Evidence map›Paper›PMID 33446114›Full record

ArticleBMC geriatrics2021

Predictors of caregiver burden in aged caregivers of demented older patients.

Chia-Fen Tsai, Wei-Shen Hwang, Jun-Jun Lee, Wen-Fu Wang, Ling-Chun Huang, Li-Kai Huang, Wei-Ju Lee, Pi-Shan Sung, Yi-Chien Liu, Chih-Cheng Hsu and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
13.0field-weighted citation impact, top 1% of its field
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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

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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

11 authors at 8 institutions in 1 country.

Chia-Fen TsaiDepartment of Psychiatry, Division of Geriatric Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
Wei-Shen HwangDepartment of Psychiatry, Division of Geriatric Psychiatry, Taipei Veterans General Hospital, Taipei, Taiwan.
Jun-Jun LeeDepartment of Neurology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, College of Medicine, Kaohsiung, Taiwan.
Wen-Fu WangDepartment of Neurology, Changhua Christian Hospital, Changhua, Taiwan.
Ling-Chun HuangDepartment of Neurology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Li-Kai HuangDepartment of Neurology, Shuang Ho Hospital, Taipei, Taipei Medical University, New Taipei City, Taiwan.
Wei-Ju LeeNeurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan.
Pi-Shan SungDepartment of Neurology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Yi-Chien LiuNeurological Center of Cardinal Tien Hospital, Taipei, Taiwan.
Chih-Cheng HsuInstitute of Population Health Sciences, National Health Research Institutes, Zhunan, Taiwan.
Jong-Ling FuhFaculty of Medicine, National Yang-Ming University Schools of Medicine, Taipei, Taiwan. stellafuh@gmail.com.ORCID 0000-0001-9135-3351
Kaohsiung Medical University · TWNational Yang Ming Chiao Tung University · TWTaipei Veterans General Hospital · TWFu Jen Catholic University · TWMingDao University · TWNational Cheng Kung University Hospital · TWNational Health Research Institutes · TWNational Sun Yat-sen University · TW

Funding

Ministry of Science and Technology, Taiwan MOST 106-3114-Y-043-022, 107-2221-E-075-006-, 108-2321-B-075-001-, 109-2314-B-075-052-MY2National Health Research Institutes PH-109-GP-05, PH-108-GP-01, and PH-107-SP-13Taipei Veterans General Hospital V108C-113, V108D43-002-MY2-1, V109C-061, VGHUST109-V1-5-1
6 · The paper itself

Abstract

backgroundDementia in the oldest-old is projected to increase exponentially as is the burden of their caregivers who may experience unique challenges and suffering. Thus, we aim to investigate which factors are associated with older caregivers' burden in caring demented outpatients in a multicenter cohort.

methodsPatients and their caregivers, both aged ≧65 years, in the National Dementia Registry Study in Taiwan (T-NDRS) were included in this study. Caregiver burden was measured with the short version of the Zarit Burden Interview (ZBI). The correlations between the ZBI scores and characteristics of caregivers and patients, including severity of dementia, physical comorbidities, instrumental activities of daily living (IADL), neuropsychiatric symptoms assessed by the Neuropsychiatric Inventory (NPI), and family monthly income, were analyzed.

resultsWe recruited 328 aged informal caregiver-patient dyads. The mean age of caregivers was 73.7 ± 7.0 years, with female predominance (66.8%), and the mean age of patients was 78.8 ± 6.9 years, with male predominance (61.0%). Multivariable linear regression showed that IADLs (β = 0.83, p < 0.001) and NPI subscores of apathy (β = 3.83, p < 0.001)and irritability (β = 4.25, p < 0.001) were positively associated with ZBI scores. The highest family monthly income (β = - 10.92, p = 0.001) and caregiver age (β = - 0.41, p = 0.001) were negatively correlated with ZBI scores.

conclusionsOlder caregivers of older demented patients experience a higher care burden when patients had greater impaired functional autonomy and the presence of NPI symptoms of apathy and irritability. Our findings provide the direction to identify risky older caregivers, and we should pay more attention to and provide support for these exhausted caregivers.

Indexed as

Activities of Daily LivingCaregiversAgedAged, 80 and overCaregiver BurdenCohort StudiesCost of IllnessFemaleHumansMaleTaiwanCaregiver burdenOlder caregiverOldest-oldZarit burden interview

Identifiers

PMID33446114
PMCPMC7809883
OpenAlexW3123761023

What OpenQuestion holds

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LicenceCC BY
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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.