Document Detail

Prediction of institutionalisation in dementia. A systematic review.
MedLine Citation:
PMID:  18617737     Owner:  NLM     Status:  MEDLINE    
BACKGROUND/AIMS: In the past decades, a substantial number of studies considered factors influencing institutionalisation of persons with dementia. This study reviews recent work on predictors of actual institutionalisation in dementia. METHOD: Relevant articles were identified by a systematic search of the literature. Studies were considered which included persons aged 65 and over, and whose results were based on prospective design and on multivariate statistical analyses. RESULTS: Forty-two studies were identified. The rate of institutionalisation increased from 20% in the first year after diagnosis to 50% after 5 years. Median time to institutionalisation was estimated between 30 and 40 months. Predictors of institutionalisation were classified according to a provided conceptual framework in the categories sociodemographic and relationship characteristics of persons with dementia and caregivers, primary stressors, secondary stressors and resources. CONCLUSION: The overview of research activities in this area showed a lack of methodological strength in a large part of identified studies. Nevertheless, a lot of well-examined and less highlighted predictors could be identified.
Melanie Luppa; Tobias Luck; Elmar Brähler; Hans-Helmut König; Steffi G Riedel-Heller
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-07-10
Journal Detail:
Title:  Dementia and geriatric cognitive disorders     Volume:  26     ISSN:  1421-9824     ISO Abbreviation:  Dement Geriatr Cogn Disord     Publication Date:  2008  
Date Detail:
Created Date:  2008-07-25     Completed Date:  2008-10-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9705200     Medline TA:  Dement Geriatr Cogn Disord     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  65-78     Citation Subset:  IM    
Copyright Information:
Copyright 2008 S. Karger AG, Basel.
Department of Psychiatry, Public Mental Health Research Unit, University of Leipzig, Leipzig, Germany.
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MeSH Terms
Dementia / epidemiology*,  therapy*
Institutionalization / statistics & numerical data*
Nursing Homes / statistics & numerical data*
Predictive Value of Tests

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