Institutionalization in the elderly:: The role of chronic diseases and dementia.: Cross-sectional and longitudinal data from a population-based study
Institutionalization in the elderly:: The role of chronic diseases and dementia.: Cross-sectional and longitudinal data from a population-based study
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DOI：
10.1016/s0895-4356(00)00371-1
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发表时间：
2001-08-01
影响因子：
7.2
通讯作者：
Fratiglioni, L
中科院分区：
文献类型：
--
作者：
Agüero-Torres, H;von Strauss, E;Fratiglioni, L
一项以人口为基础的研究，1810人，年龄J5F，进行了调查，以评估老年痴呆症和其他慢性疾病的作用，作为老年人机构化的决定因素。在基线和3年间隔后对研究人群进行检查。在调整社会人口学特征后，功能依赖、痴呆、脑血管疾病和髋部骨折与基线时在机构中生活有关。此外，功能依赖、髋部骨折和痴呆也与3年随访期间搬到机构有关。在一项类似的分析中，仅包括非痴呆受试者，简易精神状态检查成为最强的决定因素之一。在3年随访期间，由于痴呆而住院的人群归因风险百分比为61%。这项研究证实，痴呆症和认知障碍是老年人机构化的主要因素，独立于他们的社会人口状况，社会网络或功能状态。(C)2001 Elsevier Science Inc. All rights reserved.
A population-based study of 1810 persons, aged J5f, was investigated to evaluate the role of dementia and other chronic diseases as determinants of institutionalization in the elderly. The study population was examined at baseline and after a 3-year interval. After adjustment for sociodemographic characteristics, functional dependence, dementia, cerebrovascular disease and hip fracture were associated with living in an institution at baseline. Additionally, functional dependence, hip fracture and dementia were also associated with moving to an institution during the 3-year follow-up. In a similar analysis, including only nondemented subjects, the Mini-Mental State Examination emerged as one of the strongest determinants. The population attributable risk percentage of institutionalization during the 3-year follow-up due to dementia was 61%. This study confirms that dementia and cognitive impairment are the main contributors to institutionalization in the elderly, independently of their sociodemographic status, social network, or functional status. (C) 2001 Elsevier Science Inc. All rights reserved.