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Impact of nursing home‐acquired pneumonia on the domains of the novel construct of intrinsic capacity: The INCUR study

BACKGROUND: Nursing home‐acquired pneumonia (NHAP) and related hospitalizations might lead to abrupt functional declines, especially among nursing home residents. Intrinsic capacity is a novel construct proposed by the World Health Organization specifically designed to capture the physical and cogni...

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Autores principales: Sánchez‐Sánchez, Juan Luis, Rolland, Yves, Cesari, Matteo, de Souto Barreto, Philipe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10087686/
https://www.ncbi.nlm.nih.gov/pubmed/36054223
http://dx.doi.org/10.1111/jgs.17991
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author Sánchez‐Sánchez, Juan Luis
Rolland, Yves
Cesari, Matteo
de Souto Barreto, Philipe
author_facet Sánchez‐Sánchez, Juan Luis
Rolland, Yves
Cesari, Matteo
de Souto Barreto, Philipe
author_sort Sánchez‐Sánchez, Juan Luis
collection PubMed
description BACKGROUND: Nursing home‐acquired pneumonia (NHAP) and related hospitalizations might lead to abrupt functional declines, especially among nursing home residents. Intrinsic capacity is a novel construct proposed by the World Health Organization specifically designed to capture the physical and cognitive capacities of the aging individual to design personalized interventions. This study aimed to investigate the associations of NHAP and related hospitalizations with several intrinsic capacity domains among nursing home residents. METHODS: We used data from the INCUR study (n = 754; mean age = 86.1 ± 7.4; 75.2% female). Four intrinsic capacity domains were assessed through the Short Physical Performance Battery (SPPB, locomotion), Abbreviated Mental Test (cognition), 10‐items Geriatric Depression scale (GDS‐10, mood), the Mini‐Nutritional Assessment Short‐Form (vitality) at three time‐points along 1‐year. Linear mixed models were used to analyze longitudinal evolution in the intrinsic capacity domains according to NHAP diagnosis and hospitalization. RESULTS: A total of 161 (21.4%) were diagnosed with NHAP, and 46 of them (28.6%) required hospitalization. NHAP was significantly associated with declines in the intrinsic capacity vitality domain (β = −0.51; 95% CI −0.84; −0.18). The association was also found for NHAP‐related hospitalization (β = −0.97; 95% CI −1.46; −0.48). NHAP‐related hospitalization was also associated with worsening in the psychological domain (β = 0.56; 95% CI 0.08; 1.04). No other significant associations were found. CONCLUSIONS: NHAP and related hospitalization are associated with the deterioration of intrinsic capacity vitality and psychology domains. Prevention of pneumonia may result in better functional evolution in very old and vulnerable nursing home residents.
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spelling pubmed-100876862023-04-12 Impact of nursing home‐acquired pneumonia on the domains of the novel construct of intrinsic capacity: The INCUR study Sánchez‐Sánchez, Juan Luis Rolland, Yves Cesari, Matteo de Souto Barreto, Philipe J Am Geriatr Soc Clinical Investigations BACKGROUND: Nursing home‐acquired pneumonia (NHAP) and related hospitalizations might lead to abrupt functional declines, especially among nursing home residents. Intrinsic capacity is a novel construct proposed by the World Health Organization specifically designed to capture the physical and cognitive capacities of the aging individual to design personalized interventions. This study aimed to investigate the associations of NHAP and related hospitalizations with several intrinsic capacity domains among nursing home residents. METHODS: We used data from the INCUR study (n = 754; mean age = 86.1 ± 7.4; 75.2% female). Four intrinsic capacity domains were assessed through the Short Physical Performance Battery (SPPB, locomotion), Abbreviated Mental Test (cognition), 10‐items Geriatric Depression scale (GDS‐10, mood), the Mini‐Nutritional Assessment Short‐Form (vitality) at three time‐points along 1‐year. Linear mixed models were used to analyze longitudinal evolution in the intrinsic capacity domains according to NHAP diagnosis and hospitalization. RESULTS: A total of 161 (21.4%) were diagnosed with NHAP, and 46 of them (28.6%) required hospitalization. NHAP was significantly associated with declines in the intrinsic capacity vitality domain (β = −0.51; 95% CI −0.84; −0.18). The association was also found for NHAP‐related hospitalization (β = −0.97; 95% CI −1.46; −0.48). NHAP‐related hospitalization was also associated with worsening in the psychological domain (β = 0.56; 95% CI 0.08; 1.04). No other significant associations were found. CONCLUSIONS: NHAP and related hospitalization are associated with the deterioration of intrinsic capacity vitality and psychology domains. Prevention of pneumonia may result in better functional evolution in very old and vulnerable nursing home residents. John Wiley & Sons, Inc. 2022-08-10 2022-12 /pmc/articles/PMC10087686/ /pubmed/36054223 http://dx.doi.org/10.1111/jgs.17991 Text en © 2022 The Authors. Journal of the American Geriatrics Society published by Wiley Periodicals LLC on behalf of The American Geriatrics Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Clinical Investigations
Sánchez‐Sánchez, Juan Luis
Rolland, Yves
Cesari, Matteo
de Souto Barreto, Philipe
Impact of nursing home‐acquired pneumonia on the domains of the novel construct of intrinsic capacity: The INCUR study
title Impact of nursing home‐acquired pneumonia on the domains of the novel construct of intrinsic capacity: The INCUR study
title_full Impact of nursing home‐acquired pneumonia on the domains of the novel construct of intrinsic capacity: The INCUR study
title_fullStr Impact of nursing home‐acquired pneumonia on the domains of the novel construct of intrinsic capacity: The INCUR study
title_full_unstemmed Impact of nursing home‐acquired pneumonia on the domains of the novel construct of intrinsic capacity: The INCUR study
title_short Impact of nursing home‐acquired pneumonia on the domains of the novel construct of intrinsic capacity: The INCUR study
title_sort impact of nursing home‐acquired pneumonia on the domains of the novel construct of intrinsic capacity: the incur study
topic Clinical Investigations
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10087686/
https://www.ncbi.nlm.nih.gov/pubmed/36054223
http://dx.doi.org/10.1111/jgs.17991
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