This study assesses patterns of caregiving, death, and recovery after incident disability in older adults. We used the Health and Retirement Study to follow of a cohort of adults age ≥65 years in the United States with incident disability in activities of daily living (ADLs) or instrumental activities of daily living (IADLs; n = 8,713). Rates of care and function state were assessed biennially: deceased, nursing home dwelling, at home with paid help, at home with both paid and unpaid help, at home with unpaid help, at home with no assistance and recovered. In the 2 years after incident disability, 22.1% recovered and 46.8% died. Transitions between care and function states occurred frequently, with more than 20% of the cohort living at home with no assistance despite disability at least once. This study demonstrates the high levels of care and function state fluctuation and unmet needs after functional disability.

中文翻译：

---

美国老年人中发生ADL / IADL残疾事件后的照料，康复和死亡。

这项研究评估了老年人事故残疾后的照料，死亡和康复方式。我们使用健康与退休研究追踪了美国65岁以上的成年人，他们在日常生活活动（ADL）或日常生活工具活动（IADLs； n = 8,713）中有事件残疾。护理和功能状态的比率每两年评估一次：死者，疗养院住宅，有偿帮助的家，有偿和无偿帮助的家，无偿帮助的家，无助的家和康复者。事故致残后的两年内，有22.1％的人康复，有46.8％的人死亡。护理状态和功能状态之间的转换经常发生，尽管有至少一次残疾，但仍有超过20％的同类人住在家里而没有任何帮助。