Forty-nine per cent suffer from dementia, and 10% of the men and 15% of the women (especially the younger ones) suffer from depression. Time span between the onset of dependency and the request for institutionalisation When the request for admission occurs within 3 months after the onset of dependency (e.g. during the patient’s stay Tofacitinib clinical in the hospital) this implies that people are not willing (e.g. because the co-resident is overburdened) or not able (e.g. because Inhibitors,Modulators,Libraries of the unavailability of sufficient professional home care services at that moment) to start home care. In our sample, 34% of the respondents (men 35.5%; women 33%) were unwilling or unable to start home care, implying an urgent request. Forty-one per cent tried home care for a time and Inhibitors,Modulators,Libraries 26% had effectively used home care for more than one year (Table (Table22).
Table 2 Time span between the onset of dependency and the request for institutionalisation, according to gender and degree of dependency Inhibitors,Modulators,Libraries There is no difference in timing between the male and female respondents. Mostly they apply within 3 to 12 months (38.7% of the men and 41.5% of the women). Yet, there is a paradox. The least dependent elderly (category O/A) were also among those making the earliest request (�� 3 months) for admission (men 75%, women 46.7%). I-ADL trigger an urgent request for institutionalisation All the major variables had a statistically significant impact on the time span. The results showed that I-ADL (��2 = 9.76; p < 0.01) and P-ADL (��2 = 9.72; p < 0.01) as well as disease (��2 = 4.57; p < 0.05) and living conditions (��2 = 5.
65; p < 0.05) are important in their own right. Looking for the most significant variable, we performed a stepwise Inhibitors,Modulators,Libraries logistic regression on 'time span between the onset of dependency and the request for institutionalisation' (�� 3 months versus �� 12 months) as dependent variable (Table (Table3).3). The analysis identifies the Instrumental Inhibitors,Modulators,Libraries Activities of Daily Living ( I-ADL) as the most important factor explaining the difference in 'decision speed' for institutionalisation. An increase of one unit on the I-ADL score increases a request within the first three months by 63% (95% confidence interval: 19 to 135% p = 0.006). None of the other possible covariates that were tested reached the level of significance.
Table 3 Results of the logistic regression on the determinants of the time span between onset of dependency and request for institutionalisation (t-value between brackets) (n = 74) Discussion Limitations of the study Due to the extensive social screening, only four nursing homes were Carfilzomib included in our study, which might not be representative for the elderly population at large. Yet, our research supports the general observation that maintaining the house often constitutes the biggest stumbling block. Our sample size is limited: 125 of which 74 for the logistic regression.
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