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Approaching person-centered long-term care: The trajectories of intrinsic capacity and functional decline in Taiwan.
Chen, Jia-Jen; Liu, Li-Fan; Chang, Sheng-Mao.
Afiliación
  • Chen JJ; Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan City, Taiwan.
  • Liu LF; Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan City, Taiwan.
  • Chang SM; Department of Statistics, National Taipei University, Taipei City, Taiwan.
Geriatr Gerontol Int ; 22(7): 516-522, 2022 Jul.
Article en En | MEDLINE | ID: mdl-35633201
AIM: To examine the longitudinal trajectory of intrinsic capacity over a 3-year period among long-term care recipients in Taiwan, its association with functional decline and the onset of severe dependency. METHODS: A total of 9448 individuals aged ≥50 years utilizing home and community-based long-term care services with complete data from three separate evaluations in Taiwan were included in the study. We carried out a latent class linear mixed model to identify heterogeneous patterns of intrinsic capacity over time, a mixed-effects model to investigate their impact on activities of daily living and a Kaplan-Meier analysis to examine the onset year of severe dependency among different intrinsic capacity classes. RESULTS: The results identified four classes sharing similar longitudinal the intrinsic capacity trajectories: "high-stable" (20.13%), "normal-stable" (40.58%), "sensory-dysfunction" (29.53%) and "all-dysfunction" (9.76%). Individuals with predisposing characteristics were associated with lower activities of daily living, with the exception of age and education level. In addition, the poor intrinsic capacity class (b from -16.94 to -6.61, P < 0.001) had a worse evolution in terms of activity of daily living scores, and was associated with an earlier onset of severe dependency in 2.5 years in the all-dysfunction class. CONCLUSIONS: Heterogeneous patterns of intrinsic capacity that delay further functional decline are promising markers of function trajectories for a person-centered care approach in long-term care services. Targeting the needs of intrinsic capacity groups to prevent functional decline offer insights into: (i) strengthening function-centered care modalities to delay severe dependency as individuals get older; and (ii) validating regular monitoring intrinsic capacity as an early warning system to achieve healthy aging. Geriatr Gerontol Int 2022; 22: 516-522.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados a Largo Plazo / Envejecimiento Saludable Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Geriatr Gerontol Int Año: 2022 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Japón

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados a Largo Plazo / Envejecimiento Saludable Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Geriatr Gerontol Int Año: 2022 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Japón