OBJECTIVES: To develop and validate a clinical prediction rule for nursing home residence 6 months after a @entity173 . DESIGN: Two prospective cohort studies, a development study (DS) and a validation study (VS). SETTING: The DS included @entity173 @entity1 admitted to 92 rehabilitation units or skilled nursing facilities; the VS included @entity173 @entity1 from 11 integrated healthcare systems. @entity1 : A total of 344 community-dwelling @entity173 @entity1 aged 65 and older participated in the DS; 239 similar @entity1 were enrolled in the VS. INTERVENTION: None. MEASUREMENTS: The acute hospital record, nursing evaluations, and @entity1 questionnaires provided information about demographics, physical and neuropsychological function, and comorbidity. Residence 6 months after @entity174 was determined by phone interview. Multivariate analysis identified predictors for a risk score to assess the likelihood of nursing home residence. RESULTS: 18.7% of @entity1 in the DS resided in nursing homes 6 months after @entity173 . The four independent risk factors for institutionalization were (1) being unmarried ( @entity38690 [95% CI 2.4 to 19]), (2) @entity322 (OR = 2.3 [CI 1.2 to 4.7]), (3) @entity734 in ambulation (OR = 5.0 [CI 2.1 to 12.3]), and (4) @entity73 ( @entity27894 [CI 3.3 to 13.2]). Of @entity1 with all four risk factors, 73.2% were institutionalized at 6 months, compared with 0% of @entity1 with no risk factors. In the VS, 6.1% of @entity1 resided in nursing homes after 6 months, with a range from 50.0% of @entity1 with four risk factors to 0% of those with no risk factors. Areas under receiver-operating characteristic curves for the prediction rule were 0.84 +/- .03 in the DS, and 0.81 +/- .06 in the VS. CONCLUSION: A clinical prediction rule using four easily measurable characteristics can identify individuals at high or low risk of nursing home residence 6 months after @entity173 .

Development and validation of a clinical prediction rule for prolonged nursing home residence after XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'PARTICIPANTS'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity73 :: ('MESH:D003072', 'Disease') :: ['cognitive impairment'] @entity38690 :: ('26701', 'Gene') :: ['OR = 6.7'] @entity27894 :: ('442186', 'Gene') :: ['OR = 6.6'] @entity173 :: ('MESH:D006620', 'Disease') :: ['hip fracture'] @entity734 :: ('MESH:D019966', 'Disease') :: ['dependence']
@entity173 :: (MESH:D006620,Disease) :: ['hip fracture']
