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Institutionalization in the elderly: The role of chronic diseases and dementia. Cross-sectional and longitudinal data from a population-based study
Stockholm Gerontology Research Center and Division of Geriatric Medicine, NEUROTEC, Karolinska Institutet, Stockholm.
Stockholm Gerontology Research Center and Division of Geriatric Medicine, NEUROTEC, Karolinska Institutet, Stockholm.ORCID iD: 0000-0001-5800-6454
Stockholm Gerontology Research Center and Division of Geriatric Medicine, NEUROTEC, Karolinska Institutet, Stockholm.
Stockholm Gerontology Research Center and Division of Geriatric Medicine, NEUROTEC, Karolinska Institutet, Stockholm.
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2001 (English)In: Journal of Clinical Epidemiology, ISSN 0895-4356, E-ISSN 1878-5921, Vol. 54, no 8, 795-801 p.Article in journal (Refereed) Published
Abstract [en]

A population-based study of 1810 persons, aged 75+, 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.

Place, publisher, year, edition, pages
Elsevier, 2001. Vol. 54, no 8, 795-801 p.
Keyword [en]
institutionalization, dementia, chronic diseases, elderly, population-based study
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:rkh:diva-596DOI: 10.1016/S0895-4356(00)00371-1PubMedID: 11470388OAI: oai:DiVA.org:rkh-596DiVA: diva2:610018
Available from: 2013-03-08 Created: 2013-03-08 Last updated: 2016-04-19Bibliographically approved

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