Health status transitions in community-living elderly with complex care needs: a latent class approach
2009

Health Status Transitions in Elderly with Complex Care Needs

Sample size: 1164 publication Evidence: high

Author Information

Author(s): Lafortune Louise, Béland François, Bergman Howard, Ankri Joël

Primary Institution: Université de Montréal

Hypothesis

A latent classification can capture the heterogeneity in a population of frail elderly persons living in the community.

Conclusion

The study identified four stable health profiles that are sensitive to changes in health status over time.

Supporting Evidence

  • The study identified four health profiles that distinguish physical and cognitive dimensions of health.
  • Profiles were stable over time and robust to mortality and lost to follow-up attrition.
  • Differentiated transition probabilities demonstrated sensitivity to changes in health status.
  • The classification approach may aid in planning longitudinal studies of aging.

Takeaway

The researchers looked at how older people with health problems change over time and found four main groups that help understand their health better.

Methodology

Latent class analyses and latent transition analyses were performed using data from the SIPA project.

Potential Biases

Potential misclassification due to missing cognitive scores and the inability to control for unobserved individual effects.

Limitations

The study may have selection bias due to attrition and missing data, particularly regarding depression and cognitive scores.

Participant Demographics

Participants were aged 64 and older, with 70.9% female and a range of socioeconomic statuses.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-2318-9-6

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