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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dc.identifier.citationThis article is a preprint and has not been certified by peer review. It reports new research that has yet to be evaluated and so should not be used to guide clinical practice.es_ES
dc.description [Dataset] [Article]
dc.description.abstractSocial 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. 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 cumulative 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. The baseline prevalences of low/null, moderate, and high SE were 36.0%, 44.2%, and 19.8%, respectively. A total of 268 residents died during 2,305 person-years of follow-up. 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. Residents with high SE within the nursing home had substantially lower mortality risk and longer median survival than residents with similar health determinants but low/null SE. The development of intervention programs, aimed at increasing SE among nursing home residents, could improve their long-term survival with an inherent gain in quality of life.es_ES
dc.description.sponsorshipThis work was supported by the Institute of Health Carlos III (Grant PI15CIII00037). The funding agencies had no role in study design, data analysis, interpretation of results, manuscript preparation, or in the decision to submit this manuscript for publicationes_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 [preprint]es_ES
dc.rights.licenseAtribución-NoComercial-CompartirIgual 4.0 Internacional*
dc.contributor.funderInstituto de Salud Carlos III 
dc.repisalud.centroISCIII::Centro Nacional de Epidemologíaes_ES

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Atribución-NoComercial-CompartirIgual 4.0 Internacional
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