Predictors of Nursing Home Placement in Parkinson's Disease: A Population‐Based, Prospective Study
Identifieur interne : 002D42 ( Main/Corpus ); précédent : 002D41; suivant : 002D43Predictors of Nursing Home Placement in Parkinson's Disease: A Population‐Based, Prospective Study
Auteurs : Dag Aarsland ; Jan Petter Larsen ; Elise Tandberg ; Knut LaakeSource :
- Journal of the American Geriatrics Society [ 0002-8614 ] ; 2000-08.
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- KwdEn :
Abstract
OBJECTIVES: To examine the rate and predictors of nursing home placement in patients with Parkinson's disease. DESIGN: Four‐year prospective study. SETTING: A population‐based study in western Norway PARTICIPANTS: 178 community‐dwelling subjects with Parkinson's disease. MEASUREMENTS: Main outcome measure was the time from baseline to nursing home admission. Baseline evaluation of motor symptoms (Unified Parkinson's Disease Rating Scale, UPDRS), cognition (clinical dementia interview, Gottfries, Bråne & Steen dementia scale, and Mini‐Mental State Examination), depression (clinical interview and the Montgomery & Åsberg Depression Rating Scale), and psychotic symptoms (UPDRS Thought Disorder item) were performed. RESULTS: Forty‐seven patients (26.4%) were admitted to a nursing home during the 4‐year study period. Institutionalized patients were older, had more advanced Parkinson's disease with more severe motor symptoms and impairment of activities of daily living, 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. A Cox proportional hazards linear regression analysis showed that old age, functional impairment, dementia, and hallucinations were independent predictors of nursing home admission. CONCLUSIONS: Both motor and neuropsychiatric symptoms contributed to institutionalization, but the presence of hallucinations was the strongest predictor. This finding indicates it is possible that effective treatment of hallucinations may reduce the need for institutionalization in patients with Parkinson's disease. J Am Geriatr Soc 48:938–942, 2000.
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DOI: 10.1111/j.1532-5415.2000.tb06891.x
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DESIGN: Four‐year prospective study. SETTING: A population‐based study in western Norway PARTICIPANTS: 178 community‐dwelling subjects with Parkinson's disease. MEASUREMENTS: Main outcome measure was the time from baseline to nursing home admission. Baseline evaluation of motor symptoms (Unified Parkinson's Disease Rating Scale, UPDRS), cognition (clinical dementia interview, Gottfries, Bråne & Steen dementia scale, and Mini‐Mental State Examination), depression (clinical interview and the Montgomery & Åsberg Depression Rating Scale), and psychotic symptoms (UPDRS Thought Disorder item) were performed. RESULTS: Forty‐seven patients (26.4%) were admitted to a nursing home during the 4‐year study period. Institutionalized patients were older, had more advanced Parkinson's disease with more severe motor symptoms and impairment of activities of daily living, 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. A Cox proportional hazards linear regression analysis showed that old age, functional impairment, dementia, and hallucinations were independent predictors of nursing home admission. CONCLUSIONS: Both motor and neuropsychiatric symptoms contributed to institutionalization, but the presence of hallucinations was the strongest predictor. This finding indicates it is possible that effective treatment of hallucinations may reduce the need for institutionalization in patients with Parkinson's disease. J Am Geriatr Soc 48:938–942, 2000.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Dag Aarsland</name><affiliations><json:string>Section of Geriatric Psychiatry, Rogaland Psychiatric Hospital</json:string></affiliations></json:item><json:item><name>Jan Petter Larsen</name><affiliations><json:string>Department of Neurology, Central Hospital of Rogaland, Stavanger</json:string></affiliations></json:item><json:item><name>Elise Tandberg</name><affiliations><json:string>Department of Neurology, Central Hospital of Rogaland, Stavanger</json:string></affiliations></json:item><json:item><name>Knut Laake</name><affiliations><json:string>Department of Geriatric Medicine, Ullevål Hospital, Oslo, Norway.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>nursing home</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>hallucinations</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>dementia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>depression</value></json:item></subject><articleId><json:string>JGS6891</json:string></articleId><language><json:string>eng</json:string></language><abstract>OBJECTIVES: To examine the rate and predictors of nursing home placement in patients with Parkinson's disease. DESIGN: Four‐year prospective study. SETTING: A population‐based study in western Norway PARTICIPANTS: 178 community‐dwelling subjects with Parkinson's disease. MEASUREMENTS: Main outcome measure was the time from baseline to nursing home admission. Baseline evaluation of motor symptoms (Unified Parkinson's Disease Rating Scale, UPDRS), cognition (clinical dementia interview, Gottfries, Bråne & Steen dementia scale, and Mini‐Mental State Examination), depression (clinical interview and the Montgomery & Åsberg Depression Rating Scale), and psychotic symptoms (UPDRS Thought Disorder item) were performed. RESULTS: Forty‐seven patients (26.4%) were admitted to a nursing home during the 4‐year study period. Institutionalized patients were older, had more advanced Parkinson's disease with more severe motor symptoms and impairment of activities of daily living, 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. A Cox proportional hazards linear regression analysis showed that old age, functional impairment, dementia, and hallucinations were independent predictors of nursing home admission. CONCLUSIONS: Both motor and neuropsychiatric symptoms contributed to institutionalization, but the presence of hallucinations was the strongest predictor. This finding indicates it is possible that effective treatment of hallucinations may reduce the need for institutionalization in patients with Parkinson's disease. 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DESIGN: Four‐year prospective study. SETTING: A population‐based study in western Norway PARTICIPANTS: 178 community‐dwelling subjects with Parkinson's disease. MEASUREMENTS: Main outcome measure was the time from baseline to nursing home admission. Baseline evaluation of motor symptoms (Unified Parkinson's Disease Rating Scale, UPDRS), cognition (clinical dementia interview, Gottfries, Bråne & Steen dementia scale, and Mini‐Mental State Examination), depression (clinical interview and the Montgomery & Åsberg Depression Rating Scale), and psychotic symptoms (UPDRS Thought Disorder item) were performed. RESULTS: Forty‐seven patients (26.4%) were admitted to a nursing home during the 4‐year study period. Institutionalized patients were older, had more advanced Parkinson's disease with more severe motor symptoms and impairment of activities of daily living, 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. A Cox proportional hazards linear regression analysis showed that old age, functional impairment, dementia, and hallucinations were independent predictors of nursing home admission. CONCLUSIONS: Both motor and neuropsychiatric symptoms contributed to institutionalization, but the presence of hallucinations was the strongest predictor. This finding indicates it is possible that effective treatment of hallucinations may reduce the need for institutionalization in patients with Parkinson's disease. J Am Geriatr Soc 48:938–942, 2000.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>nursing home</term></item><item><term>hallucinations</term></item><item><term>dementia</term></item><item><term>depression</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2000-08">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/949798D3607E39851C2079F83D78AB6DE686B8A1/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell 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affiliationRef="#a2"><personName><givenNames>Elise</givenNames><familyName>Tandberg</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a3"><personName><givenNames>Knut</givenNames><familyName>Laake</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Section of Geriatric Psychiatry, Rogaland Psychiatric Hospital</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Department of Neurology, Central Hospital of Rogaland, Stavanger</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="NO"><unparsedAffiliation>Department of Geriatric Medicine, Ullevål Hospital, Oslo, Norway.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">Parkinson's disease</keyword><keyword xml:id="k2">nursing home</keyword><keyword xml:id="k3">hallucinations</keyword><keyword xml:id="k4">dementia</keyword><keyword xml:id="k5">depression</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>OBJECTIVES</b>: To examine the rate and predictors of nursing home placement in patients with Parkinson's disease.</p><p><b>DESIGN</b>: Four‐year prospective study.</p><p><b>SETTING</b>: A population‐based study in western Norway</p><p><b>PARTICIPANTS</b>: 178 community‐dwelling subjects with Parkinson's disease.</p><p><b>MEASUREMENTS</b>: Main outcome measure was the time from baseline to nursing home admission. Baseline evaluation of motor symptoms (Unified Parkinson's Disease Rating Scale, UPDRS), cognition (clinical dementia interview, Gottfries, Bråne & Steen dementia scale, and Mini‐Mental State Examination), depression (clinical interview and the Montgomery & Åsberg Depression Rating Scale), and psychotic symptoms (UPDRS Thought Disorder item) were performed.</p><p><b>RESULTS</b>: Forty‐seven patients (26.4%) were admitted to a nursing home during the 4‐year study period. Institutionalized patients were older, had more advanced Parkinson's disease with more severe motor symptoms and impairment of activities of daily living, 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. A Cox proportional hazards linear regression analysis showed that old age, functional impairment, dementia, and hallucinations were independent predictors of nursing home admission.</p><p><b>CONCLUSIONS</b>: Both motor and neuropsychiatric symptoms contributed to institutionalization, but the presence of hallucinations was the strongest predictor. This finding indicates it is possible that effective treatment of hallucinations may reduce the need for institutionalization in patients with Parkinson's disease. <b>J Am Geriatr Soc 48:938–942, 2000</b>.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Predictors of Nursing Home Placement in Parkinson's Disease: A Population‐Based, Prospective Study</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Predictors of Nursing Home Placement in Parkinson's Disease: A Population‐Based, Prospective Study</title></titleInfo><name type="personal"><namePart type="given">Dag</namePart><namePart type="family">Aarsland</namePart><affiliation>Section of Geriatric Psychiatry, Rogaland Psychiatric Hospital</affiliation><description>Correspondence: Section of Geriatric Psychiatry, Rogaland Psychiatric Hospital, PO Box 1163 Hillevåg, N‐4095 Stavanger, Norway.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jan Petter</namePart><namePart type="family">Larsen</namePart><affiliation>Department of Neurology, Central Hospital of Rogaland, Stavanger</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Elise</namePart><namePart type="family">Tandberg</namePart><affiliation>Department of Neurology, Central Hospital of Rogaland, Stavanger</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Knut</namePart><namePart type="family">Laake</namePart><affiliation>Department of Geriatric Medicine, Ullevål Hospital, Oslo, Norway.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2000-08</dateIssued><copyrightDate encoding="w3cdtf">2000</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">3</extent><extent unit="references">23</extent></physicalDescription><abstract lang="en">OBJECTIVES: To examine the rate and predictors of nursing home placement in patients with Parkinson's disease. DESIGN: Four‐year prospective study. SETTING: A population‐based study in western Norway PARTICIPANTS: 178 community‐dwelling subjects with Parkinson's disease. MEASUREMENTS: Main outcome measure was the time from baseline to nursing home admission. Baseline evaluation of motor symptoms (Unified Parkinson's Disease Rating Scale, UPDRS), cognition (clinical dementia interview, Gottfries, Bråne & Steen dementia scale, and Mini‐Mental State Examination), depression (clinical interview and the Montgomery & Åsberg Depression Rating Scale), and psychotic symptoms (UPDRS Thought Disorder item) were performed. RESULTS: Forty‐seven patients (26.4%) were admitted to a nursing home during the 4‐year study period. Institutionalized patients were older, had more advanced Parkinson's disease with more severe motor symptoms and impairment of activities of daily living, 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. A Cox proportional hazards linear regression analysis showed that old age, functional impairment, dementia, and hallucinations were independent predictors of nursing home admission. CONCLUSIONS: Both motor and neuropsychiatric symptoms contributed to institutionalization, but the presence of hallucinations was the strongest predictor. This finding indicates it is possible that effective treatment of hallucinations may reduce the need for institutionalization in patients with Parkinson's disease. J Am Geriatr Soc 48:938–942, 2000.</abstract><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>nursing home</topic><topic>hallucinations</topic><topic>dementia</topic><topic>depression</topic></subject><relatedItem type="host"><titleInfo><title>Journal of the American Geriatrics Society</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0002-8614</identifier><identifier type="eISSN">1532-5415</identifier><identifier type="DOI">10.1111/(ISSN)1532-5415</identifier><identifier type="PublisherID">JGS</identifier><part><date>2000</date><detail type="volume"><caption>vol.</caption><number>48</number></detail><detail type="issue"><caption>no.</caption><number>8</number></detail><extent unit="pages"><start>938</start><end>942</end><total>5</total></extent></part></relatedItem><identifier type="istex">949798D3607E39851C2079F83D78AB6DE686B8A1</identifier><identifier type="DOI">10.1111/j.1532-5415.2000.tb06891.x</identifier><identifier type="ArticleID">JGS6891</identifier><accessCondition type="use and reproduction" contentType="copyright">2000 The American Geriatrics Society</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Predictors of Nursing Home Placement in Parkinson's Disease: A Population‐Based, Prospective Study
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