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Centre for Policy on Ageing | |
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Dementia case management and risk of long-term care placement
— a systematic review and meta-analysis | | Author(s) | Helen Tam-Tham, Monica Cepoiu-Martin, Paul E Ronksley |
| Journal title | International Journal of Geriatric Psychiatry, vol 28, no 9, September 2013 |
| Publisher | Wiley Blackwell, September 2013 |
| Pages | pp 889-902 |
| Source | www.orangejournal.org |
| Keywords | Dementia ; Case work ; Management [care] ; Admission [care homes] ; Admission [hospitals] ; Long term patients ; At risk ; Evaluation. |
| Annotation | The objective of this study was to evaluate the effectiveness of dementia case management compared with usual care on reducing long-term care placement, hospitalisation and emergency department visits for adult patients with dementia. The study also sought to evaluate the effectiveness of this intervention on delaying time to long-term care placement and hospitalisation. The authors carried out a literature search for randomised controlled trials testing the effectiveness of dementia case management in reducing resource utilisation in a population of caregiver-care recipient dyads living in the community. The study meta-analysed the risk ratio (RR) and weighted mean differences of long-term care placement and the RR of hospital admissions. Pooled estimates were further stratified by study characteristics and measures of study quality. 17 studies were included in the meta-analysis. The overall pooled RR of long-term care placement was 0.94 (95% confidence interval) for dementia case management compared with usual care. Stratification by follow-up duration indicated a statistically significant reduction in risk of long-term care placement when follow-up duration was less than 18 months. There was no effect of dementia case management compared with usual care for the other outcomes. Overall dementia case management demonstrated a short-term positive effect on reducing the risk of long-term care placement among older people with dementia residing in the community. However other sources of resource utilisation and more extended effects of dementia case management on risk of long-term care placement warrant further investigation. (JL). |
| Accession Number | CPA-130830224 A |
| Classmark | EA: IGA: QA: KW:QKH: LD:QKH: LF7:4Q: CA3: 4C |
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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