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Predictors of nursing home placement in Parkinson's disease: a population-based, prospective study.
J Am Geriatr Soc. 2000 Aug; 48(8):938-42.JA

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, Brane & Steen dementia scale, and Mini-Mental State Examination), depression (clinical interview and the Montgomery & Asberg 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.

Authors+Show Affiliations

Section of Geriatric Psychiatry, Rogaland Psychiatric Hospital, Central Hospital of Rogaland, Stavanger, Oslo, Norway.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10968298

Citation

Aarsland, D, et al. "Predictors of Nursing Home Placement in Parkinson's Disease: a Population-based, Prospective Study." Journal of the American Geriatrics Society, vol. 48, no. 8, 2000, pp. 938-42.
Aarsland D, Larsen JP, Tandberg E, et al. Predictors of nursing home placement in Parkinson's disease: a population-based, prospective study. J Am Geriatr Soc. 2000;48(8):938-42.
Aarsland, D., Larsen, J. P., Tandberg, E., & Laake, K. (2000). Predictors of nursing home placement in Parkinson's disease: a population-based, prospective study. Journal of the American Geriatrics Society, 48(8), 938-42.
Aarsland D, et al. Predictors of Nursing Home Placement in Parkinson's Disease: a Population-based, Prospective Study. J Am Geriatr Soc. 2000;48(8):938-42. PubMed PMID: 10968298.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictors of nursing home placement in Parkinson's disease: a population-based, prospective study. AU - Aarsland,D, AU - Larsen,J P, AU - Tandberg,E, AU - Laake,K, PY - 2000/9/1/pubmed PY - 2000/9/23/medline PY - 2000/9/1/entrez SP - 938 EP - 42 JF - Journal of the American Geriatrics Society JO - J Am Geriatr Soc VL - 48 IS - 8 N2 - 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, Brane & Steen dementia scale, and Mini-Mental State Examination), depression (clinical interview and the Montgomery & Asberg 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. SN - 0002-8614 UR - https://www.unboundmedicine.com/medline/citation/10968298/Predictors_of_nursing_home_placement_in_Parkinson's_disease:_a_population_based_prospective_study_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=0002-8614&date=2000&volume=48&issue=8&spage=938 DB - PRIME DP - Unbound Medicine ER -