Risk of admission to a nursing home among older people with visual impairment in Great Britain.


Evans, JR; Smeeth, L; Fletcher, AE; (2008) Risk of admission to a nursing home among older people with visual impairment in Great Britain. Archives of ophthalmology, 126 (10). pp. 1428-33. ISSN 0003-9950 DOI: https://doi.org/10.1001/archopht.126.10.1428

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Abstract

OBJECTIVE: To assess the risk of nursing home admission in a representative sample of older, visually impaired, community-dwelling people 75 years and older living in Great Britain. DESIGN: Prospective study. SETTING: General practices (n = 53). PARTICIPANTS: Participants in the Medical Research Council trial of assessment and management of older people in the community (N = 14 037). Main Outcome Measure Nursing home admission (nursing or residential care). RESULTS: After a mean of 4 years' follow-up, 14.1% of visually impaired participants were living in nursing homes (95% confidence interval [CI], 11.9%-16.3%; age- and sex-adjusted risk ratio, 1.47 [95% CI, 1.25-1.73]). Adjusting for a wide range of confounding factors eliminated this significant association (risk ratio, 1.08 [95% CI, 0.91-1.28]). CONCLUSIONS: The association between visual impairment and risk of nursing home admission was eliminated after controlling for a wide range of other confounding factors and comorbidities. This underlines the importance of taking a wider view of an older person's health rather than focusing on a single impairment or disability.

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Non-Communicable Disease Epidemiology
Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Research Centre: Centre for Global Non-Communicable Diseases (NCDs)
The International Centre for Evidence in Disability
International Centre for Eye Health
PubMed ID: 18852422
Web of Science ID: 259900700014
URI: http://researchonline.lshtm.ac.uk/id/eprint/6766

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