RETRACTED: Predictors of institutionalization among home-dwelling older Finnish people: a 22-year follow-up study (Retracted article. See vol. 29, pg. 507, 2017)
AGING CLINICAL AND EXPERIMENTAL RESEARCH(2017)
摘要
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(2)) (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.
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关键词
Institutionalization,Predictor,Older people,Elderly
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