Predictors of mortality in nursing home residents

Jiska Cohen Mansfield, Marcia S. Marx, Steven Lipson, Perla Werner

Research output: Contribution to journalArticlepeer-review


A prospective cohort study was conducted to examine predictors of mortality in the nursing home. Participants were 399 long-term nursing home residents, who were followed up for 11 years at the end of which 380 had died, 16 were still alive, 2 were discharged with unknown status, and 1 was alive when discharged. The median duration from baseline to death was 2.75 years. For cognitively intact residents, male gender, larger number of medical diagnoses, and manifestations of physically nonaggressive agitated behaviors (e.g., restlessness, pacing) were significant predictors. For cognitively impaired residents, the significant predictors were older age, impaired activities of daily living, and screaming behavior at a high frequency. Cognitive impairment is important both in predicting death in this population and in understanding the impact of other predictors. The impact of agitated behaviors, quality of social relations, and appetite on mortality highlights issues of quality of life at the end of life.

Original languageEnglish
Pages (from-to)273-280
Number of pages8
JournalJournal of Clinical Epidemiology
Issue number4
StatePublished - Apr 1999

Bibliographical note

Funding Information:
This study was supported by grant K01AG00547 from the National Institutes of Aging.


  • Aggression
  • Agitation
  • Behavior problems
  • Mortality
  • Nursing home
  • Restlessness
  • Screaming

ASJC Scopus subject areas

  • Epidemiology


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