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Care settings and clinical characteristics of older adults with moderately severe dementia

Journal of the American Geriatrics Society Sep 19, 2019

Harrison KL, Ritchie CS, Patel K, et al. – Researchers determined the potential existence of disparities in social, functional, and medical characteristics between people living at home with moderately severe dementia and those in either residential care or nursing home settings in this retrospective cohort analysis using pooled data from the National Health and Aging Trends Study. Within the study cohort, care at home was received by 64%, and residential care and care in a nursing facility were received by 19% and 17%, respectively. Across care settings, variations were evident in social, functional, and medical characteristics. Researchers found that 2.1 million individuals lived at home with incident moderately severe dementia during a 5-year period. A higher prevalence of demographic features related to systematic patterns of disadvantage, more social support, less functional impairment, worse health, and more symptoms was found among individuals living at home vs those living in residential care or nursing facilities.

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