• Something wrong with this record ?

Impact of dual sensory impairment on onset of behavioral symptoms in European nursing homes: results from the Services and Health for Elderly in Long-Term Care study

Y. Yamada, MD. Denkinger, G. Onder, H. Finne-Soveri, H. van der Roest, M. Vlachova, T. Richter, J. Gindin, R. Bernabei, E. Topinkova,

. 2015 ; 16 (4) : 329-33. [pub] 20141215

Language English Country United States

Document type Comparative Study, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't

Persistent link   https://www.medvik.cz/link/bmc16000441

OBJECTIVES: To investigate if dual sensory impairment (DSI) in the form of a combined visual and hearing impairment is associated with the onset of behavioral symptoms in nursing homes. METHODS: A total of 1524 nursing home residents without behavioral symptoms at baseline followed for 12 months in 59 nursing homes from the Czech Republic, England, Finland, France, Germany, Israel, Italy, and The Netherlands. The interRAI instrument for long-term care facilities was assessed by trained staff at baseline and 12 months later. RESULTS: Altogether, 11% of residents had a new onset of behavioral symptoms (wandering, verbal abuse, physical abuse, socially inappropriate behavior, public disrobing, and resisting care) at 12-month follow-up. In multivariate analyses adjusted for potential confounders, DSI residents had significantly higher incidence of new behavioral symptoms at 12-month follow-up, irrespective of the severity of vision and hearing impairments [odds ratio (OR) = 2.1, 95% confidence interval (CI) = 1.3:3.4 for mild DSI, OR = 2.5, 95% CI = 1.6:4.0 for moderate DSI, and OR = 2.1, 95% CI = 1.2:3.7 for severe DSI] compared with residents without sensory impairment. Among the different types of symptoms, only abusive behaviors were less likely to be associated with DSI. CONCLUSIONS: This study provides evidence that DSI could play a significant role in the development of behavioral symptoms in nursing home residents. More attention should be paid to DSI even when each of vision and hearing function is only minimally impaired.

References provided by Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc16000441
003      
CZ-PrNML
005      
20160126104921.0
007      
ta
008      
160108s2015 xxu f 000 0|eng||
009      
AR
024    7_
$a 10.1016/j.jamda.2014.11.006 $2 doi
035    __
$a (PubMed)25523284
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a xxu
100    1_
$a Yamada, Yukari $u Department of Geriatrics, First faculty of Medicine, Charles University, Prague, Czech Republic; Department of Nursing, Faculty of Health Sciences, Palacky University, Olomouc, Czech Republic. Electronic address: yukari.yamada@upol.cz.
245    10
$a Impact of dual sensory impairment on onset of behavioral symptoms in European nursing homes: results from the Services and Health for Elderly in Long-Term Care study / $c Y. Yamada, MD. Denkinger, G. Onder, H. Finne-Soveri, H. van der Roest, M. Vlachova, T. Richter, J. Gindin, R. Bernabei, E. Topinkova,
520    9_
$a OBJECTIVES: To investigate if dual sensory impairment (DSI) in the form of a combined visual and hearing impairment is associated with the onset of behavioral symptoms in nursing homes. METHODS: A total of 1524 nursing home residents without behavioral symptoms at baseline followed for 12 months in 59 nursing homes from the Czech Republic, England, Finland, France, Germany, Israel, Italy, and The Netherlands. The interRAI instrument for long-term care facilities was assessed by trained staff at baseline and 12 months later. RESULTS: Altogether, 11% of residents had a new onset of behavioral symptoms (wandering, verbal abuse, physical abuse, socially inappropriate behavior, public disrobing, and resisting care) at 12-month follow-up. In multivariate analyses adjusted for potential confounders, DSI residents had significantly higher incidence of new behavioral symptoms at 12-month follow-up, irrespective of the severity of vision and hearing impairments [odds ratio (OR) = 2.1, 95% confidence interval (CI) = 1.3:3.4 for mild DSI, OR = 2.5, 95% CI = 1.6:4.0 for moderate DSI, and OR = 2.1, 95% CI = 1.2:3.7 for severe DSI] compared with residents without sensory impairment. Among the different types of symptoms, only abusive behaviors were less likely to be associated with DSI. CONCLUSIONS: This study provides evidence that DSI could play a significant role in the development of behavioral symptoms in nursing home residents. More attention should be paid to DSI even when each of vision and hearing function is only minimally impaired.
650    _2
$a senioři $7 D000368
650    _2
$a senioři nad 80 let $7 D000369
650    _2
$a stárnutí $x fyziologie $7 D000375
650    _2
$a behaviorální symptomy $x epidemiologie $x etiologie $x patofyziologie $7 D001526
650    _2
$a interval spolehlivosti $7 D016001
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a geriatrické hodnocení $x metody $7 D015577
650    _2
$a zdravotní služby pro seniory $7 D006299
650    _2
$a poruchy sluchu $x komplikace $x diagnóza $7 D006311
650    12
$a domovy pro seniory $7 D006707
650    _2
$a lidé $7 D006801
650    _2
$a dlouhodobá péče $7 D008134
650    _2
$a longitudinální studie $7 D008137
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a monitorování fyziologických funkcí $x metody $7 D008991
650    _2
$a multivariační analýza $7 D015999
650    12
$a pečovatelské domovy $7 D009735
650    _2
$a odds ratio $7 D016017
650    _2
$a retrospektivní studie $7 D012189
650    _2
$a hodnocení rizik $7 D018570
650    _2
$a poruchy senzitivity $x diagnóza $x epidemiologie $7 D012678
650    _2
$a poruchy zraku $x komplikace $x diagnóza $7 D014786
651    _2
$a Evropa $7 D005060
655    _2
$a srovnávací studie $7 D003160
655    _2
$a časopisecké články $7 D016428
655    _2
$a multicentrická studie $7 D016448
655    _2
$a práce podpořená grantem $7 D013485
700    1_
$a Denkinger, Michael D $u Agaplesion Bethesda Clinic, Geriatric Center Ulm/Alb-Donau, University of Ulm, Ulm, Germany.
700    1_
$a Onder, Graziano $u Department of Geriatrics, Centro Medicina dell'Invecchiamento, Università Cattolica Sacro Cuore, Rome, Italy.
700    1_
$a Finne-Soveri, Harriet $u National Institute for Health and Welfare, Helsinki, Finland.
700    1_
$a van der Roest, Henriëtte $u EMGO Institute for Health and Care Research, Department of General Practice and Elderly Care Medicine, VU University Medical Center, Amsterdam, The Netherlands.
700    1_
$a Vlachova, Martina $u Department of Geriatrics, First faculty of Medicine, Charles University, Prague, Czech Republic.
700    1_
$a Richter, Tomas $u Department of Geriatrics, First faculty of Medicine, Charles University, Prague, Czech Republic.
700    1_
$a Gindin, Jacob $u Center for Standards in Health and Disability, Research Authority, University of Haifa, Haifa, Israel.
700    1_
$a Bernabei, Roberto $u Department of Geriatrics, Centro Medicina dell'Invecchiamento, Università Cattolica Sacro Cuore, Rome, Italy.
700    1_
$a Topinkova, Eva $u Department of Geriatrics, First faculty of Medicine, Charles University, Prague, Czech Republic.
773    0_
$w MED00182428 $t Journal of the American Medical Directors Association $x 1538-9375 $g Roč. 16, č. 4 (2015), s. 329-33
856    41
$u https://pubmed.ncbi.nlm.nih.gov/25523284 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y a $z 0
990    __
$a 20160108 $b ABA008
991    __
$a 20160126105044 $b ABA008
999    __
$a ok $b bmc $g 1102722 $s 924647
BAS    __
$a 3
BAS    __
$a PreBMC
BMC    __
$a 2015 $b 16 $c 4 $d 329-33 $e 20141215 $i 1538-9375 $m Journal of the American Medical Directors Association $n J Am Med Dir Assoc $x MED00182428
LZP    __
$a Pubmed-20160108

Find record

Citation metrics

Archiving options