Cargando…

Adverse Consequences of Unmet In-Home Mobility Care Needs and Risk of Hospital Stay Among Older Adults in the United States

Mobility limitations are the most prevalent late life disability and are strongly associated with negative health outcomes. Research suggests that 1 in 5 older adults with limitations in activities of daily living report needing more help than is received. The objective of this study is to address a...

Descripción completa

Detalles Bibliográficos
Autor principal: Sahoo, Shalini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741447/
http://dx.doi.org/10.1093/geroni/igaa057.142
_version_ 1783623755755421696
author Sahoo, Shalini
author_facet Sahoo, Shalini
author_sort Sahoo, Shalini
collection PubMed
description Mobility limitations are the most prevalent late life disability and are strongly associated with negative health outcomes. Research suggests that 1 in 5 older adults with limitations in activities of daily living report needing more help than is received. The objective of this study is to address a gap in the literature by directly examining the relationship between adverse consequences (e.g. home-bound, bedridden) of unmet in-home mobility care needs and hospital stay for a national sample of community-dwelling older adults. Data was analyzed from round eight (2018) of the National Health and Aging Trends Study (NHATS), an epidemiologic panel study of nationally representative Medicare beneficiaries ages 65 and older living in the communities (n = 4,344). Community dwelling adults with one or more adverse consequence due to in-home mobility limitation had 1.931 times odds of hospital stay in the last 12 months, compared to the counterpart with no in-home mobility limitation (OR = 1.931, SE = 0.153, p < 0.05), after adjusting for the covariates. Community-dwelling older adults who have adverse consequence due to unmet in-home mobility care needs are more likely to be immobile and are more likely to have hospital stays. By addressing the needs of this population, the rate of hospitalization can be decreased resulting in fewer stressful events and better quality of life. Policies to improve long-term services and supports and reduce unmet need could benefit both older adults and those who care for them.
format Online
Article
Text
id pubmed-7741447
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-77414472020-12-21 Adverse Consequences of Unmet In-Home Mobility Care Needs and Risk of Hospital Stay Among Older Adults in the United States Sahoo, Shalini Innov Aging Abstracts Mobility limitations are the most prevalent late life disability and are strongly associated with negative health outcomes. Research suggests that 1 in 5 older adults with limitations in activities of daily living report needing more help than is received. The objective of this study is to address a gap in the literature by directly examining the relationship between adverse consequences (e.g. home-bound, bedridden) of unmet in-home mobility care needs and hospital stay for a national sample of community-dwelling older adults. Data was analyzed from round eight (2018) of the National Health and Aging Trends Study (NHATS), an epidemiologic panel study of nationally representative Medicare beneficiaries ages 65 and older living in the communities (n = 4,344). Community dwelling adults with one or more adverse consequence due to in-home mobility limitation had 1.931 times odds of hospital stay in the last 12 months, compared to the counterpart with no in-home mobility limitation (OR = 1.931, SE = 0.153, p < 0.05), after adjusting for the covariates. Community-dwelling older adults who have adverse consequence due to unmet in-home mobility care needs are more likely to be immobile and are more likely to have hospital stays. By addressing the needs of this population, the rate of hospitalization can be decreased resulting in fewer stressful events and better quality of life. Policies to improve long-term services and supports and reduce unmet need could benefit both older adults and those who care for them. Oxford University Press 2020-12-16 /pmc/articles/PMC7741447/ http://dx.doi.org/10.1093/geroni/igaa057.142 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Sahoo, Shalini
Adverse Consequences of Unmet In-Home Mobility Care Needs and Risk of Hospital Stay Among Older Adults in the United States
title Adverse Consequences of Unmet In-Home Mobility Care Needs and Risk of Hospital Stay Among Older Adults in the United States
title_full Adverse Consequences of Unmet In-Home Mobility Care Needs and Risk of Hospital Stay Among Older Adults in the United States
title_fullStr Adverse Consequences of Unmet In-Home Mobility Care Needs and Risk of Hospital Stay Among Older Adults in the United States
title_full_unstemmed Adverse Consequences of Unmet In-Home Mobility Care Needs and Risk of Hospital Stay Among Older Adults in the United States
title_short Adverse Consequences of Unmet In-Home Mobility Care Needs and Risk of Hospital Stay Among Older Adults in the United States
title_sort adverse consequences of unmet in-home mobility care needs and risk of hospital stay among older adults in the united states
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7741447/
http://dx.doi.org/10.1093/geroni/igaa057.142
work_keys_str_mv AT sahooshalini adverseconsequencesofunmetinhomemobilitycareneedsandriskofhospitalstayamongolderadultsintheunitedstates