Show simple item record

dc.contributor.authorPastor-Barriuso, Roberto 
dc.contributor.authorPadron-Monedero, Alicia 
dc.contributor.authorParra-Ramirez, Lina M. 
dc.contributor.authorGarcia Lopez, Fernando Jose 
dc.contributor.authorDamian, Javier
dc.identifier.citationBMC Geriatr. 2020 Nov 18;20(1):480.es_ES
dc.description [Datos] [Preprint]
dc.description.abstractBackground: Social engagement (SE) has been consistently shown to improve survival among community-dwelling older people, but the evidence in nursing home residents is inconclusive and prone to short-term reverse causation and confounding by major health determinants. Our main objective was to study the potential causal effect of within-the-facility social engagement (SE) on long-term all-cause mortality in care home residents. Methods: A representative cohort of 382 nursing home residents in Madrid without severe physical and cognitive impairments at baseline was followed up for 10-year all-cause mortality. Standardized mortality curves for residents with low/null, moderate, and high levels of SE at baseline were estimated using Kaplan-Meier methods and spline-based survival models with inverse probability of exposure weights conditional on baseline sociodemographic characteristics, facility features, comorbidity, and disability. Standardized 5-year mortality risks and median survival times were compared across levels of SE. Results: The baseline prevalences of low/null, moderate, and high SE were 36, 44, and 20%, respectively. Compared with residents with low/null SE at baseline, the standardized differences (95% confidence intervals) in 5-year mortality risk were - 2.3% (- 14.6 to 10.0%) for moderately engaged residents and - 18.4% (- 33.8 to - 2.9%) for highly engaged residents. The median survival time increased by 0.4 (- 1.4 to 2.2) and 3.0 (0.8 to 5.2) years, respectively. Conclusion: Residents with high SE within the nursing home had an 18% lower 5-year mortality risk and a 3-year increase in their median survival, as compared with residents with similar health determinants but low/null SE. The development of adequate tailored intervention programs, addressed to increase SE in nursing home residents, could improve their long-term survival, in addition to expected gains in quality of life.es_ES
dc.description.sponsorshipThis work was supported by the Institute of Health Carlos III (Grant PI15CIII00037). The funding body had no role in decisions regarding the design, analysis or interpretation of the present study.es_ES
dc.publisherBioMed Central (BMC) es_ES
dc.subjectCohort studyes_ES
dc.subjectInverse probability weightinges_ES
dc.subjectNursing homeses_ES
dc.subjectSocial engagementes_ES
dc.titleSocial engagement within the facility increased life expectancy in nursing home residents: a follow-up studyes_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III 
dc.identifier.journalBMC Geriatricses_ES
dc.repisalud.centroISCIII::Centro Nacional de Epidemiologíaes_ES
dc.rights.accessRightsopen accesses_ES

Files in this item

Acceso Abierto

This item appears in the following Collection(s)

Show simple item record

Atribución 4.0 Internacional
This item is licensed under a: Atribución 4.0 Internacional