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Given sufficient evidence that dementia progression increases the risk of institutionalization, it must be concluded that institutionalized patients are at a more advanced disease stage.
Older adults with hip fracture have a 5- to 8-fold increased risk for all-cause mortality and much higher risk of institutionalization. Therefore, interventions to prevent institutionalization, prevent a second fracture in institutionalized patients, and decrease mortality after a hip fracture are highly needed.
Institutionalized older people are often labeled as frail and hence, the risk of institutionalization has become a recognized frailty adverse outcome.
The risk of institutionalization and functional decline is substantial after a hip fracture.
To examine the use of community-based social services by elderly people at risk of institutionalization, who prefer to remain at home.
In older persons, the combination of osteopenia/osteoporosis and sarcopenia has been proposed as a subset of frailer individuals at higher risk of institutionalization, falls, and fractures.
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We assumed that only fractures treated in the hospital would increase the risk of an institutionalization in a NH.
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].
Two systematic reviews [ 1, 5] reported that a slower walking speed is predictive of mobility limitations and a higher subsequent risk of fracture, institutionalization and mortality [ 6, 7].
2 Older adults who experience a decline in functional status are vulnerable to adverse health outcomes, including an increased risk of hospitalisation, institutionalization and mortality.
6 Depression has negative impacts for persons with mild dementia and their caregivers, including negative impacts on quality of life, 7 functional impairment, 8 increased risk of early institutionalization, 9 and an increased stress level of caregivers.
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