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 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 Boele... Mehr ...

Verfasser: Gobbens RJJ
van der Ploeg T
Dokumenttyp: Artikel
Erscheinungsdatum: 2020
Reihe/Periodikum: Clinical Interventions in Aging, Vol Volume 15, Pp 1897-1906 (2020)
Verlag/Hrsg.: Dove Medical Press
Schlagwörter: disability / mortality / community-dwelling older people / activities of daily living / Geriatrics / RC952-954.6
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-28985822
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doaj.org/article/37442e8f119b417abf3d5977e9a66878

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 ...