Evidence map›Paper›PMID 24348504›Full record

ArticleDementia and geriatric cognitive disorders extra2013

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

Kathrin Eska, Elmar Graessel, Carolin Donath, Larissa Schwarzkopf, Joerg Lauterberg, Rolf Holle

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Article in Dementia and geriatric cognitive disorders extra, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  4. Towards conceptual convergence: A systematic review of psychological resilience in family caregivers of persons living with chronic neurological conditions.Health expectations : an international journal of public participation in health care and health policy · 2022
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  9. Feasibility of Telehealth Occupational Therapy for Behavioral Symptoms of Adults With Dementia: Randomized Controlled Trial.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kathrin EskaCenter of Health Services Research in Medicine, Department of Psychiatry and Psychotherapy, Friedrich-Alexander Universitaet Erlangen-Nuernberg, Erlangen, Germany.
Elmar GraesselCenter of Health Services Research in Medicine, Department of Psychiatry and Psychotherapy, Friedrich-Alexander Universitaet Erlangen-Nuernberg, Erlangen, Germany.
Carolin DonathCenter of Health Services Research in Medicine, Department of Psychiatry and Psychotherapy, Friedrich-Alexander Universitaet Erlangen-Nuernberg, Erlangen, Germany.
Larissa SchwarzkopfGerman Research Center of Environmental Health, Institute of Health Economics and Health Care Management, Helmholtz Zentrum Muenchen, Munich, Germany.
Joerg LauterbergInstitute for Quality and Efficiency in Health Care (IQWiG), Cologne, Germany.
Rolf HolleGerman Research Center of Environmental Health, Institute of Health Economics and Health Care Management, Helmholtz Zentrum Muenchen, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInstitutionalization 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].

methodsAt 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.

resultsThe 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).

conclusionThe 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.

Indexed as

AgeCaregiversCommunity health servicesCost of illnessHome nursingLong-term careModels, theoreticalNursing homesPrimary health careProportional hazard models

Identifiers

PMID24348504
PMCPMC3843910

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.