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Centre for Policy on Ageing | |
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| Impact of hip fracture, heart failure and weight loss on the risk of institutionalization of community-dwelling patients with dementia | | Author(s) | Marc Harboun, Pascale Dorenlot, Nadia Cohen |
| Journal title | International Journal of Geriatric Psychiatry, vol 23, no 12, December 2008 |
| Pages | pp 1245-1252 |
| Source | http://www.interscience.wiley.com |
| Keywords | Fractures ; Heart disease ; Weight ; Symptoms ; Dementia ; Patients ; National Health Service ; At risk ; Admission [nursing homes] ; Longitudinal surveys ; France. |
| Annotation | This study sought to identify the influences of medical symptoms and disease on the risk of nursing home placement on a prospective cohort of newly diagnosed community-dwelling patients with dementia. Data are from the Paris site of the DEPAD study (Devenir des Personnes agées Démentes vivant à Domicile) which included 348 patients with dementia, consecutively diagnosed, recruited and followed at a generic outpatient centre (mean age 81 years, 65.5% with Alzheimer's disease, mean baseline MMSE score 20.5, mean follow-up 20.3 months). After adjustment for factors commonly associated with institutionalisation in this population, hip fracture in the 5 years preceding diagnosis, acute congestive heart failure during follow-up and weight loss of more than 5% in any one year during follow-up were independently associated with nursing home placement. This study confirms the independent contribution of specific medical symptoms and disease to earlier institutionalisation of patients with dementia. These results stress the importance of better knowledge of the specific characteristics of hip fracture, weight loss and congestive heart failure in the context of dementia, to make more effective prevention possible in this patient population. (RH). |
| Accession Number | CPA-090402203 A |
| Classmark | CUF: CQH: 4X6: CT: EA: LF: L4: CA3: LHB:QKH: 3J: 765 |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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