From: Physical frailty and cognitive impairment in older nursing home residents: a latent class analysis
Moderate physical frailty subgroup (vs. Mild physical frailty subgroup) | Severe physical frailty subgroup (vs. Mild physical frailty subgroup) | |||
---|---|---|---|---|
aOR | 95%CI | aOR | 95%CI | |
Cognitive impairment (ref: none/mild) | ||||
Moderate | 1.01 | (0.99–1.03) | 2.41 | (2.35–2.47) |
Severe | 1.03 | (1.01–1.05) | 5.74 | (5.58–5.90) |
Age (ref: 65 - < 75 years) | ||||
75 - < 85 years | 1.55 | (1.52–1.58) | 1.51 | (1.47–1.54) |
85 and over years | 2.53 | (2.48–2.59) | 2.45 | (2.38–2.51) |
Female (ref: male) | 1.35 | (1.32–1.37) | 1.10 | (1.08–1.13) |
Racial/ethnic minority (ref: non-Hispanic white) | 0.76 | (0.74–0.78) | 1.84 | (1.80–1.89) |
Rural nursing homes (ref: urban) | 0.66 | (0.65–0.67) | 0.34 | (0.33–0.35) |
Admission source (ref: community) | ||||
Acute hospital | 4.39 | (4.31–4.48) | 23.46 | (23.62–25.33) |
Otherb | 1.34 | (1.31–1.37) | 6.82 | (6.58–7.06) |
Active diagnosis (ref: without the diagnosis) | ||||
Cancer | 1.11 | (1.07–1.14) | 1.12 | (1.08–1.16) |
Heart failure | 1.46 | (1.43–1.50) | 1.35 | (1.31–1.38) |
Hypertension | 1.06 | (1.04–1.08) | 0.96 | (0.94–0.98) |
Diabetes Mellitus | 1.30 | (1.28–1.33) | 1.28 | (1.26–1.31) |
Cerebrovascular Accident/Transient Ischemic Attack/Stroke | 1.47 | (1.42–1.51) | 4.97 | (4.81–5.13) |
Multiple Sclerosis | 6.60 | (5.41–8.05) | 12.45 | (10.09–15.36) |
Parkinson’s Disease | 2.57 | (2.46–2.68) | 4.87 | (4.65–5.10) |
Seizure disorder or Epilepsy | 1.12 | (1.08–1.16) | 2.02 | (1.94–2.11) |
Arthritis | 1.26 | (1.24–1.28) | 0.95 | (0.93–0.99) |
Osteoporosis | 1.06 | (1.04–1.09) | 0.97 | (0.93–1.00) |
Hip fracture | 8.20 | (7.29–9.22) | 13.35 | (11.87–15.01) |
Other fracture | 3.87 | (3.67–4.09) | 3.24 | (3.06–3.44) |
Asthma/Chronic Obstructive Pulmonary Disease/Chronic Lung Disease | 0.96 | (0.94–0.97) | 1.00 | (0.98–1.02) |
Anxiety disorder | 0.91 | (0.89–0.93) | 0.87 | (0.84–0.89) |
Depression | 1.04 | (1.02–1.07) | 1.04 | (1.01–1.07) |
Any presence of pain (ref: no presence) | 1.74 | (1.71–1.77) | 1.57 | (1.54–1.60) |
Psychotropic medications received in past 7 days or since admission (ref: did not receive) | ||||
Antipsychotics | 0.64 | (0.63–0.66) | 0.61 | (0.60–0.62) |
Antianxiety | 1.05 | (1.02–1.07) | 1.20 | (1.17–1.23) |
Antidepressant | 1.14 | (1.12–1.16) | 1.10 | (1.07–1.12) |