TY  - JOUR
PY  - 2014//
TI  - Prevalence and Correlates of Hearing and Visual Impairments in European Nursing Homes: Results From the SHELTER Study
JO  - Journal of the American Medical Directors Association
A1  - Yamada, Yukari
A1  - Vlachova, Martina
A1  - Richter, Tomas
A1  - Finne-Soveri, Harriet
A1  - Gindin, Jacob
A1  - van der Roest, Henriëtte
A1  - Denkinger, Michael D.
A1  - Bernabei, Roberto
A1  - Onder, Graziano
A1  - Topinková, Eva
SP  - 738
EP  - 743
VL  - 15
IS  - 10
N2  - BACKGROUND: Visual and hearing impairments are known to be related to functional disability, cognitive impairment, and depression in community-dwelling older people. The aim of this study was to examine the prevalence of sensory impairment in nursing home residents, and whether sensory impairment is related to other common clinical problems in nursing homes, mediated by functional disability, cognitive impairment, and depressive symptoms. <br><br>METHODS: Cross-sectional data of 4007 nursing home residents in 59 facilities in 8 countries from the SHELTER study were analyzed. Visual and hearing impairments were assessed by trained staff using the interRAI instrument for Long-Term Care Facilities. Generalized linear mixed models adjusted for functional disability, cognitive impairment, and depressive symptoms were used to analyze associations of sensory impairments with prevalence of clinical problems, including behavioral symptoms, incontinence, fatigue, falls, problems with balance, sleep, nutrition, and communication. <br><br>RESULTS: Of the participants, 32% had vision or hearing impairment (single impairment) and another 32% had both vision and hearing impairments (dual impairment). Residents with single impairment had significantly higher rates of communication problems, fatigue, balance problems, and sleep problems, as compared with residents without any sensory impairment. Those with dual impairment had significantly higher rates of all clinical problems assessed in this study as compared with those without sensory impairment. For each clinical problem, the magnitude of the odds ratio for specific clinical problems was higher for dual impairment than for single impairment. <br><br>CONCLUSION: Visual and hearing impairments are associated with higher rates of common clinical problems among nursing home residents, independent of functional disability, cognitive impairment, and depressive symptoms.<p /> <p>Language: en</p>
LA  - en
SN  - 1525-8610
UR  - http://dx.doi.org/10.1016/j.jamda.2014.05.012
ID  - ref1
ER  -