TY - JOUR
T1 - Incidence and Predictive Factors of Functional Decline in Older People Living in Nursing Homes
T2 - A Systematic Review
AU - Moreno-Martin, Pau
AU - Jerez-Roig, Javier
AU - Rierola-Fochs, Sandra
AU - Oliveira, Vinicius Rosa
AU - Farrés-Godayol, Pau
AU - Bezerra de Souza, Dyego Leandro
AU - Giné-Garriga, Maria
AU - Booth, Joanne
AU - Skelton, Dawn A.
AU - Minobes-Molina, Eduard
N1 - Funding Information:
This work was supported by the Research Group on Methodology, Methods, Models, and Outcomes of Health and Social Sciences (M 3 O) of the University of Vic-Central University of Catalonia (UVic-UCC).
Funding Information:
This work was supported by the Research Group on Methodology, Methods, Models, and Outcomes of Health and Social Sciences (M3O) of the University of Vic-Central University of Catalonia (UVic-UCC).We acknowledge the Library of the University of Vic-Central University of Catalonia and especially Ramon Benito Bové for all the support.
Publisher Copyright:
© 2022 AMDA – The Society for Post-Acute and Long-Term Care Medicine
PY - 2022/11
Y1 - 2022/11
N2 - Objectives: To review the evidence on incidence and predictive factors of functional decline (FD) in nursing home (NH) residents. Design: A systematic review of the literature. Setting and Participants: Longitudinal studies involving individuals age 60 years and older living in a NH and with at least 2 functional capacity assessments were eligible. Methods: The search was carried out up to June 2021 and was conducted in Embase, PubMed, Web of Science, Cochrane Library, CINAHL, Scopus, SciELO, and Google Scholar databases. Results: A total of 27 studies met the eligibility criteria, most of which were prospective, recruiting participants in more than 1 NH, and conducted in a single country. Studies reported a high rate of functional dependency at baseline and FD at follow-up; in 1 year, 38.9% to 50.6% of residents experienced FD. Predictive factors of FD that were significant in at least 2 of the included studies were cognitive impairment, functional status at baseline, urinary incontinence, length of institutionalization, age, depression, being married, being male, and stroke disease. Protective factors were licensed nursing hours and presence of a geriatrician within the NH staff. Conclusions and Implications: This review highlights the high incidence of FD in NH residents and identifies risk and protective factors of FD that may support the design of preventative strategies for this vulnerable and frail population.
AB - Objectives: To review the evidence on incidence and predictive factors of functional decline (FD) in nursing home (NH) residents. Design: A systematic review of the literature. Setting and Participants: Longitudinal studies involving individuals age 60 years and older living in a NH and with at least 2 functional capacity assessments were eligible. Methods: The search was carried out up to June 2021 and was conducted in Embase, PubMed, Web of Science, Cochrane Library, CINAHL, Scopus, SciELO, and Google Scholar databases. Results: A total of 27 studies met the eligibility criteria, most of which were prospective, recruiting participants in more than 1 NH, and conducted in a single country. Studies reported a high rate of functional dependency at baseline and FD at follow-up; in 1 year, 38.9% to 50.6% of residents experienced FD. Predictive factors of FD that were significant in at least 2 of the included studies were cognitive impairment, functional status at baseline, urinary incontinence, length of institutionalization, age, depression, being married, being male, and stroke disease. Protective factors were licensed nursing hours and presence of a geriatrician within the NH staff. Conclusions and Implications: This review highlights the high incidence of FD in NH residents and identifies risk and protective factors of FD that may support the design of preventative strategies for this vulnerable and frail population.
KW - Activities of daily living
KW - aged
KW - functional decline
KW - nursing homes
KW - older people
KW - systematic review
UR - http://www.scopus.com/inward/record.url?scp=85132513073&partnerID=8YFLogxK
U2 - 10.1016/j.jamda.2022.05.001
DO - 10.1016/j.jamda.2022.05.001
M3 - Review
C2 - 35679882
AN - SCOPUS:85132513073
SN - 1525-8610
VL - 23
SP - 1815-1825.e9
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 11
ER -
