Prediction of institutionalization in the elderly. A systematic review.
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Prediction of institutionalization in the elderly. A systematic review. / Luppa, Melanie; Luck, Tobias; Weyerer, Siegfried; König, Hans-Helmut; Brähler, Elmar; Riedel-Heller, Steffi G.
In: AGE AGEING, Vol. 39, No. 1, 1, 2010, p. 31-38.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Prediction of institutionalization in the elderly. A systematic review.
AU - Luppa, Melanie
AU - Luck, Tobias
AU - Weyerer, Siegfried
AU - König, Hans-Helmut
AU - Brähler, Elmar
AU - Riedel-Heller, Steffi G
PY - 2010
Y1 - 2010
N2 - OBJECTIVE: in the past decades, many studies have examined predictors of nursing home placement (NHP) in the elderly. This study provides a systematic review of predictors of NHP in the general population of developed countries. DESIGN: relevant articles were identified by searching the databases MEDLINE, Web of Science, Cochrane Library and PSYNDEXplus. Studies based on population-based samples with prospective study design and identification of predictors by multivariate analyses were included. Quality of studies and evidence of predictors were determined. RESULTS: thirty-six studies were identified; one-third of the studies were of high quality. Predictors with strong evidence were increased age, low self-rated health status, functional and cognitive impairment, dementia, prior NHP and a high number of prescriptions. Predictors with inconsistent results were male gender, low education status, low income, stroke, hypertension, incontinence, depression and prior hospital use. CONCLUSIONS: findings suggested that predictors of NHP are mainly based on underlying cognitive and/or functional impairment, and associated lack of support and assistance in daily living. However, the methodical quality of studies needs improvement. More theoretical embedding of risk models of NHP would help to establish more clarity in complex relationships in using nursing homes.
AB - OBJECTIVE: in the past decades, many studies have examined predictors of nursing home placement (NHP) in the elderly. This study provides a systematic review of predictors of NHP in the general population of developed countries. DESIGN: relevant articles were identified by searching the databases MEDLINE, Web of Science, Cochrane Library and PSYNDEXplus. Studies based on population-based samples with prospective study design and identification of predictors by multivariate analyses were included. Quality of studies and evidence of predictors were determined. RESULTS: thirty-six studies were identified; one-third of the studies were of high quality. Predictors with strong evidence were increased age, low self-rated health status, functional and cognitive impairment, dementia, prior NHP and a high number of prescriptions. Predictors with inconsistent results were male gender, low education status, low income, stroke, hypertension, incontinence, depression and prior hospital use. CONCLUSIONS: findings suggested that predictors of NHP are mainly based on underlying cognitive and/or functional impairment, and associated lack of support and assistance in daily living. However, the methodical quality of studies needs improvement. More theoretical embedding of risk models of NHP would help to establish more clarity in complex relationships in using nursing homes.
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Forecasting
KW - Activities of Daily Living
KW - Aged, 80 and over
KW - Cognition Disorders epidemiology
KW - Dementia epidemiology
KW - Homes for the Aged statistics
KW - numerical data
KW - Institutionalization statistics
KW - Nursing Homes statistics
KW - Psychiatric Status Rating Scales
KW - Risk Factors
KW - Humans
KW - Male
KW - Aged
KW - Female
KW - Forecasting
KW - Activities of Daily Living
KW - Aged, 80 and over
KW - Cognition Disorders epidemiology
KW - Dementia epidemiology
KW - Homes for the Aged statistics
KW - numerical data
KW - Institutionalization statistics
KW - Nursing Homes statistics
KW - Psychiatric Status Rating Scales
KW - Risk Factors
M3 - SCORING: Zeitschriftenaufsatz
VL - 39
SP - 31
EP - 38
JO - AGE AGEING
JF - AGE AGEING
SN - 0002-0729
IS - 1
M1 - 1
ER -
