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Disease relevance of Institutionalization

  • At baseline, female sex, prestroke institutionalization, and a worse prestroke Rankin score were significantly more frequent in the older patients, as were coma, paralysis, swallowing problems, and urinary incontinence in the acute phase (all P values <0.001) [1].
  • Among those who reported either event, odds of institutionalization (vs. household expansion) were associated with older age, White race, cognitive and functional problems, high chronic illness burden, being married, having fewer living children, smaller household size, social isolation, and exits of nonspouse coresidents [2].

Psychiatry related information on Institutionalization


High impact information on Institutionalization


Chemical compound and disease context of Institutionalization


Biological context of Institutionalization

  • Results are discussed following two non-exclusive interpretations: (1) the successes of genomics and its institutionalization in Québec and Canada brought hype and greater social acceptance, and (2) uncritical reporting practices have emerged under pressures for expedient and consumable writing [15].

Associations of Institutionalization with chemical compounds


Gene context of Institutionalization

  • Among the 211 residents (160 women, mean age 82.2 +/- 9.29 years, and 51 men, mean age 77.1 +/- 8.9 years), 42 were hip fracture cases, with a prevalence of almost 20%, and a female/male ratio of 6/1.23 fractures preceded institutionalization; of these 19 (17 females and 2 males) occurred within the nursing homes (mean age 83.2 +/- 6.3 years) [21].
  • There were statistically significant differences between the 2 groups (MED versus GERO, respectively) at follow-up in terms of (1) institutionalization (30.0% versus 4.6%, P < .05), (2) CDR (2.3 versus 1.5, P < .005), and (3) prescription of donepezil at follow-up (45.5% versus 76.5%, P = .05) [22].
  • A contact person from each site completed and returned a questionnaire pertaining to the district's continued implementation (institutionalization) of the SHCP [23].
  • However, other factors were significant, including past year institutionalization, location within the DC MSA, and stage of homelessness [24].
  • Treatment strategies that delay the progression of motor dysfunction in HD may postpone the need for institutionalization [25].

Analytical, diagnostic and therapeutic context of Institutionalization


  1. Stroke in the very old : clinical presentation and determinants of 3-month functional outcome: A European perspective. European BIOMED Study of Stroke Care Group. Di Carlo, A., Lamassa, M., Pracucci, G., Basile, A.M., Trefoloni, G., Vanni, P., Wolfe, C.D., Tilling, K., Ebrahim, S., Inzitari, D. Stroke (1999) [Pubmed]
  2. Competing risk of household expansion or institutionalization in late life. Hays, J.C., Pieper, C.F., Purser, J.L. The journals of gerontology. Series B, Psychological sciences and social sciences. (2003) [Pubmed]
  3. Delusions and hallucinations are associated with worse outcome in Alzheimer disease. Scarmeas, N., Brandt, J., Albert, M., Hadjigeorgiou, G., Papadimitriou, A., Dubois, B., Sarazin, M., Devanand, D., Honig, L., Marder, K., Bell, K., Wegesin, D., Blacker, D., Stern, Y. Arch. Neurol. (2005) [Pubmed]
  4. Trinucleotide repeat expansion in the FRAXE locus is not common among institutionalized individuals with non-specific developmental disabilities. Holden, J.J., Julien-Inalsingh, C., Chalifoux, M., Wing, M., Scott, E., Fidler, K., Swift, I., Maidment, B., Knight, S.J., Davies, K.E., White, B.N. Am. J. Med. Genet. (1996) [Pubmed]
  5. Risk of mortality and institutionalization in demented patients with delusions. Magni, E., Binetti, G., Bianchetti, A., Trabucchi, M. Journal of geriatric psychiatry and neurology. (1996) [Pubmed]
  6. Effects of chlorhexidine spray on plaque and gingival health in institutionalized persons with mental retardation. Burtner, A.P., Low, D.W., McNeal, D.R., Hassell, T.M., Smith, R.G. Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry. (1991) [Pubmed]
  7. Predictors of mortality and institutionalization in Alzheimer disease patients 1 year after discharge from an Alzheimer dementia unit. Bianchetti, A., Scuratti, A., Zanetti, O., Binetti, G., Frisoni, G.B., Magni, E., Trabucchi, M. Dementia (1995) [Pubmed]
  8. Quality of life among persons with multiple sclerosis and their caregivers. Aronson, K.J. Neurology (1997) [Pubmed]
  9. Social, psychological and physical factors affecting the nutritional status of elderly subjects: separating cause and effect. Goodwin, J.S. Am. J. Clin. Nutr. (1989) [Pubmed]
  10. Schizophrenia among patients treated for rheumatoid arthritis and appendicitis. Lauerma, H., Lehtinen, V., Joukamaa, M., Järvelin, M.R., Helenius, H., Isohanni, M. Schizophr. Res. (1998) [Pubmed]
  11. US trends in disability and institutionalization among older Blacks and Whites. Clark, D.O. American journal of public health. (1997) [Pubmed]
  12. A comprehensive, interdisciplinary approach to the care of the institutionalized person with epilepsy. O'Neill, B.P., Ladon, B., Harris, L.M., Riley, H.L., Dreifuss, F.E. Epilepsia (1977) [Pubmed]
  13. Paroxetine treatment of aggression and self-injury in persons with mental retardation. Davanzo, P.A., Belin, T.R., Widawski, M.H., King, B.H. American journal of mental retardation : AJMR. (1998) [Pubmed]
  14. Metrifonate for Alzheimer's disease. López-Arrieta, J., Schneider, L. Cochrane database of systematic reviews (Online) (2006) [Pubmed]
  15. Hyped biomedical science or uncritical reporting? Press coverage of genomics (1992-2001) in Québec. Racine, E., Gareau, I., Doucet, H., Laudy, D., Jobin, G., Schraedley-Desmond, P. Social science & medicine (1982) (2006) [Pubmed]
  16. An economic evaluation of donepezil in the treatment of Alzheimer's disease. Small, G.W., Donohue, J.A., Brooks, R.L. Clinical therapeutics. (1998) [Pubmed]
  17. Coping with dementia: a pilot study. Levine, N.B., Dastoor, D.P., Gendron, C.E. Journal of the American Geriatrics Society. (1983) [Pubmed]
  18. Changes in thiamin, riboflavin, niacin, beta-carotene, vitamins, C, A, D and E status of French Elderly Subjects during the first year of institutionalization. Essama-Tjani, J.C., Guilland, J.C., Fuchs, F., Lombard, M., Richard, D. International journal for vitamin and nutrition research. Internationale Zeitschrift für Vitamin- und Ernährungsforschung. Journal international de vitaminologie et de nutrition. (2000) [Pubmed]
  19. A longitudinal primary care program in an urban public medical school: three years of experience. Freeman, J., Cash, C., Yonke, A., Roe, B., Foley, R. Academic medicine : journal of the Association of American Medical Colleges. (1995) [Pubmed]
  20. Folate status worsens in recently institutionalized elderly people without evidence of functional deterioration. Essama-Tjani, J.C., Guilland, J.C., Potier de Courcy, G., Fuchs, F., Richard, D. Journal of the American College of Nutrition. (2000) [Pubmed]
  21. Hip fracture in nursing homes: an Italian study on prevalence, latency, risk factors, and impact on mobility. Maggio, D., Ubaldi, E., Simonelli, G., Cenci, S., Pedone, C., Cherubini, A. Calcif. Tissue Int. (2001) [Pubmed]
  22. Health service utilization by Alzheimer's disease patients: a 2-year follow-up of primary versus subspecialty care. Aupperle, P.M., MacPhee, E.R., Coyne, A.C., Blume, J., Sanchez, B. Journal of geriatric psychiatry and neurology. (2003) [Pubmed]
  23. The longevity of Growing Healthy: an analysis of the eight original sites implementing the School Health Curriculum Project. Smith, D.W., Redican, K.J., Olsen, L.K. The Journal of school health. (1992) [Pubmed]
  24. Correlates of drug abuse among homeless and transient people in the Washington, DC, metropolitan area in 1991. Lambert, E.Y., Caces, M.F. Public health reports (Washington, D.C. : 1974) (1995) [Pubmed]
  25. Predictors of nursing home placement in Huntington disease. Wheelock, V.L., Tempkin, T., Marder, K., Nance, M., Myers, R.H., Zhao, H., Kayson, E., Orme, C., Shoulson, I. Neurology (2003) [Pubmed]
  26. Salivary phenytoin levels in institutionalized epileptics. Hassell, T., O'Donnell, J., Pearlman, J., Tesini, D., Best, H., Murphy, T. Journal of chronic diseases. (1983) [Pubmed]
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