When a large number of executives are recruited to meet the demands of rapid institutionalization, their previous status and professional characteristics are not completely wiped out.
These desired outcomes aimed at by the projects could be so-called "hard" outcomes (i.e. delaying institutionalization, improving functional status and health, alleviating the burden of their informal caregivers, etc).
The increasing recognition of poor intermediate and long-term outcomes of critical illness - including not only survival, but also functional status, institutionalization and quality of life - coupled with the huge financial cost of critical care therapy means that better tools to predict those patients who will benefit most from critical care treatment are urgently needed [ 24].
The 18 month changes in rates of falls, fractures, hospital admissions, inclusions in home care programs, institutionalizations and vital status will be analysed.
Other significant predictors to 1-year institutionalization were baseline functional status and sex of the patient.
Furthermore, the study demonstrated improved diagnostic accuracy, reduced use of medications, reduced need for institutionalization and improved functional status.
The frailty index is strongly associated with the risk of death, institutionalization and worsening health status, especially when at least 30 variables are included [ 5].
This speculation was consistent with a study conducted in England, Wales, and Northern Ireland that the most powerful predictor to institutionalization was the functional status at discharge, far greater than the predictive power of the initial stroke severity.
Frailty in older subjects has been defined as a state of decreased functional reserve and resistance to stressors that are associated with a high prevalence of adverse health outcomes, such as poor functional and cognitive status, falls, institutionalization, and mortality [ 1, 2].
Both studies constructed a Markov model to simulate patient progression through a series of health states related to severity, dependency, and residential status (community vs institutionalization).
