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✅   Development of a predictive model for loss of functional and cognitive abilities in long-term care home residents: a protocol

science

Introduction Long-term care (LTC) residents require extensive assistance with daily activities due to physical and cognitive impairments. Medical treatment for LTC residents, when not aligned with residents’ wishes, can cause discomfort without providing substantial benefits. Predictive models can equip providers with tools to guide treatment recommendations that support person-centred medical decision-making. This study protocol describes the derivation and validation of time-to-event predictive models for (1) permanent loss of independence in physical function, (2) permanent severe cognitive impairment and (3) time alive with complete dependence for those with disability starting from the date of onset. Methods and analysis We will use population-based administrative health data from the Institute for Clinical Evaluative Sciences of all LTC residents in ...

BMJ     Jan 11, 2025