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Precipitating and predisposing events and symptoms for admission to assisted living or nursing home care
James Kh Rockwood, Matthew Richard, Kathryn Garden, Kathryn Hominick, Arnold Mitnitski, Kenneth Rockwood. Canadian geriatrics journal : CGJ, 2013-03-05
Topic: Health services, long-term care and technology
Of 353 people admitted during the enrolment period, 174 (49%) took part in the survey. Most (97; 55.7%) were involved in a move from the community to a nursing home, 54 (31.0%) from the community to assisted living, and 23 (13.2%) from assisted living to a nursing home. In each setting, dementia was the commonest predisposing factor (seen in >90%) with a precipitating event seen in 120 (69%) people. The precipitating events included a medical illness (n = 97; 55%) or caregiver illness, death or move (33; 19%). Dependence was associated with place of care, with more severely impaired people more commonly represented in people who moved to nursing homes. People move from the community chiefly due to dementia, and often with a precipitant. Compared with a move to assisted living, moving to nursing homes generally indicates greater dependence, and typically worse dementia severity. Even so, assisted-living facilities are not just for the "worried well", but are used by people with dementia, caregiver stress, and recent hospitalization.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Rockwood, J. K., Richard, M., Garden, K., Hominick, K., Mitnitski, A., & Rockwood, K. (2014). Precipitating and predisposing events and symptoms for admission to assisted living or nursing home care. Canadian geriatrics journal : CGJ. https://doi.org/10.5770/cgj.17.93
Vancouver
Rockwood JK, Richard M, Garden K, Hominick K, Mitnitski A, Rockwood K. Precipitating and predisposing events and symptoms for admission to assisted living or nursing home care. Canadian geriatrics journal : CGJ. 2014. doi:10.5770/cgj.17.93. PMID: 24596590.
BibTeX
@article{rockwood2014-24596590,
author = {Rockwood, James Kh and Richard, Matthew and Garden, Kathryn and Hominick, Kathryn and Mitnitski, Arnold and Rockwood, Kenneth},
title = {{Precipitating and predisposing events and symptoms for admission to assisted living or nursing home care}},
journal = {Canadian geriatrics journal : CGJ},
year = {2014},
doi = {10.5770/cgj.17.93},
pmid = {24596590},
url = {https://doi.org/10.5770/cgj.17.93}
}
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Key findings
- Of 353 people admitted during the enrolment period, 174 (49%) took part in the survey.
- Most (97; 55.7%) were involved in a move from the community to a nursing home, 54 (31.0%) from the community to assisted living, and 23 (13.2%) from assisted living to a nursing home.
- In each setting, dementia was the commonest predisposing factor (seen in >90%) with a precipitating event seen in 120 (69%) people.
- The precipitating events included a medical illness (n = 97; 55%) or caregiver illness, death or move (33; 19%).
- Dependence was associated with place of care, with more severely impaired people more commonly represented in people who moved to nursing homes.
Study details
- Study designcross-sectional
- Participants97
- Effect size55.7%; 31.0%; 13.2%
- Evidence strengthLow
How this study scored 55/100
Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for randomised / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record, multi-centre collaboration and free to read, so those were left out: it earned 31 of the 56 points we could judge it on, which is 55 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Canadian geriatrics journal : CGJ) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2014 — within 20 year(s) of the newest study here |
| Sample size | 1 / 4 | 97 participants |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 24596590) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 31 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 31 of the 56 points we could judge it on is 55 out of 100. |
| Total | 55 / 100 | — |
What each of these 20 components measures, and what this score is not →
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