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Predictors of nursing home placement in Parkinson's disease
 — a population-based, prospective study
Author(s)Dag Aarsland, Jan Petter Larsen, Elise Tandberg
Journal titleJournal of the American Geriatrics Society, vol 48, no 8, August 2000
Pagespp 938-942
KeywordsParkinson's disease ; Admission [nursing homes] ; Longitudinal surveys ; Norway.
AnnotationThis study of 178 Norwegians with Parkinson's disease (PD) living in the community is part of a larger investigation of the neuropsychiatric aspects of PD. 47 patients (26.4%) were admitted to a nursing home during the 4-year study period. Institutionalised patients were older, had more advanced PD with more severe symptoms and impairment of activities of daily living (ADLs), were cognitively more impaired, were more often living alone, and had more hallucinations than those who continued to live at home. Duration of disease, levodopa dose, and gender distribution did not differ between the two groups. Both motor and neuropsychiatric symptoms contributed to institutionalisation, but the presence of hallucinations was the strongest predictor. It is possible that effective treatment of hallucinations may reduce the need for institutionalisation in patients with PD. (RH).
Accession NumberCPA-001020209 A
ClassmarkCR6: LHB:QKH: 3J: 76N

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