Oral/dental items in the resident assessment instrument – minimum Data Set 2.0 lack validity: results of a retrospective, longitudinal validation study

Hoben, Matthias; Poss, Jeffrey W.; Norton, Peter G.; Estabrooks, Carole A.

doi:10.1186/s12963-016-0108-y

Population Health Metrics

Table 2 General estimating equation models of outcomes related to oral/dental problems (N = 2,711 residents)

From: Oral/dental items in the resident assessment instrument – minimum Data Set 2.0 lack validity: results of a retrospective, longitudinal validation study

	Model 1			Model 2			Model 3			Model 4			Model 5
Parameter	Est.	95 % CI	P	Est.	95 % CI	P	Est.	95 % CI	P	Est.	95 % CI	P	Est.	95 % CI	P
Assessment 1	Reference			Reference			Reference			Reference			Reference
Assessment 2	1.053	0.878–1.264	0.576	1.061	0.883–1.274	0.582	1.041	0.866–1.251	0.668	1.049	0.874–1.259	0.609	0.971	0.779–1.211	0.792
Assessment 3	1.102	0.835–1.455	0.492	1.112	0.841–1.470	0.458	1.083	0.816–1.436	0.581	1.096	0.830–1.447	0.518	0.991	0.685–1.433	0.962
Assessment 4	1.028	0.677–1.562	0.896	1.042	0.688–1.577	0.848	1.020	0.670–1.554	0.925	1.023	0.673–1.553	0.917	0.921	0.545–1.558	0.759
Assessment 5	0.807	0.384–1.696	0.571	0.814	0.338–1.710	0.587	0.755	0.359–1.591	0.461	0.798	0.379–1.678	0.552	0.637	0.272–1.492	0.299
Assessment 6	2.307	0.294–18.085	0.426	2.329	0.292–18.588	0.425	2.085	0.348–12.483	0.421	2.282	0.291–17.897	0.433	1.712	0.254–11.531	0.581
Dentate	Reference			Reference			Reference			Reference			Reference
Dentures	0.434	0.295–0.641	<0.001	0.435	0.295–0.642	<0.001	0.433	0.294–0.638	<0.001	0.435	0.295–0.641	<0.001	0.458	0.308–0.680	<0.001
No Dentures	2.716	1.859–3.968	<0.001	2.725	1.865–3.983	<0.001	2.672	1.827–3.909	<0.001	2.726	1.864–3.988	<0.001	2.718	1.845–4.003	<0.001
Dementia diagnosis	―	―	―	0.913	0.682–1.221	0.538	―	―	―	―	―	―	0.961	0.700–1.318	0.803
Debris	―	―	―	―	―	―	2.361	1.693–3.294	<0.001	―	―	―	2.187	1.565–3.057	<0.001
Daily cleaning	―	―	―	―	―	―	―	―	―	1.164	0.656–2.068	0.603	1.123	0.637–1.979	0.688
Female	―	―	―	―	―	―	―	―	―	―	―	―	0.871	0.644–1.179	0.371
Age at assessment^a	―	―	―	―	―	―	―	―	―	―	―	―	0.983	0.969–0.998	0.031
CPS score > 3	―	―	―	―	―	―	―	―	―	―	―	―	0.842	0.611–1.159	0.292
ADL-H score > 3	―	―	―	―	―	―	―	―	―	―	―	―	1.160	0.867–1.551	0.318
Resists care	―	―	―	―	―	―	―	―	―	―	―	―	1.216	0.926–1.596	0.159
DRS score > 2	―	―	―	―	―	―	―	―	―	―	―	―	1.104	0.840–1.450	0.478
Assessment quarter^a	―	―	―	―	―	―	―	―	―	―	―	―	1.016	0.981–1.052	0.377

Bold = statistically significant (p < .05)
Est. Parameter estimate (odds ratios for the independent variables), CI Confidence Interval, CPS Cognitive Performance Scale, ADL-H Activities of Daily Living – Hierarchical Scale, DRS Depression Rating Scale
^aContinuous variable

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