The Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People

Robbert JJ Gobbens,1– 3 Tjeerd van der Ploeg4 1Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, the Netherlands; 2Zonnehuisgroep Amstelland, Amstelveen, the Netherlands; 3Department of Primary and Interdisciplinary Care, Faculty of Medicine an...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Gobbens RJJ, van der Ploeg T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	disability mortality community-dwelling older people activities of daily living Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/37442e8f119b417abf3d5977e9a66878
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:37442e8f119b417abf3d5977e9a66878
record_format	dspace
spelling	oai:doaj.org-article:37442e8f119b417abf3d5977e9a668782021-12-02T12:22:21ZThe Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People1178-1998https://doaj.org/article/37442e8f119b417abf3d5977e9a668782020-10-01T00:00:00Zhttps://www.dovepress.com/the-prediction-of-mortality-by-disability-among-dutch-community-dwelli-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Robbert JJ Gobbens,1– 3 Tjeerd van der Ploeg4 1Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, the Netherlands; 2Zonnehuisgroep Amstelland, Amstelveen, the Netherlands; 3Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; 4Faculty of Engineering, Design and Computer Technology, Inholland University of Applied Sciences, Alkmaar, the NetherlandsCorrespondence: Robbert JJ GobbensFaculty of Health, Sports and Social Work, Inholland University of Applied Sciences, De Boelelaan 1109, Amsterdam 1081 HV, the NetherlandsTel +31 6 21115578Email robbert.gobbens@inholland.nlObjective: To predict mortality by disability in a sample of 479 Dutch community-dwelling people aged 75 years or older.Methods: A longitudinal study was carried out using a follow-up of seven years. The Groningen Activity Restriction Scale (GARS), a self-reported questionnaire with good psychometric properties, was used for data collection about total disability, disability in activities in daily living (ADL) and disability in instrumental activities in daily living (IADL). The mortality dates were provided by the municipality of Roosendaal (a city in the Netherlands). For analyses of survival, we used Kaplan–Meier analyses and Cox regression analyses to calculate hazard ratios (HR) with 95% confidence intervals (CI).Results: All three disability variables (total, ADL and IADL) predicted mortality, unadjusted and adjusted for age and gender. The unadjusted HRs for total, ADL and IADL disability were 1.054 (95%-CI: [1.039;1.069]), 1.091 (95%-CI: [1.062;1.121]) and 1.106 (95%-CI: [1.077;1.135]) with p-values < 0.001, respectively. The AUCs were < 0.7, ranging from 0.630 (ADL) to 0.668 (IADL). Multivariate analyses including all 18 disability items revealed that only “Do the shopping” predicted mortality. In addition, multivariate analyses focusing on 11 ADL items and 7 IADL items separately showed that only the ADL item “Get around in the house” and the IADL item “Do the shopping” significantly predicted mortality.Conclusion: Disability predicted mortality in a seven years follow-up among Dutch community-dwelling older people. It is important that healthcare professionals are aware of disability at early stages, so they can intervene swiftly, efficiently and effectively, to maintain or enhance the quality of life of older people.Keywords: disability, mortality, community-dwelling older people, activities of daily livingGobbens RJJvan der Ploeg TDove Medical Pressarticledisabilitymortalitycommunity-dwelling older peopleactivities of daily livingGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1897-1906 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	disability mortality community-dwelling older people activities of daily living Geriatrics RC952-954.6
spellingShingle	disability mortality community-dwelling older people activities of daily living Geriatrics RC952-954.6 Gobbens RJJ van der Ploeg T The Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People
description	Robbert JJ Gobbens,1– 3 Tjeerd van der Ploeg4 1Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, the Netherlands; 2Zonnehuisgroep Amstelland, Amstelveen, the Netherlands; 3Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; 4Faculty of Engineering, Design and Computer Technology, Inholland University of Applied Sciences, Alkmaar, the NetherlandsCorrespondence: Robbert JJ GobbensFaculty of Health, Sports and Social Work, Inholland University of Applied Sciences, De Boelelaan 1109, Amsterdam 1081 HV, the NetherlandsTel +31 6 21115578Email robbert.gobbens@inholland.nlObjective: To predict mortality by disability in a sample of 479 Dutch community-dwelling people aged 75 years or older.Methods: A longitudinal study was carried out using a follow-up of seven years. The Groningen Activity Restriction Scale (GARS), a self-reported questionnaire with good psychometric properties, was used for data collection about total disability, disability in activities in daily living (ADL) and disability in instrumental activities in daily living (IADL). The mortality dates were provided by the municipality of Roosendaal (a city in the Netherlands). For analyses of survival, we used Kaplan–Meier analyses and Cox regression analyses to calculate hazard ratios (HR) with 95% confidence intervals (CI).Results: All three disability variables (total, ADL and IADL) predicted mortality, unadjusted and adjusted for age and gender. The unadjusted HRs for total, ADL and IADL disability were 1.054 (95%-CI: [1.039;1.069]), 1.091 (95%-CI: [1.062;1.121]) and 1.106 (95%-CI: [1.077;1.135]) with p-values < 0.001, respectively. The AUCs were < 0.7, ranging from 0.630 (ADL) to 0.668 (IADL). Multivariate analyses including all 18 disability items revealed that only “Do the shopping” predicted mortality. In addition, multivariate analyses focusing on 11 ADL items and 7 IADL items separately showed that only the ADL item “Get around in the house” and the IADL item “Do the shopping” significantly predicted mortality.Conclusion: Disability predicted mortality in a seven years follow-up among Dutch community-dwelling older people. It is important that healthcare professionals are aware of disability at early stages, so they can intervene swiftly, efficiently and effectively, to maintain or enhance the quality of life of older people.Keywords: disability, mortality, community-dwelling older people, activities of daily living
format	article
author	Gobbens RJJ van der Ploeg T
author_facet	Gobbens RJJ van der Ploeg T
author_sort	Gobbens RJJ
title	The Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People
title_short	The Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People
title_full	The Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People
title_fullStr	The Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People
title_full_unstemmed	The Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People
title_sort	prediction of mortality by disability among dutch community-dwelling older people
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/37442e8f119b417abf3d5977e9a66878
work_keys_str_mv	AT gobbensrjj thepredictionofmortalitybydisabilityamongdutchcommunitydwellingolderpeople AT vanderploegt thepredictionofmortalitybydisabilityamongdutchcommunitydwellingolderpeople AT gobbensrjj predictionofmortalitybydisabilityamongdutchcommunitydwellingolderpeople AT vanderploegt predictionofmortalitybydisabilityamongdutchcommunitydwellingolderpeople
_version_	1718394447320842240

The Prediction of Mortality by Disability Among Dutch Community-Dwelling Older People

Ejemplares similares