Research Five-year risk of admission to long-term care home and death for older adults given a new diagnosis of #dementia: a population-based retrospective cohort study

After diagnosis of a health condition, information about survival and potential transition from community into institutional care can be helpful for patients and care providers. We sought to describe the association between a new diagnosis of dementia and risk of admission to a long-term care home and death at 5 years..

..age ≥ 90 yr; odds ratio [OR] 9.5, 95% confidence interval [CI] 8.8–10.2 [reference: age 65–69 yr]), male sex (OR 1.7, 95% CI 1.6–1.7), and the presence of organ failure, including chronic obstructive pulmonary disease (OR 1.7, 95% CI 1.7–1.8), congestive heart failure (OR 2.0, 95% CI 1.9–2.0) and renal failure (OR 1.7, 95% CI 1.6–1.8). Groups formed by combinations of these 3 factors had an observed 5-year risk of death varying between 22% and 91%.

INTERPRETATION: Among community-dwelling older adults with newly identified dementia in Ontario, the majority died or were admitted to a long-term care home within 5 years. This information may be helpful for discussions on prognosis and need for admission to long-term care.