BACKGROUND: Longitudinal data on predictors of institutionalization in random older populations are limited. The aim here was to identify predictors of institutionalization in an unselected older population during a period of 13 years with a special focus on the prognostic value of urge @entity322 . METHODS: A population-based prospective survey was conducted involving 366 @entity1 and 409 @entity1 aged 60 years and older. Age-adjusted and multivariate Cox proportional hazards models were used to examine the predictive association of urge @entity322 , living arrangements, @entity65 , activities of daily living (ADL) disability, and @entity308 with institutionalization separately in @entity1 and @entity1 . RESULTS: Adjusted for age, @entity717 and other @entity102 predicted institutionalization in both @entity1 and @entity1 . Urge @entity322 and @entity308 in @entity1 and living alone and @entity65 in @entity1 were also significant predictors. In multivariate analyses where all potential predictors were included simultaneously, age (RR [relative risk] 1.15; 95% CI [confidence interval] 1.10-1.19), urge @entity322 (RR 3.07; 95% CI 1.24-7.59), and @entity308 ( @entity4736 .22; 95% CI 1.00-1.48) remained significant predictors of institutionalization in @entity1 . In @entity1 , age ( @entity4736 .15; 95% CI 1.12-1.19) and living alone ( @entity16071 .02; 95% CI 1.27-3.21) were independent predictors. CONCLUSIONS: In addition to age, urge @entity322 and @entity308 in @entity1 and living alone in @entity1 are significant prognostic indicators of institutionalization. The greater prognostic value of urge @entity322 in @entity1 compared with @entity1 emphasizes the importance of interventions aimed at promoting continence and coping with the problem both at the individual and caregiver levels especially among older @entity1 .

Predictors of institutionalization in an older population during a 13-year period: the effect of urge XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'men'] @entity4736 :: ('6240', 'Gene') :: ['RR 1'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depressive symptoms'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence'] @entity102 :: ('MESH:D002908', 'Disease') :: ['chronic diseases'] @entity717 :: ('MESH:D009069', 'Disease') :: ['ADL disability'] @entity65 :: ('MESH:D002318', 'Disease') :: ['cardiovascular diseases', 'neurological, cardiovascular, musculoskeletal, and other chronic diseases'] @entity16071 :: ('6241', 'Gene') :: ['RR 2']
@entity322 :: (MESH:D014549,Disease) :: ['incontinence']
