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Factors associated with institutionalization among home-dwelling patients of Urgent Geriatric Outpatient Clinic: a 3-year follow-up study
- Source :
- European Geriatric Medicine
- Publication Year :
- 2020
- Publisher :
- Springer International Publishing, 2020.
-
Abstract
- Key summary points Aim To examine the effect of predictive factors on institutionalization among home-dwelling patients of Urgent Geriatric Outpatient Clinic during a 3-year follow-up. Findings The rates of institutionalization and mortality were 29.9% and 46.1%, respectively. The use of home care, dementia, higher age and falls during the previous 12 months significantly predicted institutionalization during the follow-up. Message Cognitive and/or functional impairment mainly predicted institutionalization among older patients of UrGeriC having health problems and acute difficulties in managing at home.<br />Purpose To examine the effect of predictive factors on institutionalization among older patients. Methods The participants were older (aged 75 years or older) home-dwelling citizens evaluated at Urgent Geriatric Outpatient Clinic (UrGeriC) for the first time between the 1st of September 2013 and the 1st of September 2014 (n = 1300). They were followed up for institutionalization for 3 years. Death was used as a competing risk in Cox regression analyses. Results The mean age of the participants was 85.1 years (standard deviation [SD] 5.5, range 75–103 years), and 74% were female. The rates of institutionalization and mortality were 29.9% and 46.1%, respectively. The mean age for institutionalization was 86.1 (SD 5.6) years. According to multivariate Cox regression analyses, the use of home care (hazard ratio 2.43, 95% confidence interval 1.80–3.27, p
- Subjects :
- Gerontology
Male
Institutionalisation
Home dwelling
Ambulatory Care Facilities
03 medical and health sciences
0302 clinical medicine
Medicine
Dementia
Outpatient clinic
Humans
030212 general & internal medicine
Aged
Aged, 80 and over
business.industry
Proportional hazards model
030503 health policy & services
Hazard ratio
Follow up studies
Institutionalization
medicine.disease
Home Care Services
Confidence interval
Accidental Falls
Female
Older people
0305 other medical science
business
Research Paper
Predictor
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 18787657 and 18787649
- Volume :
- 11
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- European Geriatric Medicine
- Accession number :
- edsair.doi.dedup.....570b2d4de5b10c6fc916cf00ce0ddfee