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Factors Associated with Institutionalization of Older People in Canada: Testing a Multifactorial Definition of Frailty
Author(s) -
Rockwood Kenneth,
Stolee Paul,
McDowell Ian
Publication year - 1996
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1996.tb01446.x
Subject(s) - medicine , institutionalisation , gerontology , dementia , logistic regression , activities of daily living , long term care , older people , disease , psychiatry , pathology
OBJECTIVES : To test a model of frailty by examining factors associated with institutionalization of older people in Canada; to assess whether diagnostic data provided information about risk beyond that provided by data on functional capacity and demographic variables. METHODS : Cross‐sectional study of 1258 institutional subjects and 9113 community‐dwelling older adults from the Canadian Study of Health and Aging. RESULTS : Multiple logistic regression analysis showed that female gender, being unmarried, absence of a caregiver, presence of cognitive impairment (including all types of dementia), functional impairment, diabetes mellitus, stroke, and Parkinson's disease were independently associated with being in a long‐term care facility. CONCLUSION : Frailty appears to be a multidimensional construct, and not simply a synonym for dependence in Activities of Daily Living. Studies of health outcomes in older people should include diagnostic data as well as demographic information and data on functional capacity.