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Long-Term Care for Chronic Diseases

It is estimated that, in the United States, nearly 5% of persons age 65 or older reside in a nursing home, and as many as half of persons in this age group will enter a nursing home at some time in their lives. It is estimated that residential care or assisted living facilities provide care for approximately 1.3 million disabled adults in close to 30,000 facilities nationwide. About 12 million older adults living at home have chronic conditions and report limited ability to perform daily activities. Physical limitations, which are associated with insufficient physical activity, being overweight, and the consequences of chronic conditions, decrease quality of life, increase the need for costly long-term care, and make challenging demands on family members and other caregivers. 

Our emphasis in this area is on persons needing long-term care in nursing home, assisted living, and community settings and on persons managing their personal health care at home. Faculty associated with the Epidemiology of Aging Training Program lead two programs of research to address long-term care for conditions of aging and chronic diseases: the Maryland Long-term Care Project and the Healthy Aging in Communities Program. Collaborators in long-term care research are from many disciplines at the University of Maryland Baltimore, representing the Schools of Medicine, Nursing, Dentistry, Social Work, Pharmacy, and Law.

Representative Publications 

Adherence to hip protectors and implications for U.S. long-term care settings. Zimmerman S, Magaziner J, Birge SJ, Barton BA, Kronsberg SS, Kiel DP. J Am Med Dir Assoc. 2010 Feb;11(2):106-15. Epub 2010 Jan 6. PMID: 20142065

Mortality and adverse health events in newly admitted nursing home residents with and without dementia. Magaziner J, Zimmerman S, Gruber-Baldini AL, van Doorn C, Hebel JR, German P, Burton L, Taler G, May C, Quinn CC, Port CL, Baumgarten M; Epidemiology of Dementia in Nursing Homes Research Group. J Am Geriatr Soc. 2005 Nov;53(11):1858-66. PMID: 16274365

Resident contact with family and friends following nursing home admission. Port CL, Gruber-Baldini AL, Burton L, Baumgarten M, Hebel JR, Zimmerman SI, Magaziner J. Gerontologist. 2001 Oct;41(5):589-96. PMID: 11574703

The role of nursing home admission and dementia status on care for diabetes mellitus. Quinn CC, Gruber-Baldini AL, Port CL, May C, Stuart B, Hebel JR, Zimmerman S, Burton L, Zuckerman IH, Fahlman C, Magaziner J. J Am Geriatr Soc. 2009 Sep;57(9):1628-33. Epub 2009 Aug 4. PMID: 19682125

The Hip Impact Protection Project: design and methods. Barton BA, Birge SJ, Magaziner J, Zimmerman S, Ball L, Brown KM, Kiel DP. Clin Trials. 2008;5(4):347-55. PMID: 18697849

Short-stay nursing home rehabilitation patients: transitional care problems pose research challenges. Quinn CC, Port CL, Zimmerman S, Gruber-Baldini AL, Kasper JD, Fleshner I, Yody B, Loome J, Magaziner J. J Am Geriatr Soc. 2008 Oct;56(10):1940-5. Epub 2008 Aug 4. PMID: 18691277

Medicare expenditures for nursing home residents triaged to nursing home or hospital for acute infection. Boockvar KS, Gruber-Baldini AL, Stuart B, Zimmerman S, Magaziner J. J Am Geriatr Soc. 2008 Jul;56(7):1206-12. Epub 2008 May 12. PMID: 18482299

Nursing home characteristics related to medicare costs for residents with and without dementia. Zimmerman S, Gruber-Baldini AL, Hebel JR, Burton L, Boockvar K, Taler G, Quinn CC, Magaziner J. Am J Alzheimers Dis Other Demen. 2008 Feb-Mar;23(1):57-65. PMID: 18276958

Efficacy of a hip protector to prevent hip fracture in nursing home residents: the HIP PRO randomized controlled trial. Kiel DP, Magaziner J, Zimmerman S, Ball L, Barton BA, Brown KM, Stone JP, Dewkett D, Birge SJ. JAMA. 2007 Jul 25;298(4):413-22. PMID: 17652295

Depression and its relationship to function and medical status, by dementia status, in nursing home admissions. Kaup BA, Loreck D, Gruber-Baldini AL, German P, Menon AS, Zimmerman S, Burton L, Magaziner J. Am J Geriatr Psychiatry. 2007 May;15(5):438-42. PMID: 17463194

Inappropriate drug use and risk of transition to nursing homes among community-dwelling older adults. Zuckerman IH, Langenberg P, Baumgarten M, Orwig D, Byrns PJ, Simoni-Wastila L, Magaziner J. Med Care. 2006 Aug;44(8):722-30. PMID: 16862033