Predictors of nursing home admission for persons with dementia
Abstract
Objective The objective of this systematic review was to identify factors that consistently predict nursing home admission (NHA) in persons with dementia. Methods Studies published in English were retrieved by searching the MEDLINE (1966-2006), PSYCINFO (1950-2006), CINAHL (1982-2006), and Digital Dissertations (1950-2006) databases. Bibliographies of retrieved studies were also searched. Information on study characteristics and empirical results were extracted using a standardized protocol. Results Of 782 relevant studies identified 80 were selected for review based upon eligibility criteria. The most consistent predictors of NHA in persons with dementia included severity of cognitive impairment, Alzheimer disease diagnosis, basic activity of daily living dependencies, behavioral symptoms, and depression. Caregivers who indicated greater emotional stress, a desire to institutionalize the care recipient, and feelings of being "trapped" in care responsibilities were more likely to admit persons with dementia to nursing homes. Demographic variables, incontinence, and service use did not consistently predict NHA. Conclusions Several results seemed to challenge conventional assumptions of what precipitates NHA among persons with dementia. Caregiver stressors in conjunction with care recipient characteristics are important to consider when assessing NHA risk. The findings emphasize the need to construct more complex models of institutionalization when designing risk measures to ta…
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The level of independence in ADL is one of the significant predictors of long-term care placement for people with dementia.
“Indeed, previous systematic reviews have shown that the level of independence in ADL to be one of the significant predictors of long-term care placement for people with dementia (Cepoiu-Martin, Tam-Tham, Patten, Maxwell, & Hogan, 2016; Gaugler, Yu, Krichbaum, & Wyman, 2009).”
From Exploring the impact of carer stressors and psychological inflexibility on depression and anxiety in family carers of people with dementia (2020) · cites this paper as Gaugler, Yu, Krichbaum, & Wyman, 2009
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“Other caregiver interventions report that gender may influence effectiveness in delaying NHA, whereas racial/ethnic variations do not moderate effectiveness.(44,48) As this brief overview suggests, future interventions should consider long-term efficacy given the chronic nature of dementia and the timing of NHA in the…”
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- Authors
- Gaugler, J. E., Yu, F., Krichbaum, K., & Wyman, J. F.
- Affiliations
- University of Minnesota (US)
- Corresponding author
- Gaugler, Joseph E.
- Venue
- Medical Care
- Published
- 2009-02
- Volume
- 47
- Issue
- 2
- Pages
- 191-198
- ISSN
- 0025-7079 (ISSN-L)
- OpenAlex
- W1979728352
- Cited by
- 617
- References
- 6
- Citations by year
- 2026: 23 · 2025: 10 · 2024: 24 · 2023: 30 · 2022: 43 · 2021: 43 · 2020: 49 · 2019: 36 · 2018: 50 · 2017: 63 · 2016: 39 · 2015: 38 · 2014: 38 · 2013: 36 · 2012: 32
- FWCI
- 5.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Center for Research Resources (M01RR000400)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Keywords
- nursing home admission, dementia, predictors of institutionalization, caregiver stress, caregiver burden, Alzheimer's disease, cognitive impairment severity, activities of daily living, behavioral symptoms, depression, incontinence, risk assessment, long-term care
- MeSH terms
- Activities of Daily Living, Aged, Alzheimer Disease, Cognition Disorders, Cross-Sectional Studies, Homes for the Aged, Humans, Nursing Homes, Patient Admission, United States, Caregivers, Cost of Illness, Risk Assessment
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