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Table 2 Mortality risk factor estimates using cox regression models for NH residents with advanced cognitive impairment

From: Advanced cognitive impairment among older nursing home residents

 

All (N = 29,058)

 

AD Mean (95 % CI)

ADRD Mean (95 % CI)

Socio-demographics

 Age: 75–84

1.326** (1.229–1.432)

1.258** (1.186–1.335)

 Age: 85–94

1.705** (1.579–1.841)

1.578** (1.488–1.674)

 Age: 95+

2.158** (1.931–2.413)

1.840** (1.702–1.988)

 Married (= 1)

1.135** (1.084–1.189)

1.128** (1.088–1.170)

 Am. Ind. or Alaskan

1.278 (0.961–1.699)

0.900 (0.640–1.266)

 Asian

0.746** (0.614–0.906)

0.608** (0.541–0.683)

 African American

0.789** (0.731–0.852)

0.762** (0.722–0.804)

 Hispanic

0.698** (0.631–0.772)

0.679** (0.629–0.732)

 Native Haw./Pac.Isl

0.83 (0.567–1.216)

0.752* (0.571–0.990)

Comorbidities

 Type 2 Diabetes

1.107** (1.051–1.167)

1.122** (1.081–1.164)

 Stroke

1.080* (1.012–1.152)

0.974 (0.935–1.014)

 Hypertension

1.022 (0.974–1.073)

1.028 (0.990–1.068)

 Depression

0.952* (0.912–0.994)

0.960* (0.929–0.992)

 Heart Failure

1.240** (1.164–1.322)

1.262** (1.207–1.320)

 COPD

1.133** (1.061–1.209)

1.135** (1.082–1.190)

Functional Status (ADL 3+):

 Difficulties…

  Walking

1.053 (0.970–1.142)

1.143** (1.071–1.221)

  Eating

1.277** (1.217–1.341)

1.313** (1.265–1.361)

  Bed mobility

1.074 (0.982–1.175)

1.089* (1.005–1.180)

  Transfer

1.106 (0.996–1.229)

1.025 (0.932–1.126)

   Locomotion

1.086* (1.008–1.169)

1.056 (0.997–1.119)

  Dressing

1.02 (0.902–1.153)

1.007 (0.915–1.108)

  Toilet

0.97 (0.853–1.103)

1.036 (0.938–1.145)

  Hygiene

1.032 (0.923–1.155)

0.988 (0.909–1.073)

 Other conditions

  Bowel incontinence

1.071 (0.995–1.153)

1.048 (0.990–1.110)

  Urinary incontinence

1.046 (0.934–1.172)

1.066 (0.976–1.163)

  Shortness of breath

1.651*** (1.484–1.838)

1.539** (1.437–1.648)

  Pneumonia

1.289** (1.157–1.437)

1.185** (1.105–1.271)

  Urinary Tract Infection

1.024 (0.961–1.091)

1.096** (1.048–1.146)

   Hip fracture

0.906* (0.828–0.992)

0.947 (0.882–1.016)

  Weight Loss

1.311*** (1.230–1.397)

1.345** (1.285–1.408)

  1. Note: *, and ** denotes coefficient significance at the 0.05, or 0.01 levels, respectively. Robust standard errors reported in brackets. Weight loss is recorded if the resident lost > 5 % of his or her weight last month or > 10 % in 6 months
  2. Abbreviations: AD Alzheimer’s disease, ADRD related dementias, ADL activities of daily living, COPD chronic obstructive pulmonary disease, NH nursing home