Skip to main content

Table 4 Stratification by sex, age and cognitive status effects associations between geriatric syndromes, chronic conditions and disability

From: Disability in long-term care residents explained by prevalent geriatric syndromes, not long-term care home characteristics: a cross-sectional study

  

Sex Stratified Models

Age Stratified Models

Cognitive Status-Stratified Models

 

Model 1

Females (n = 54,953)

Males (n = 22,212)

Age 65-74 (n = 7,859)

Age 75-84 (n = 25,703)

Age 85-94 (n = 36,676)

Age 95–105 (n = 6,927)

No cognitive impairment

(n = 18,426)

Cognitive impairment present

(n = 58,739)

Prevalent Geriatric Syndromes

Balance impairment

5.69

(5.51, 5.87)

5.73

(5.52, 5.93)

5.51

(5.28, 5.74)

5.94

(5.57, 6.31)

5.71

(5.49, 5.93)

5.46

(5.25, 5.68)

5.42

(5.00, 5.85)

5.55

(5.31, 5.80)

5.95

(5.75, 6.16)

Bowel incontinence

4.53

(4.38, 4.68)

4.43

(4.26, 4.60)

4.77

(4.57, 4.97)

5.00

(4.66, 5.33)

4.61

(4.41, 4.82)

4.46

(4.28, 4.65)

3.98

(3.65, 4.32)

4.60

(4.35, 4.86)

5.43

(5.26, 5.60)

Cognitive status

Intact/borderline

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Mild/moderate impairment

1.67

(1.55, 1.79)

1.69

(1.55, 1.83)

1.67

(1.46, 1.88)

1.14

(0.85, 1.43)

1.51

(1.31, 1.70)

1.88

(1.71, 2.04)

1.86

(1.50, 2.22)

N/A

N/A

Moderate-severe/severe impairment

5.27

(5.10, 5.44)

5.40

(5.21, 5.59)

4.94

(4.67, 5.21)

4.21

(3.81, 4.61)

5.16

(4.91, 5.41)

5.57

(5.34, 5.79)

5.35

(4.88, 5.81)

N/A

N/A

Hearing impairment

None

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Hearing impaired

0.03

(−0.08, 0.14)

0.02

(−0.12 0.15)

0.07

(−0.12, 0.26)

−0.13

(−0.71, 0.45)

−0.04

(−0.26, 0.18)

−0.04

(−0.18, 0.11)

0.26

(0.002, 0.51)*

0.43

(0.14, 0.72)

0.08

(−0.04, 0.20)

Missing data

0.66

(−0.15, 1.46)

0.33

(−0.67, 1.34)

1.21

(−0.09, 2.52)

1.85

(−0.79, 4.49)

0.005

(−1.21, 1.22)

1.18

(−0.21, 2.57)

0.007

(−3.06, 3.08)

0.32

(−1.27, 1.90)

0.74

(−0.16, 1.64)

Body mass index (BMI)

BMI < 18.5

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

18.5 ≤ BMI ≤ 25

−0.54

(−0.68, −0.40)

−0.56

(−0.71, −0.41)

−0.52

(−0.84, −0.21)

−0.03

(−0.57, 0.52)

−0.46

(−0.72, −0.19)

−0.67

(−0.86, −0.49)

−0.55

(−0.89, −0.20)

−0.80

(−1.16, −0.43)

−0.51

(−0.66, −0.36)

25 < BMI <30

−0.87

(−1.03, −0.72)

−0.83

(−0.99, −0.66)

−1.04

(−1.36, −0.71)

−0.69

(−1.24, −0.14)*

−0.82

(−1.09, −0.54)

−0.96

(−1.17, −0.76)

−0.83

(−1.23, −0.44)

−1.04

(−1.42, −0.67)

−0.97

(−1.14, −0.80)

BMI ≥ 30

−0.59

(−0.75, −0.43)

−0.52

(−0.69, −0.34)

−0.89

(−1.24, −0.53)

−0.68

(−1.23, −0.12)*

−0.55

(−0.84, −0.26)

−0.62

(−0.84, −0.41)

−0.31

(−0.80, 0.18)

−0.50

(−0.89,-0.10)

−0.98

(−1.16, −0.81)

Pain

None

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Less than daily pain

0.29

(0.19, 0.39)

0.25

(0.13, 0.36)

0.39

(0.22, 0.57)

0.26

(−0.03, 0.54)

0.18

(0.03, 0.34)*

0.34

(0.20, 0.48)

0.19

(−0.09, 0.48)

0.50

(0.30, 0.69)

−0.007

(−0.12, 0.11)

Daily or severe daily pain

0.82

(0.70, 0.94)

0.78

(0.64, 0.92)

0.90

(0.68, 1.13)

0.70

(0.35, 1.05)

0.76

(0.57, 0.95)

0.86

(0.69, 1.02)

0.67

(0.28, 1.05)

0.81

(0.59, 1.04)

0.62

(0.47, 0.76)

Pressure ulcer

2.67

(2.52, 2.82)

2.70

(2.52, 2.87)

2.59

(2.32, 2.86)

3.03

(2.57, 3.48)

2.70

(2.45, 2.95)

2.63

(2.42, 2.84)

2.39

(1.98, 2.81)

3.34

(2.98, 3.71)

2.78

(2.62, 2.94)

Urinary incontinence

4.19

(4.04, 4.35)

4.30

(4.12, 4.49)

3.97

(3.76, 4.19)

4.00

(3.66, 4.34)

4.19

(3.98, 4.40)

4.28

(4.08, 4.49)

4.06

(3.66, 4.45)

4.48

(4.25, 4.71)

4.28

(4.10, 4.46)

Visual impairment

None

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Moderate impairment

0.68

(0.59, 0.77)

0.68

(0.57, 0.78)

0.70

(0.55, 0.85)

0.73

(0.48, 0.98)

0.64

(0.50, 0.79)

0.67

(0.55, 0.79)

0.80

(0.53, 1.07)

0.53

(0.33, 0.73)

0.99

(0.88, 1.09)

Severe impairment

2.49

(2.33, 2.65)

2.45

(2.27, 2.63)

2.58

(2.30, 2.86)

2.82

(2.38, 3.26)

2.72

(2.45, 3.00)

2.39

(2.18, 2.60)

2.21

(1.83, 2.59)

1.98

(1.49, 2.48)

3.50

(3.32, 3.67)

Prevalent Chronic Conditions

Arthritis

0.08

(−.0003, 0.15)

0.09

(−0.007, 0.18)

0.04

(−0.09, 0.16)

−0.16

(−0.40, 0.08)

0.10

(−0.03, 0.23)

0.12

(0.006, 0.23)*

0.13

(−0.11, 0.38)

0.13

(−0.05, 0.32)

−0.10

(−0.18,−0.008)*

Asthma

0.10

(−0.04, 0.24)

0.09

(−0.06, 0.24)

0.17

(−0.11, 0.45)

0.03

(−0.42, 0.48)

0.10

(−0.14, 0.34)

0.20

(−0.001, 0.40)

−0.11

(−0.62, 0.39)

0.07

(−0.22, 0.35)

0.08

(−0.07, 0.24)

Cancer

−0.12

(−0.19, −0.04)

−0.15

(−0.25, −0.06)

−0.06

(−0.20, 0.06)

−0.09

(−0.36, 0.18)

−0.16

(−0.29, −0.03)*

−0.08

(−0.20, 0.02)

−0.17

(−0.43, 0.08)

−0.20

(−0.38, −0.03)*

−0.21

(−0.30, −0.12)

Chronic kidney disease

0.31

(0.22, 0.40)

0.26

(0.15, 0.37)

0.40

(0.24, 0.55)

0.39

(0.09, 0.68)*

0.32

(0.17, 0.48)

0.31

(0.18, 0.44)

0.32

(0.02, 0.62)*

0.22

(0.03, 0.41)*

0.26,

(0.15, 0.36)

Coronary artery disease

−0.13

(−0.21, −0.05)

−0.11

(−0.20, −0.02)*

−0.18

(−0.32, −0.04)*

−0.29

(−0.56, −0.02)*

−0.04

(−0.17, 0.10)

−0.15

(−0.26, −0.04)*

−0.19

(−0.44, 0.05)

−0.25

(−0.43, −0.08)

−0.17

(−0.26, −0.07)

Chronic obstructive pulmonary

disease

−0.07

(−0.17, 0.02)

−0.09

(−0.21, 0.02)

−0.04

(−0.20, 0.12)

−0.09

(−0.38, 0.21)

−0.30

(−0.47, −0.14)

0.08

(−0.05, 0.21)

0.11

(−0.21, 0.44)

−0.16

(−0.35, 0.03)

−0.23

(−0.34, −0.12)

Dementia

−0.22

(−0.35, −0.10)

−0.32

(−0.47, −0.17)

0.02

(−0.20, 0.23)

−0.41

(−0.72, −0.10)*

−0.39

(−0.61, −0.17)

−0.10

(−0.29, 0.08)

0.21

(−0.16, 0.59)

−0.25

(−0.43, −0.06)

0.23

(0.06, 0.40)

Diabetes

−0.06

(−0.14, 0.02)

−0.03

(−0.13, 0.07)

−0.12

(−0.25, 0.01)

−0.24

(−0.49, 0.009)

−0.10

(−0.23, 0.03)

−0.004

(−0.12, 0.12)

0.32

(0.04, 0.60)*

−0.34 (−0.52, −0.16)

−0.12

(−0.21, −0.03)*

Epilepsy

0.47

(0.32, 0.61)

0.61

(0.44, 0.78)

0.20

(−0.03, 0.44)

0.47

(0.16, 0.77)

0.36

(0.14, 0.58)

0.60

(0.37, 0.84)

−0.05

(−0.77, 0.67)

0.13

(−0.23, 0.49)

0.62

(0.46, 0.79)

Heart failure

0.36

(0.27, 0.46)

0.36

(0.25, 0.47)

0.37

(0.20, 0.53)

0.31

(−0.009, 0.63)

0.41

(0.24, 0.58)

0.35

(0.22, 0.48)

0.34

(0.06, 0.61)*

0.47

(0.29, 0.65)

0.20

(0.09, 0.31)

Limb paralysis or amputation

1.78

(1.63, 1.93)

1.81

(1.63, 2.00)

1.79

(1.55, 2.02)

1.59

(1.27, 1.91)

1.93

(1.70, 2.17)

1.77

(1.55, 1.99)

1.57

(1.11, 2.04)

2.54

(2.24, 2.83)

1.44

(1.27, 1.60)

Mood disorder

0.30

(0.22, 0.38)

0.32

(0.23, 0.42)

0.26

(0.12, 0.41)

−0.10

(−0.33, 0.14)

0.20

(0.08, 0.33)

0.44

(0.33, 0.55)

0.38

(0.12, 0.64)

0.42

(0.23, 0.60)

0.15

(0.06, 0.24)

Parkinson’s disease

1.75

(1.63, 1.87)

1.79

(1.63, 1.95)

1.72

(1.53, 1.91)

1.61

(1.25, 1.97)

1.87

(1.69, 2.06)

1.66

(1.46, 1.86)

1.66

(1.09, 2.23)

2.18

(1.89, 2.47)

1.54

(1.41, 1.67)

Peripheral vascular disease

0.03

(−0.10, 0.16)

0.11

(−0.05, 0.27)

−0.10

(−0.31, 0.11)

−0.24

(−0.65, 0.17)

0.01

(−0.21, 0.23)

0.13

(−0.06, 0.31)

0.001

(−0.44, 0.45)

−0.18

(−0.43, 0.06)

−0.03

(−0.18, 0.13)

Psychiatric conditions other than depression and dementia

−0.42

(−0.50, −0.33)

−0.39

(−0.49, −0.29)

−0.46

(−0.62, −0.31)

−0.61

(−0.84, −0.39)

−0.38

(−0.52, −0.24)

−0.35

(−0.48, −0.23)

−0.20

(−0.49, 0.09)

−0.65

(−0.83, −0.46)

−0.39

(−0.48, −0.30)

Stroke

0.46

(0.38, 0.55)

0.48

(0.37, 0.58)

0.45

(0.29, 0.60)

0.39

(0.13, 0.66)

0.48

(0.34, 0.63)

0.45

(0.32, 0.58)

0.56

(0.28, 0.83)

0.68

(0.49, 0.86)

0.35

(0.25, 0.44)

  1. Model 1: Adjusted for resident age, sex, marital status, pre-admission neighborhood income quintile, number of days since admission to long-term care home; includes random intercept for long-term care homes
  2. N/A Not applicable; variable not included in indicated model
  3. Reference: Variable category is the reference group for all other categories within that variable
  4. * p-value <0.05
  5. p-value <0.01
  6. p-value <0.0001