ArticleSocial psychiatry and psychiatric epidemiology2015
Institutionalization in incident dementia cases in comparison to age- and sex- matched controls: a 5-year follow-up from Germany.
Article in Social psychiatry and psychiatric epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 28 citations in OpenAlex.
- Non-adherence to antidementia medications and associated factors: a study of Spanish population-based registry data.Frontiers in pharmacology · 2024Article
- Do health assessments affect time to permanent residential aged care admission for older women with and without dementia?Geriatrics & gerontology international · 2023Article
- Characteristics and place of death in home care recipients in Germany - an analysis of nationwide health insurance claims data.BMC palliative care · 2022Article
- [Hospitalization of nursing home residents in the last phase of life: an analysis of health insurance data].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Prescribing medications of questionable benefit prior to death: a retrospective study on older nursing home residents with and without dementia in Germany.European journal of clinical pharmacology · 2020Article
- Study on advance care planning in care dependent community-dwelling older persons in Germany (STADPLAN): protocol of a cluster-randomised controlled trial.BMC geriatrics · 2020Article
- Time from diagnosis to institutionalization and death in people with dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2020Article
- Claims data-based analysis of the influence of individual and regional characteristics on the utilisation of long-term care by people with dementia in Baden-Wurttemberg, Germany.BMC geriatrics · 2019Article
- Mortality and hospitalization at the end of life in newly admitted nursing home residents with and without dementia.Social psychiatry and psychiatric epidemiology · 2018Article
- Article
- Quality of Life, Family Support, and Comorbidities in Institutionalized Elders With and Without Symptoms of Depression.The Psychiatric quarterly · 2016Article
- [Pain medication in nursing home residents with and without cancer. Most frequently with metamizole].Schmerz (Berlin, Germany) · 2015Article
- Nonpharmacological therapies and provision of aids in outpatient dementia networks in Germany: utilization rates and associated factors.Journal of multidisciplinary healthcare · 2015Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDementia is a main reason for nursing home admission. Information on institutionalization is often based on studies of limited methodological quality. We aimed to analyze time until nursing home admission since first coding of dementia diagnosis and factors associated with institutionalization in incident dementia patients compared to non-demented controls.
methodsWe analyzed claims data of a German Health insurance company including a cohort of 1,440 patients with a first diagnosis of dementia and 6,988 age- and sex-matched controls aged 65 years and older. The follow-up was up to 5 years. We used Kaplan-Meier analysis for examining time until nursing home admission and cox regression for estimating crude and adjusted Hazard ratios.
resultsDementia patients and controls were on average 78 years and about 55 % were males. The mean time to nursing home admission was 4.0 years in patients with dementia and 4.6 years for controls. After the 5-years observation-period 62.7 % (95 % CI 59.0-66.1) of dementia patients still lived in the community in comparison to 86.2 % (95 % CI 85.2-87.2) of controls. Cox regression models show that the risk for institutionalization is 3.45 (95 % CI 3.05-3.90) times higher in dementia patients in comparison to controls when adjusted for sex, age, and comorbidity.
conclusionsOur analysis shows a significant influence of dementia on institutionalization in comparison to age- and sex-matched controls, especially in the youngest age groups. Hence, the results add substantial information on the disease progression of dementia and are, therefore, of great importance for health-care as well as long-term care planning.
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