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Gender-related ADL performance of old people recently admitted to a Swiss nursing home. A cross-sectional study.
Swiss Med Wkly. 2011; 141:w13183.SM

Abstract

QUESTIONS UNDER STUDY

The aim of this paper was to establish gender-specific associations between the characteristics of residents recently admitted to Swiss nursing homes (NH) and their activities of daily living (ADL) performance.

METHODS

A sample of 17'331 NH residents living in 90 Swiss NHs received a Resident Assessment Instrument Minimum Data Set (RAI-MDS) shortly after NH entry, in the period from 1997 to 2007. ADL performance was assessed using the MDS-ADL long-form scale that measures self-performance in the seven following tasks: bed mobility, transfer, locomotion, dressing, eating, toilet use and personal hygiene. Associations between ADL performance and health and personal characteristics of the residents were then investigated using bivariate and multivariate analyses.

RESULTS

A total of 40% of the residents recently admitted to Swiss NHs were completely dependent for ADL. Absence of physical activity and having been admitted to a NH before 2003 were gender-specific variables associated with poorer ADL. Incontinence, poor balance, impaired cognition and vision as well as low BMI were important factors associated with poorer ADL performance in both genders.

CONCLUSION

The general scheme of ADL impairment was quite similar for both genders, but females tended to do slightly but significantly better than males. Overall, strategies improving balance, continence, cognition and sensory function including treatment of vision impairment, promoting healthy nutrition as well as physical activity--particularly among elderly women with musculoskeletal conditions--may facilitate care in recently admitted residents and/or delay NH admission.

Authors+Show Affiliations

Physical Therapy Department, University of Applied Sciences Western Switzerland, Geneva, Switzerland. elisabeth.burge@hesge.chNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21528463

Citation

Bürge, Elisabeth, et al. "Gender-related ADL Performance of Old People Recently Admitted to a Swiss Nursing Home. a Cross-sectional Study." Swiss Medical Weekly, vol. 141, 2011, pp. w13183.
Bürge E, Berchtold A, von Gunten A. Gender-related ADL performance of old people recently admitted to a Swiss nursing home. A cross-sectional study. Swiss Med Wkly. 2011;141:w13183.
Bürge, E., Berchtold, A., & von Gunten, A. (2011). Gender-related ADL performance of old people recently admitted to a Swiss nursing home. A cross-sectional study. Swiss Medical Weekly, 141, w13183. https://doi.org/10.4414/smw.2011.13183
Bürge E, Berchtold A, von Gunten A. Gender-related ADL Performance of Old People Recently Admitted to a Swiss Nursing Home. a Cross-sectional Study. Swiss Med Wkly. 2011;141:w13183. PubMed PMID: 21528463.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gender-related ADL performance of old people recently admitted to a Swiss nursing home. A cross-sectional study. AU - Bürge,Elisabeth, AU - Berchtold,André, AU - von Gunten,Armin, Y1 - 2011/04/29/ PY - 2011/4/30/entrez PY - 2011/4/30/pubmed PY - 2011/7/30/medline SP - w13183 EP - w13183 JF - Swiss medical weekly JO - Swiss Med Wkly VL - 141 N2 - QUESTIONS UNDER STUDY: The aim of this paper was to establish gender-specific associations between the characteristics of residents recently admitted to Swiss nursing homes (NH) and their activities of daily living (ADL) performance. METHODS: A sample of 17'331 NH residents living in 90 Swiss NHs received a Resident Assessment Instrument Minimum Data Set (RAI-MDS) shortly after NH entry, in the period from 1997 to 2007. ADL performance was assessed using the MDS-ADL long-form scale that measures self-performance in the seven following tasks: bed mobility, transfer, locomotion, dressing, eating, toilet use and personal hygiene. Associations between ADL performance and health and personal characteristics of the residents were then investigated using bivariate and multivariate analyses. RESULTS: A total of 40% of the residents recently admitted to Swiss NHs were completely dependent for ADL. Absence of physical activity and having been admitted to a NH before 2003 were gender-specific variables associated with poorer ADL. Incontinence, poor balance, impaired cognition and vision as well as low BMI were important factors associated with poorer ADL performance in both genders. CONCLUSION: The general scheme of ADL impairment was quite similar for both genders, but females tended to do slightly but significantly better than males. Overall, strategies improving balance, continence, cognition and sensory function including treatment of vision impairment, promoting healthy nutrition as well as physical activity--particularly among elderly women with musculoskeletal conditions--may facilitate care in recently admitted residents and/or delay NH admission. SN - 1424-3997 UR - https://www.unboundmedicine.com/medline/citation/21528463/Gender_related_ADL_performance_of_old_people_recently_admitted_to_a_Swiss_nursing_home__A_cross_sectional_study_ L2 - https://doi.emh.ch/10.4414/smw.2011.13183 DB - PRIME DP - Unbound Medicine ER -