A1 Journal article – refereed

Factors associated with institutionalization among home-dwelling patients of Urgent Geriatric Outpatient Clinic: a 3-year follow-up study




List of Authors: Marika Salminen, Jonna Laine, Tero Vahlberg, Paula Viikari, Maarit Wuorela, Matti Viitanen, Laura Viikari

Publisher: SPRINGER

Publication year: 2020

Journal: European Geriatric Medicine

Journal name in source: EUROPEAN GERIATRIC MEDICINE

Journal acronym: EUR GERIATR MED

Volume number: 11

Issue number: 5

Number of pages: 7

ISSN: 1878-7649

eISSN: 1878-7657

DOI: http://dx.doi.org/10.1007/s41999-020-00338-7

URL: https://link.springer.com/article/10.1007/s41999-020-00338-7


Abstract
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 < 0.001), dementia (2.38, 1.90-2.99, p < 0.001), higher age (>= 95 vs. 75-84; 1.65, 1.03-2.62, p = 0.036), and falls during the previous 12 months (>= 2 vs. no falls; 1.54, 1.10-2.16, p = 0.012) significantly predicted institutionalization during the 3-year follow-up.
Conclusion Cognitive and/or functional impairment mainly predicted institutionalization among older patients of UrGeriC having health problems and acute difficulties in managing at home.Key summary pointsAim 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.

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Last updated on 2021-24-06 at 09:34