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Eska, K.* ; Graessel, E.* ; Donath, C.* ; Schwarzkopf, L. ; Lauterberg, J.* ; Holle, R.

Predictors of institutionalization of dementia patients in mild and moderate stages: A 4-year prospective analysis.

Dement. Geriatr. Cogn. Disord. 3, 426-445 (2013)
Verlagsversion Volltext DOI PMC
Creative Commons Lizenzvertrag
Open Access Green möglich sobald Postprint bei der ZB eingereicht worden ist.
Background: Institutionalization is the most important milestone in the care of dementia patients. This study was aimed at identifying relevant predictors of institutionalization in a broad empirical context and interpreting them on the basis of the predictor model proposed by Luppa et al. [Dement Geriatr Cogn Disord 2008;26:65-78]. Methods: At the start of this study, 357 patients with mild to moderate dementia were examined by their general practitioners, and a telephone interview was conducted with their caregivers. Four years later, the outcomes ‘institutionalization' and ‘death' were determined from health insurance data. Forty-one variables were examined for their predictive influence by univariate and multivariate Cox regression. Results: The risk of institutionalization increased significantly (p ≤ 0.05) with older ages of patients [hazard ratio (HR) = 1.05] and caregivers (HR = 1.03), a higher educational level of the caregiver (HR = 1.83), greater use of community health services (HR = 1.59), greater caregiver burden (HR = 1.02), and when the caregiver and patient lived apart (HR = 1.97). Conclusion: The results show that there is a multifactorial influence on institutionalization of dementia patients by sociodemographic, health-related, and psychological aspects as well as the care situation, thus validating the predictor model by Luppa et al. [Dement Geriatr Cogn Disord 2008;26:65-78]. Caregiver burden was found to be the strongest predictor accessible to interventions.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Age; Caregivers; Community health services; Nursing homes; Cost of illness; Home nursing; Proportional hazard models; Primary health care; Long-term care; Models, theoretical
ISSN (print) / ISBN 1420-8008
e-ISSN 1421-9824
Zeitschrift Dementia and Geriatric Cognitive Disorders
Quellenangaben Band: 3, Heft: 1, Seiten: 426-445 Artikelnummer: , Supplement: ,
Verlag Karger
Verlagsort Basel ; Freiburg [u.a.]