|
Citation
|
Salminen M, Vire J, Viikari L, Vahlberg T, Isoaho H, Lehtonen A, Viitanen M, Arve S, Eloranta S. Aging Clin. Exp. Res. 2016; 29(3): 507. |
|
Affiliation
|
Hospital District of Southwest Finland, Kiinanmyllynkatu 4-8, 20521, Turku, Finland. |
|
Abstract
|
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 1.37, confidence interval 1.17-1.62), low BMI (<25 kg/m(2)) (1.60, 1.29-2.00), having several falls during the previous year (1.87, 1.21-2.87), and not having anyone who helps when needed (1.21, 1.01-1.46) remained significant predictors of institutionalization. In addition, high BMI (≥30 kg/m(2)) (compared with BMI 25-29.9 kg/m(2)) (1.28, 1.02-1.61) significantly predicted institutionalization in multivariable analyses.
CONCLUSIONS: We conclude that impaired cognitive function, frequent falling, low and high BMI and lack of help when needed predicted institutionalization during the 22-year follow-up. In order to reduce or postpone institutionalization, interventions should target risk factors, such as physical limitations and falling. Also community-based services according to the needs and functional ability of the home-dwelling older people should be developed.
Language: en |