Background: Identification of predictive factors on institutionalization provides the basis for the development and application of preadmission assessment. There is a lack of evidence for predictors of institutionalization for older people.
Aims: To examine the effect of predictive factors on institutionalization in home-dwelling 70-year-old people.
Methods: The data were collected in 1991 by the clinical examinations, a postal questionnaire, and an interview from the residents of Turku, Finland, born in 1920 (n = 1032). Institutionalization was defined as entry into a nursing home or sheltered housing at any time during a 22-year follow-up.
Results: A rate of institutionalization was 22.0%. In multivariable Cox regression analysis, impaired cognitive function (MMSE 18-26) (hazard ratio 1.71, confidence interval 1.24-2.36) and low BMI (<25 kg/m) (compared to both BMI of 25-29.9 and that of ≥30, respectively, 1.88, 1.32-2.67, and 1.66, 1.05-2.60), having several falls during the previous year (2.50, 1.28-4.90).
Conclusions: We conclude that impaired cognitive function, low BMI, and frequent falling predicted institutionalization during the 22-year follow-up. To reduce or postpone institutionalization, interventions should target risk factors, such as frailty, physical limitations, and falling. In addition, community-based services according to the needs and functional ability of the home-dwelling older people should be developed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s40520-016-0722-3 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Non-adherence to antidementia medications and associated factors: a study of Spanish population-based registry data.
Front Pharmacol
November 2024
Pharmacological Big Data Laboratory, Department of Cell Biology, Genetics, Histology and Pharmacology, Faculty of Medicine, University of Valladolid, Valladolid, Spain.
Introduction: With an increasing prevalence, dementia is one of the most disabling diseases among the elderly. Impaired cognitive function and behavioral and psychological symptoms predispose patients to medication non-adherence, resulting in increased morbidity, mortality, and healthcare costs. The aim of this study was to estimate the prevalence of non-adherence to antidementia medications and to identify the main predictors.
View Article and Find Full Text PDFRELATIONSHIP BETWEEN HOUSEHOLD FOOD INSECURITY AND NUTRITIONAL STATUS OF CHILDREN AGED 6-59 MONTHS IN YENAGOA LOCAL GOVERNMENT AREA, BAYELSA STATE, NIGERIA.
West Afr J Med
November 2024
University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State.
Background: Household Food Insecurity (HFI) is closely linked with nutritional status. The Global Report on Food Crises 2019 reported more than 113 million people face food insecurity hence the need to address Food insecurity in line with Sustainable Development Goal 2 which seeks to achieve food security and improve nutrition by 2030.
Objectives: To determine the prevalence of HFI, compare the nutritional status of children aged 6-59 months in food-secure and food-insecure households, and determine the predictors of malnutrition in food-insecure households in Yenagoa LGA, Bayelsa State.
[Institutionalised Pre-School Childcare and Reported Maltreatment: A Survey in East Germany].
Psychiatr Prax
November 2024
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Leipzig.
Child abuse increases the risk of adult mental health problems. Limited research explores the association of early institutional childhood care in the GDR with experienced childhood abuse and mediates anxiety and depression in adulthood. The sample includes N=1743 individuals born in the GDR (1949-1983).
View Article and Find Full Text PDFExploring Predictors of Long-Term Care Facility Admissions in Stroke Survivors: Insights from a Taiwanese Hospital-Based Study.
Int J Gen Med
October 2024
Department of Neurology, Chi Mei Medical Center, Tainan, Taiwan, Republic of China.
Purpose: Acute stroke significantly increases the risk of long-term care facility (LTCF) admission, due to sudden functional impairments. This study aims to identify risk factors associated with LTCF admission among stroke patients, specifically targeting those who transitioned from independence to disability after stroke.
Patients And Methods: We retrospectively enrolled 2027 stroke patients admitted between 2017 and 2022 from the Chi Mei Medical Center's stroke registry in Southern Taiwan, focusing on those with pre-stroke modified Rankin Scale (mRS) scores ≤ 2 and post-stroke mRS scores ≥ 3.
Do Attachment, Educator Characteristics and Youth-Educator Relationship Matter in 6-Month Changes of Institutionalized Adolescents?
Clin Psychol Psychother
October 2024
Department of Educational Sciences, Laboratory of Clinical Psychology (LACLIPSY), University of Genoa, Genoa, Italy.
Objective: This longitudinal study involved youths in residential care due to previous adverse experiences and their educators, aiming to investigate the role of youths and educators' attachment, educators' psychopathology, and the quality of youth-educator relationship on change scores of youths' symptoms and youth-educator relationship security over 6 months.
Method: Participants were 36 institutionalized youths (M = 16.50 ± 2.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!