Asian Nurs Res.  2014 Jun;8(2):143-149.

Predictive Factors associated with Death of Elderly in Nursing Homes

• Sung K

Abstract

PURPOSE
An increasing elderly population reflects a great need for readily accessible, clinically useful methods to identify mortality-related factors in nursing home residents. The purpose of this study was to identify factors associated with the deaths of nursing home residents.
METHODS
Data was collected from a Minimal Data Set of 195 elderly nursing home residents, followed by analysis of demographic factors, disease and nursing condition factors, Activities of Daily Living (ADL), cognitive function, behavioral patterns, and dysfunctional status.
RESULTS
Major factors associated with death among nursing home residents were identified as dyspnea (odds ratio [OR] = 4.88), problematic behaviors (OR = 3.95), and ADL (OR = 3.61). These variables accounted for 31.1% of the variance in death.
CONCLUSION
Dyspnea, problematic behaviors, and ADL data were identified as the key factors associated with death among nursing home residents. Future plans for the prediction of death among nursing home residents can be made by nursing staff, factoring in these identified variables, to ensure more comfortable conditions and more responsive care.

Keyword

activities of daily living; death; nursing homes

MeSH Terms

Activities of Daily Living
Aged
Aged, 80 and over
Dyspnea/mortality
Female
Homes for the Aged/*statistics & numerical data
Humans
Long-Term Care/*statistics & numerical data
Male
Mortality/*trends
Nursing Homes/*statistics & numerical data
Republic of Korea/epidemiology
Retrospective Studies
Risk Assessment/methods
Risk Factors
Social Behavior Disorders/mortality