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Centre for Policy on Ageing | |
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Prediction of institutionalization in the elderly
— a systematic review | | Author(s) | Melanie Luppa, Tobias Luck, Siegfried Weyerer |
| Journal title | Age and Ageing, vol 39, no 1, January 2010 |
| Pages | pp 31-38 |
| Source | http://www.ageing.oxfordjournals.org http://www.bgs.org.uk doi:10.1093/ageing/afp202 |
| Keywords | Admission [nursing homes] ; Longitudinal surveys ; Literature reviews. |
| Annotation | In the past decades, many studies have examined predictors of nursing home placement (NHP) in the older population. This study provides a systematic review of predictors of NHP in the general population of developed countries. 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. 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. Findings suggest 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. (KJ/RH). |
| Accession Number | CPA-100421202 A |
| Classmark | LHB:QKH: 3J: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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