Korean J Adult Nurs.  2017 Feb;29(1):98-107. 10.7475/kjan.2017.29.1.98.

Geriatric Syndrome and Mortality among Community-dwelling Older Adults in Korea: 3-year Follow-up Study

• Lee SE
• Hong GR

• KMID: 2406340
• DOI: http://doi.org/10.7475/kjan.2017.29.1.98

Abstract

PURPOSE
The purpose of this study was to investigate the effect of geriatric syndrome on mortality among community-dwelling older adults in Korea.
METHODS
Data were obtained from the Actual Living Condition of the Elderly and Welfare Need Survey, with a baseline study in 2008 and a 3-year follow-up of mortality data. The mortality risk was measured using the hierarchical Cox proportional hazard model.
RESULTS
In Cox regression analysis, male (Hazard Ratio [HR], 2.53; 95% Confidence Interval [CI], 2.12~3.01), old age (HR, 2.14; 95% CI, 1.82~2.53), low education level (HR, 1.31; 95% CI, 1.04~1.65), limitation in instrumental activities of daily living (HR, 1.91; 95% CI, 1.60~2.28), depressive symptoms (HR, 1.21; 95% CI, 1.01~1.43), and frailty (HR, 2.32; 95% CI, 1.78~3.03) significantly affected mortality risk.
CONCLUSION
Based on the results of this study, nursing intervention programs should be provided to decrease preventable death in older adults.

MeSH Terms

Activities of Daily Living
Adult*
Aged
Depression
Education
Follow-Up Studies*
Humans
Korea*
Male
Mortality*
Nursing
Proportional Hazards Models
Social Conditions

Figure

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  Figure 1. Conceptual framework of this study.

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  Figure 2. Flow diagram of study participants.

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  Figure 3. Kaplan-Meier survival curves for frail.

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