University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Magee-Womens Research Institute, Pittsburgh, PA, USA.
University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA.
J Am Med Dir Assoc. 2022 Nov;23(11):1878-1882.e3. doi: 10.1016/j.jamda.2022.07.027. Epub 2022 Sep 3.
To compare characteristics of nursing home (NH) residents by age categories in Western Canada.
A cross-sectional, correlational analysis of secondary data.
89,231 residents living in Western Canada NHs in the provinces of Alberta, Manitoba, and British Columbia in 2016 and 2017.
Resident characteristics (age, sex, marital status, body mass index, medical diagnoses, cognitive function, physical function, depressive symptoms) came from the Resident Assessment Instrument-Minimum Data Set 2.0 and were analyzed using chi-square, analysis of variance, and post hoc pairwise tests. Human developmental stage age categories were used to create 5 age groups: 18-34, 35-50, 51-64, 65-80, and 81 years and older.
The demographics, medical diagnoses, cognitive function, and physical function characteristics of NH residents among 5 age groups differed considerably (all P < .001). Residents aged 18-34 years were predominately male, never married, with a higher incidence of paralysis and traumatic brain injury. Residents aged 35-50 years had a higher incidence of stroke and multiple sclerosis, and residents aged 51-64 years mainly were morbidly obese and more prone to depression. Residents aged 65-80 years were predominately married and more prone to diabetes, and residents aged 81 years and older were predominately widowed, with a higher incidence of dementia compared with others.
Findings describe the uniqueness of younger NH age groups and indicate that the youngest NH residents often have the severe disability and a modest support system (as defined by partnered status) compared to older residents in NHs. Future studies must analyze longitudinal data that track the growth of, and changes in, residents' health and functional status.
比较加拿大西部不同年龄段养老院（NH）居民的特征。
对二次数据的横断面、相关性分析。
2016 年和 2017 年，居住在艾伯塔省、马尼托巴省和不列颠哥伦比亚省的加拿大西部 NH 中的 89231 名居民。
居民特征（年龄、性别、婚姻状况、体重指数、医疗诊断、认知功能、身体功能、抑郁症状）来自居民评估工具-最低数据集中的 2.0 版，并使用卡方检验、方差分析和事后两两检验进行分析。人类发展阶段年龄类别被用来创建 5 个年龄组：18-34 岁、35-50 岁、51-64 岁、65-80 岁和 81 岁及以上。
5 个年龄组的 NH 居民的人口统计学、医疗诊断、认知功能和身体功能特征差异很大（均 P <.001）。18-34 岁的居民主要是男性，未婚，瘫痪和创伤性脑损伤的发病率较高。35-50 岁的居民中风和多发性硬化症的发病率较高，51-64 岁的居民主要是病态肥胖，更容易抑郁。65-80 岁的居民主要是已婚，更容易患糖尿病，81 岁及以上的居民主要是丧偶，与其他人群相比，痴呆症的发病率更高。
研究结果描述了年轻 NH 年龄组的独特性，并表明与 NH 中的老年居民相比，最年轻的 NH 居民通常具有严重的残疾和适度的支持系统（如婚姻状况所定义）。未来的研究必须分析跟踪居民健康和功能状态的增长和变化的纵向数据。
