Predictors of Institutionalisation in Incident Dementia - Results of the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe Study)

被引：39

作者：

Luppa, Melanie ^{[1
]}

Riedel-Heller, Steffi G. ^{[1
]}

Stein, Janine ^{[1
]}

Leicht, Hanna ^{[2
]}

Koenig, Hans-Helmut ^{[2
]}

van den Bussche, Hendrik ^{[3
]}

Maier, Wolfgang ^{[4
]}

Scherer, Martin ^{[3
]}

Bickel, Horst ^{[5
]}

Moesch, Edelgard ^{[5
]}

Werle, Jochen ^{[6
]}

Pentzek, Michael ^{[7
]}

Fuchs, Angela ^{[7
]}

Eisele, Marion ^{[3
]}

Jessen, Frank ^{[4
]}

Tebarth, Franziska ^{[4
]}

Wiese, Birgitt ^{[8
]}

Weyerere, Siegfried ^{[5
]}

机构：

[1] Univ Leipzig, Inst Social Med Occupat Hlth & Publ Hlth, DE-04103 Leipzig, Germany

[2] Univ Med Ctr, Dept Med Sociol & Hlth Econ, Hamburg, Germany

[3] Univ Med Ctr, Dept Primary Med Care, Hamburg, Germany

[4] Univ Bonn, Dept Psychiat, Bonn, Germany

[5] Tech Univ Munich, Dept Psychiat, Munich, Germany

[6] Cent Inst Mental Hlth, D-6800 Mannheim, Germany

[7] Univ Dusseldorf, Fac Med, Inst Gen Practice, D-40225 Dusseldorf, Germany

[8] Hannover Med Sch, Inst Biometr, D-3000 Hannover, Germany

来源：

DEMENTIA AND GERIATRIC COGNITIVE DISORDERS | 2012年 / 33卷 / 04期

关键词：

Institutionalisation; Nursing home placement; Nursing home admission; Predictors; Cognitive impairment; Dementia; NURSING-HOME PLACEMENT; BEHAVIORAL SYMPTOMS; ALZHEIMERS-DISEASE; OLDER-PEOPLE; TIME; IMPAIRMENT; ADMISSION; HEALTH;

D O I：

10.1159/000339729

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Background/Aims: In the past few decades, a number of studies investigated risk factors of nursing home placement (NHP) in dementia patients. The aim of the study was to investigate risk factors of NHP in incident dementia cases, considering characteristics at the time of the dementia diagnosis. Methods: 254 incident dementia cases from a German general practice sample aged 75 years and older which were assessed every 1.5 years over 4 waves were included. A Cox proportional hazard regression model was used to determine predictors of NHP. Kaplan-Meier survival curves were used to evaluate the time until NHP. Results: Of the 254 incident dementia cases, 77 (30%) were institutionalised over the study course. The mean time until NHP was 4.1 years. Significant characteristics of NHP at the time of the dementia diagnosis were marital status (being single or widowed), higher severity of cognitive impairment and mobility impairment. Conclusion: Marital status seems to play a decisive role in NHP. Early initiation of support of sufferers may ensure remaining in the familiar surroundings as long as possible. Copyright (C) 2012 S. Karger AG, Basel

引用

页码：282 / 288

页数：7

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