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Published on: January 11, 2020
Prediction of institutionalisation in dementia. A systematic review
Melanie Luppa1, Tobias Luck, Elmar Brähler
1Department of Psychiatry, Public Mental Health Research Unit, University of Leipzig, Leipzig, Germany. Melanie.Luppa@medizin.uni-leipzig.de
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.
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