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Association between subjective memory complaints and nursing home placement: a four-year follow-up
- Authors:
- BOCH WALDORFF Frans, SIERSMA Volkert, WALDEMAR Gunhild
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(6), June 2009, pp.602-609.
- Publisher:
- Wiley
In order to evaluate whether elderly persons with subjective memory complaints may be regarded as a group of potentially vulnerable patients who need close follow-up, the authors investigated the risk of nursing home placement during a 4-year follow-up period. A prospective cohort survey was carried out. Cox proportional hazard models were used to examine the influence of risk factors on nursing home placement. Results showed that a total of 758 non-nursing home residents aged 65 years and older consulted the General Practitioners in October and November 2002, of whom 50 nursing home placements were observed. Subjective memory complaints were associated with an adjusted Hazard Ratio (HR) of 2.59 for nursing home placement. Other statistical significant covariates were MMSE < 24 (HR = 3.95), age and extreme anxiety/depression. The effect of subjective memory complaints is seen to moderate when subjects are older. The authors conclude that the data of this study indicated that in an elderly primary care population the presence of subjective memory complaints was a significant independent predictor for nursing home placement together with other known risk factors.