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Memory care reduces nursing home admissions among assisted‐living residents with dementia
Author(s) -
Cornell Portia Y.,
Zhang Wenhan,
Smith Lindsey,
Rahman Momotazur,
Grabowski David C.,
Carder Paula,
Thomas Kali S.
Publication year - 2022
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1002/alz.12513
Subject(s) - medicine , nursing homes , dementia , hazard ratio , assisted living , long term care , assisted living facility , activities of daily living , gerontology , emergency medicine , nursing , disease , confidence interval , physical therapy
Abstract Introduction We compare nursing‐home and hospital admissions among residents with Alzheimer's disease and related dementias (ADRD) in memory‐care assisted living to those in general assisted living. Methods Retrospective study of Medicare beneficiaries with ADRD in large (>25 bed) assisted‐living communities. We compared admission to a hospital, to a nursing home, and long‐term (>90 day) admission to a nursing home between the two groups, using risk differences and survival analysis. Results Residents in memory‐care assisted living had a lower adjusted risk of hospitalization (risk difference = −1.8 percentage points [ P = .014], hazard ratio = 0.93 [0.87–1.00]), a lower risk of nursing‐home admission (risk difference = −2.2 percentage points [ P < .001], hazard ratio = 0.87 [−.79–0.95]), and a lower risk of a long‐term nursing home admission (risk difference = −1.1 percentage points [ P < .001], hazard ratio = 0.71 [0.57–0.88]). Discussion Memory care is associated with reduced rates of nursing‐home placement, particularly long‐term stays, compared to general assisted living.