cohort study consisting of a random sample of 1,000 Medicare beneficiaries ≥ 65 years of age stratified by race (African American and non-Hispanic White), sex, and rural/urban residence. Baseline life-space mobility was assessed during in-home interviews. Participants were contacted by telephone every 6 months to ascertain NH admissions, Life-Space Assessment (LSA) scores, and vital status (living or deceased). Using multivariate logistic regression, the significance and independence of the relationship of life-space mobility with NH admission were examined.

Results: Over 6 years, the odds of NH admission increased 2% for every one point lower baseline life-space score independent of previously recognized risk factors.

Discussion: The LSA may be a useful tool to identify older adults at risk of NH admission.

Keywords: geriatric assessment; nursing homes; risk factors.

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Figure 1. Participant Flow Diagram
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