BACKGROUND: Information on the time until institutionalization and its predictors in demented subjects has so far been based on studies with selected samples or prevalent dementia cases. Thus, the aim of the study is to analyze the time until institutionalization and associated patient-related factors in incident dementia cases. METHODS: Data were derived from the Leipzig Longitudinal Study of the Aged (LEILA 75+), a population-based study of individuals aged 75 years and older. Kaplan-Meier survival analysis was used to determine the time until institutionalization. Factors associated with time until institutionalization were analyzed using Cox proportional hazards models. RESULTS: One hundred and nine subjects with incident dementia who resided in a private home setting at the time of the dementia diagnosis were identified. Fifty-two (47.7%) of these subjects had become residents of a nursing home by the end of the study. The median time until institutionalization was 1,005 days (95% CI = 808-1,202). Being widowed/divorced (compared to being married) was associated with a significantly shorter time until institutionalization (univariate model: HR = 4.50, 95% CI = 1.09-18.57). CONCLUSION: Being without a spouse seems to be an important factor for a shorter time until institutionalization in incident dementia cases. Tailored interventions for these subjects at risk are required. Copyright 2008 S. Karger AG, Basel.
BACKGROUND: Information on the time until institutionalization and its predictors in demented subjects has so far been based on studies with selected samples or prevalent dementia cases. Thus, the aim of the study is to analyze the time until institutionalization and associated patient-related factors in incident dementia cases. METHODS: Data were derived from the Leipzig Longitudinal Study of the Aged (LEILA 75+), a population-based study of individuals aged 75 years and older. Kaplan-Meier survival analysis was used to determine the time until institutionalization. Factors associated with time until institutionalization were analyzed using Cox proportional hazards models. RESULTS: One hundred and nine subjects with incident dementia who resided in a private home setting at the time of the dementia diagnosis were identified. Fifty-two (47.7%) of these subjects had become residents of a nursing home by the end of the study. The median time until institutionalization was 1,005 days (95% CI = 808-1,202). Being widowed/divorced (compared to being married) was associated with a significantly shorter time until institutionalization (univariate model: HR = 4.50, 95% CI = 1.09-18.57). CONCLUSION: Being without a spouse seems to be an important factor for a shorter time until institutionalization in incident dementia cases. Tailored interventions for these subjects at risk are required. Copyright 2008 S. Karger AG, Basel.
Authors: Jana Schulze; Hendrik van den Bussche; Hanna Kaduszkiewicz; Daniela Koller; Falk Hoffmann Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2014-06-08 Impact factor: 4.328
Authors: Ana Maseda; Isabel González-Abraldes; Carmen de Labra; José Marey-López; Alba Sánchez; José C Millán-Calenti Journal: Community Ment Health J Date: 2014-12-23
Authors: André Hajek; Christian Brettschneider; Carolin Lange; Tina Posselt; Birgitt Wiese; Susanne Steinmann; Siegfried Weyerer; Jochen Werle; Michael Pentzek; Angela Fuchs; Janine Stein; Tobias Luck; Horst Bickel; Edelgard Mösch; Michael Wagner; Frank Jessen; Wolfgang Maier; Martin Scherer; Steffi G Riedel-Heller; Hans-Helmut König Journal: PLoS One Date: 2015-12-14 Impact factor: 3.240