{
  "abstract": "Background: In long-term care facilities, regular proxy-completed multidimensional assessments may help staff detect meaningful decline in residents with dementia, including temporal changes in physical symptoms, mood, behavior, and social interaction.\n\nMethods: We conducted a secondary analysis of publicly available, de-identified longitudinal IPOS-Dem data from a Swiss stepped-wedge cluster-randomized trial to develop and evaluate a concise resident-level model predicting recurrent short-term deterioration on IPOS-Dem subscales among Swiss long-term care residents with dementia. Monthly observations were converted into prediction episodes. Deterioration was prospectively defined as a ≥0.5-point increase in DEBI (dementia emotional and behavioral impact-reflecting emotional and behavioral symptoms) or DPII (dementia physical/interaction impact indicating physical, functional, communication, and interaction-related concerns) at the next observation within 14–45 days. Recurrent deterioration was defined as deterioration in >33% of eligible episodes. Candidate logistic-regression predictors included mean DEBI/DPII, recent monthly DEBI/DPII changes, age, sex, intervention exposure, study-time variables, cluster group, and DEBI × DPII.\n\nResults: The episode-level dataset included 2,107 eligible prediction episodes from 222 residents; 535 episodes deteriorated (25.4%), and 72/222 residents (32.4%) met recurrent-deterioration criteria. In the final model, higher mean-centered DEBI increased the odds of recurrent deterioration (OR 2.655, 95% CI 1.382–5.101, p = 0.003), as did older age (OR 1.055/year, 95% CI 1.006–1.107, p = 0.027). Mean-centered dDEBI reduced risk (OR 0.089, 95% CI 0.009–0.873, p = 0.038). DEBI × DPII was significant (OR 0.341, 95% CI 0.118–0.991, p = 0.048). Performance was reasonable (AUC 0.754; Brier 0.179).\n\nConclusion: Serial IPOS-Dem monitoring provides actionable indicators of level and trajectory for recurrent deterioration. External validation and longitudinal modeling are needed to address resident- and facility-level dependence.",
  "abstract_shown": true,
  "affiliations": [
    "Sibiu Municipal Hospital , ,",
    "Clinical Department, Faculty of Medicine, Lucian Blaga University of Sibiu , ,",
    "Faculty of Medicine, Transilvania University of Braşov , ,",
    "Department of Public Health and Sanitary Management, Victor Babeş University of Medicine and Pharmacy , ,",
    "Department of Pediatrics, Victor Babeş University of Medicine and Pharmacy , ,",
    "Department of Medical and Surgical Specialties, Faculty of Medicine, Transilvania University of Braşov , ,"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Stefania Serban"
    },
    {
      "affs": [
        1
      ],
      "name": "Bogdan Neamtu"
    },
    {
      "affs": [
        2
      ],
      "name": "Daniela Viorica Mosoiu"
    },
    {
      "affs": [
        3
      ],
      "name": "Adrian Cosmin Ilie"
    },
    {
      "affs": [
        4
      ],
      "name": "Estera Boeriu"
    },
    {
      "affs": [
        5
      ],
      "name": "Maria-Mirabela Mihailescu-Marin"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/cv50469a8merv.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1874583",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13664699/?tool=EBI",
  "id": "cv50469a8merv",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://europepmc.org/article/PMC/PMC13664699",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "3600|Geriatric Care and Nursing Homes"
    ]
  ],
  "openalex": "W7214897881",
  "pdf_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13664699/pdf/?tool=EBI",
  "pmcid": "PMC13664699",
  "pmid": null,
  "published": "2026-09-30",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/cv50469a8merv.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:20Z",
      "native_id": "PMC:PMC13664699",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13664699"
    },
    {
      "first_seen": "2026-10-30T12:20:22Z",
      "native_id": "10.3389/fpubh.2026.1874583",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1874583/full"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:2296-2565",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Monitoring of palliative care outcomes for nursing home residents with dementia: a secondary exploratory analysis of monthly recurrent deterioration data",
  "title_text": "Monitoring of palliative care outcomes for nursing home residents with dementia: a secondary exploratory analysis of monthly recurrent deterioration data",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:22Z",
  "url": "https://research.draconitic.com/paper/cv50469a8merv",
  "venue": "Frontiers in public health",
  "versions": []
}