Cp.46 Nonagenarian’S Risk Profile For Living In A Nursing Home. The Nonasantfeliu Study

Author(s): 
A. Ferrer1, F. Formiga2, E. Duaso2, I. Lombarte1, E. Henríquez1
1 Primary Health Care centre “El Plà” st Feliu Llobregat, Barcelona, Spain
2 Geriatric Unit, Internal Medicine Service Hospital Bellvitge, Barcelona, Spain
Text: 
Objectives.
To describe in a cross-sectional study differentials characteristic between a group of inhabitants, greater than 89 years-old institutionalised, with those of the same age in the community, and to identify a profile of nonagenarians with high risk of living in nursing home.
Material and Methods.
One hundred and eighty six nonagenarians were studied: 137 (74%) were living in their home and 49 (26%) in nursing home. Socio-demographic data, ability to perform basic daily activities with Barthel Index (BI) or instrumental activities with Lawton Brody Index (LI), cognition with Spanish version of Mini-Mental State Examination (MEC) and co-morbidity (Charlson Index) were evaluated. Cardiovascular risk factors, dementia, and other diseases were also studied. Multiple regression analysis was performed, adjusted odds ratio (OR) with 95% confidence interval (CI) were used.
Results.
There were 143 women (76.5%) with mean age of 93.06 years (3.15). In bivariate analysis predominance of women (p = 0.02), unmarried (p = 0.0005), with worse LI (p = 0.0001), BI (p = 0.0005), cognition (MEC p = 0.002) and greater consumption of drugs (p = 0.02) too was observed in nonagenarian’s residence. The multivariate analysis point out the features of being single (OR 0.109, 95% CI 0.035), lower IL (OR 1.475, 95% CI 1.556-1.881) and higher number of drugs used (OR 0.840, 95% CI 0.726-0.973) as independent factors to live in nursing home.
Conclusions.
The results suggest a risk profile to live in nursing home formed by the combination of to be unmarried, to have a low score in instrumental activities and polypharmacy.
Literature: 
CP.46 NONAGENARIAN’S RISK PROFILE FOR LIVING IN A NURSING HOME. THE NONASANTFELIU STUDY