{"id":4419,"date":"2020-03-11T14:56:19","date_gmt":"2020-03-11T18:56:19","guid":{"rendered":"https:\/\/ccna-ccnv.ca\/ccna_publication\/hearing-and-cognitive-impairments-increase-the-risk-of-long-term-care-admissions-2\/"},"modified":"2024-12-03T14:56:37","modified_gmt":"2024-12-03T19:56:37","slug":"hearing-and-cognitive-impairments-increase-the-risk-of-long-term-care-admissions-2","status":"publish","type":"ccna_publication","link":"https:\/\/ccna-ccnv.ca\/fr\/ccna_publication\/hearing-and-cognitive-impairments-increase-the-risk-of-long-term-care-admissions-2\/","title":{"rendered":"Hearing\u00a0 and\u00a0 Cognitive\u00a0 Impairments\u00a0 Increase\u00a0 the\u00a0 Risk\u00a0 of\u00a0 Long-term Care Admissions"},"content":{"rendered":"<h4>BACKGROUND AND OBJECTIVES:<\/h4>\n<p>The objective of the study was to understand how sensory impairments, alone or in combination with cognitive impairment (CI), relate to long-term care (LTC) admissions.<\/p>\n<h4>RESEARCH DESIGN AND METHODS:<\/h4>\n<p>This retrospective cohort study used existing information from two interRAI assessments; the Resident Assessment Instrument for Home Care (RAI-HC) and the Minimum Data Set 2.0 (MDS 2.0), which were linked at the individual level for 371,696 unique individuals aged 65+ years. The exposure variables of interest included hearing impairment (HI), vision impairment (VI) and dual sensory impairment (DSI) ascertained at participants&rsquo; most recent RAI-HC assessment. The main outcome was admission to LTC. Survival analysis, using Cox proportional hazards regression models and Kaplan-Meier curves, was used to identify risk factors associated with LTC admissions. Observations were censored if they remained in home care, died or were discharged somewhere other than to LTC.<\/p>\n<h4>RESULTS:<\/h4>\n<p>In this sample, 12.7% of clients were admitted to LTC, with a mean time to admission of 49.6 months (<i>SE<\/i>\u00a0= 0.20). The main risk factor for LTC admission was a diagnosis of Alzheimer&rsquo;s dementia (HR = 1.87; CI: 1.83, 1.90). A significant interaction between HI and CI was found, whereby individuals with HI but no CI had a slightly faster time to admission (40.5 months; HR = 1.14) versus clients with both HI and CI (44.9 months; HR = 2.11).<\/p>\n<h4>DISCUSSION AND IMPLICATIONS:<\/h4>\n<p>Although CI increases the risk of LTC admission, HI is also important, making it is imperative to continue to screen for sensory issues among older home care clients.<\/p>\n","protected":false},"author":19,"featured_media":0,"template":"","meta":{"_acf_changed":false},"studies-relation":[],"class_list":["post-4419","ccna_publication","type-ccna_publication","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hearing\u00a0 and\u00a0 Cognitive\u00a0 Impairments\u00a0 Increase\u00a0 the\u00a0 Risk\u00a0 of\u00a0 Long-term Care Admissions - CCNA - CCNV<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ccna-ccnv.ca\/fr\/ccna_publication\/hearing-and-cognitive-impairments-increase-the-risk-of-long-term-care-admissions-2\/\" \/>\n<meta property=\"og:locale\" content=\"fr_CA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hearing\u00a0 and\u00a0 Cognitive\u00a0 Impairments\u00a0 Increase\u00a0 the\u00a0 Risk\u00a0 of\u00a0 Long-term Care Admissions - 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