@article{
 title = {Prevalence and Correlates of Hearing and Visual Impairments in European Nursing Homes: Results From the SHELTER Study},
 type = {article},
 year = {2014},
 identifiers = {[object Object]},
 pages = {738-743},
 volume = {15},
 id = {c459b214-0b80-3e3a-ad23-7437f218a77f},
 created = {2016-08-29T15:45:42.000Z},
 accessed = {2016-08-29},
 file_attached = {true},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {false},
 hidden = {false},
 folder_uuids = {3f8d7ce1-e3f4-4c64-add9-a1fb30f8c887},
 private_publication = {false},
 abstract = {BACKGROUND
Visual and hearing impairments are known to be related to functional disability, cognitive impairment, and depression in community-dwelling older people. The aim of this study was to examine the prevalence of sensory impairment in nursing home residents, and whether sensory impairment is related to other common clinical problems in nursing homes, mediated by functional disability, cognitive impairment, and depressive symptoms. 

METHODS
Cross-sectional data of 4007 nursing home residents in 59 facilities in 8 countries from the SHELTER study were analyzed. Visual and hearing impairments were assessed by trained staff using the interRAI instrument for Long-Term Care Facilities. Generalized linear mixed models adjusted for functional disability, cognitive impairment, and depressive symptoms were used to analyze associations of sensory impairments with prevalence of clinical problems, including behavioral symptoms, incontinence, fatigue, falls, problems with balance, sleep, nutrition, and communication. 

RESULTS
Of the participants, 32% had vision or hearing impairment (single impairment) and another 32% had both vision and hearing impairments (dual impairment). Residents with single impairment had significantly higher rates of communication problems, fatigue, balance problems, and sleep problems, as compared with residents without any sensory impairment. Those with dual impairment had significantly higher rates of all clinical problems assessed in this study as compared with those without sensory impairment. For each clinical problem, the magnitude of the odds ratio for specific clinical problems was higher for dual impairment than for single impairment. 

CONCLUSION
Visual and hearing impairments are associated with higher rates of common clinical problems among nursing home residents, independent of functional disability, cognitive impairment, and depressive symptoms.},
 bibtype = {article},
 author = {Yamada, Yukari and Vlachova, Martina and Richter, Tomas and Finne-Soveri, Harriet and Gindin, Jacob and van der Roest, Henriëtte and Denkinger, Michael D. and Bernabei, Roberto and Onder, Graziano and Topinkova, Eva},
 journal = {Journal of the American Medical Directors Association},
 number = {10}
}

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The aim of this study was to examine the prevalence of sensory impairment in nursing home residents, and whether sensory impairment is related to other common clinical problems in nursing homes, mediated by functional disability, cognitive impairment, and depressive symptoms. \n\nMETHODS\nCross-sectional data of 4007 nursing home residents in 59 facilities in 8 countries from the SHELTER study were analyzed. Visual and hearing impairments were assessed by trained staff using the interRAI instrument for Long-Term Care Facilities. Generalized linear mixed models adjusted for functional disability, cognitive impairment, and depressive symptoms were used to analyze associations of sensory impairments with prevalence of clinical problems, including behavioral symptoms, incontinence, fatigue, falls, problems with balance, sleep, nutrition, and communication. \n\nRESULTS\nOf the participants, 32% had vision or hearing impairment (single impairment) and another 32% had both vision and hearing impairments (dual impairment). Residents with single impairment had significantly higher rates of communication problems, fatigue, balance problems, and sleep problems, as compared with residents without any sensory impairment. Those with dual impairment had significantly higher rates of all clinical problems assessed in this study as compared with those without sensory impairment. For each clinical problem, the magnitude of the odds ratio for specific clinical problems was higher for dual impairment than for single impairment. \n\nCONCLUSION\nVisual and hearing impairments are associated with higher rates of common clinical problems among nursing home residents, independent of functional disability, cognitive impairment, and depressive symptoms.","bibtype":"article","author":"Yamada, Yukari and Vlachova, Martina and Richter, Tomas and Finne-Soveri, Harriet and Gindin, Jacob and van der Roest, Henriëtte and Denkinger, Michael D. and Bernabei, Roberto and Onder, Graziano and Topinkova, Eva","journal":"Journal of the American Medical Directors Association","number":"10","bibtex":"@article{\n title = {Prevalence and Correlates of Hearing and Visual Impairments in European Nursing Homes: Results From the SHELTER Study},\n type = {article},\n year = {2014},\n identifiers = {[object Object]},\n pages = {738-743},\n volume = {15},\n id = {c459b214-0b80-3e3a-ad23-7437f218a77f},\n created = {2016-08-29T15:45:42.000Z},\n accessed = {2016-08-29},\n file_attached = {true},\n profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},\n group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},\n last_modified = {2017-03-14T09:54:45.334Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {false},\n hidden = {false},\n folder_uuids = {3f8d7ce1-e3f4-4c64-add9-a1fb30f8c887},\n private_publication = {false},\n abstract = {BACKGROUND\nVisual and hearing impairments are known to be related to functional disability, cognitive impairment, and depression in community-dwelling older people. The aim of this study was to examine the prevalence of sensory impairment in nursing home residents, and whether sensory impairment is related to other common clinical problems in nursing homes, mediated by functional disability, cognitive impairment, and depressive symptoms. \n\nMETHODS\nCross-sectional data of 4007 nursing home residents in 59 facilities in 8 countries from the SHELTER study were analyzed. Visual and hearing impairments were assessed by trained staff using the interRAI instrument for Long-Term Care Facilities. Generalized linear mixed models adjusted for functional disability, cognitive impairment, and depressive symptoms were used to analyze associations of sensory impairments with prevalence of clinical problems, including behavioral symptoms, incontinence, fatigue, falls, problems with balance, sleep, nutrition, and communication. \n\nRESULTS\nOf the participants, 32% had vision or hearing impairment (single impairment) and another 32% had both vision and hearing impairments (dual impairment). Residents with single impairment had significantly higher rates of communication problems, fatigue, balance problems, and sleep problems, as compared with residents without any sensory impairment. Those with dual impairment had significantly higher rates of all clinical problems assessed in this study as compared with those without sensory impairment. For each clinical problem, the magnitude of the odds ratio for specific clinical problems was higher for dual impairment than for single impairment. \n\nCONCLUSION\nVisual and hearing impairments are associated with higher rates of common clinical problems among nursing home residents, independent of functional disability, cognitive impairment, and depressive symptoms.},\n bibtype = {article},\n author = {Yamada, Yukari and Vlachova, Martina and Richter, Tomas and Finne-Soveri, Harriet and Gindin, Jacob and van der Roest, Henriëtte and Denkinger, Michael D. and Bernabei, Roberto and Onder, Graziano and Topinkova, Eva},\n journal = {Journal of the American Medical Directors Association},\n number = {10}\n}","author_short":["Yamada, Y.","Vlachova, M.","Richter, T.","Finne-Soveri, H.","Gindin, J.","van der Roest, H.","Denkinger, M., D.","Bernabei, R.","Onder, G.","Topinkova, E."],"urls":{"Paper":"http://bibbase.org/service/mendeley/217ced55-4c79-38dc-838b-4b5ea8df5597/file/0f5a7cc1-c6fa-9fb9-4431-d2edcaf96562/2014-Prevalence_and_Correlates_of_Hearing_and_Visual_Impairments_in_European_Nursing_Homes_Results_From_the_SHELTER_Stud.pdf.pdf"},"bibbaseid":"yamada-vlachova-richter-finnesoveri-gindin-vanderroest-denkinger-bernabei-etal-prevalenceandcorrelatesofhearingandvisualimpairmentsineuropeannursinghomesresultsfromtheshelterstudy-2014","role":"author","downloads":0},"search_terms":["prevalence","correlates","hearing","visual","impairments","european","nursing","homes","results","shelter","study","yamada","vlachova","richter","finne-soveri","gindin","van der roest","denkinger","bernabei","onder","topinkova"],"keywords":[],"authorIDs":[]}