JAMDA
Volume 7, Issue 6 , Pages 345-349 , July 2006

Predictors of Institutionalization in Demented Patients Discharged From a Rehabilitation Unit

  • Luca Rozzini, MD

      Affiliations

    • Geriatric Research Group, Brescia, Italy
    • Department of Neurology, University of Brescia, Brescia, Italy
    • Corresponding Author InformationAddress correspondence to Luca Rozzini, MD, II Divisione di Neurologia, Università degli Studi di Brescia, P.zzle Spedali Civili 1, 25100, Brescia Italy.
    • ,
  • Cristina Cornali, MD

      Affiliations

    • Department of Neurology, University of Brescia, Brescia, Italy
    • Rehabilitation Unit for Dementia, Palazzolo sull’Oglio, Brescia, Italy.
    • ,
  • Barbara Vicini Chilovi, MD

      Affiliations

    • Geriatric Research Group, Brescia, Italy
    • Department of Neurology, University of Brescia, Brescia, Italy
    • ,
  • Diego Ghianda, MD

      Affiliations

    • Department of Neurology, University of Brescia, Brescia, Italy
    • Rehabilitation Unit for Dementia, Palazzolo sull’Oglio, Brescia, Italy.
    • ,
  • Alessandro Padovani, MD, PhD

      Affiliations

    • Department of Neurology, University of Brescia, Brescia, Italy
    • ,
  • Marco Trabucchi, MD, PhD

      Affiliations

    • Geriatric Research Group, Brescia, Italy

References 

  1. Banerjee S , Murray J , Foley B , et al.   Predictors of institutionalisation in people with dementia . J Neurol Neurosurg Psychiatry . 2003;74:1315–1316
  2. Smith GE , Kokmen E , O’Brien PC . Risk factors for nursing home placement in a population-based dementia cohort . J Am Geriatr Soc . 2000;48:519–525
  3. Smith GE , O’Brien PC , Ivnik RJ , et al.   Prospective analysis of risk factors for nursing home placement of dementia patients . Neurology . 2001;57:1467–1473
  4. Stern Y , Tang MX , Albert MS , et al.   Predicting time to nursing home care and death in individuals with Alzheimer disease . JAMA . 1997;277:806–812
  5. Severson MA , Smith GE , Tangalos EG , et al.   Patterns and predictors of institutionalization in community-based dementia patients . J Am Geriatr Soc . 1994;42:181–185
  6. Fisher L , Lieberman MA . A longitudinal study of predictors of nursing home placement for patients with dementia (The contribution of family characteristics) . Gerontologist . 1999;39:677–686
  7. Colerick EJ , George LK . Predictors of institutionalization among caregivers of patients with Alzheimer’s disease . J Am Geriatr Soc . 1986;34:493–498
  8. Cohen CA , Gold DP , Shulman KI , et al.   Factors determining the decision to institutionalize dementing individuals (A prospective study) . Gerontologist . 1993;33:714–720
  9. Hebert R , Dubois MF , Wolfson C , et al.   Factors associated with long-term institutionalization of older people with dementia (Data from the Canadian Study of Health and Aging) . J Gerontol A Biol Sci Med Sci . 2001;56:M693–M699
  10. Knopman DS , Berg JD , Thomas R , et al.   Nursing home placement is related to dementia progression (Experience from a clinical trial) . Alzheimer’s Disease Cooperative Study. Neurology . 2001;52:714–718
  11. Lieberman MA , Kramer JH . Factors affecting decisions to institutionalize demented elderly . Gerontologist . 1991;31:371–374
  12. Ghianda D , Vicini Chilovi B , Franzoni S , et al.   Il primo anno di attività di un istituto di riabilitazione geriatrica per le demenze . Demenze . 2003;VI:28–35
  13. Folstein MF , Folstein SE , McHugh PR . “Mini-mental state.” A practical method for grading the cognitive state of patients for the clinician . J Psychiatr Res . 1975;12:189–198
  14. McKhann G , Drachman D , Folstein M , et al.   Clinical diagnosis of Alzheimer’s disease (Report of the NINCDS-ADRDA Work Group under the auspices of the Department of Health and Human Services Task Force on Alzheimer’s Disease) . Neurology . 1984;34:939–943
  15. Romàn GC , Tatemichi TK , Erkinjutti T , et al.   Vascular dementia diagnostic criteria for research group (Report of the NINDS-AIREN International Workshop) . Neurology . 1993;43:250–260
  16. McKeith IG , Galasko D , Kosaka K , et al.   Consensus guidelines for the clinical and pathologic diagnosis of dementia with Lewy body (DLB) (Report of the Consortium on DLB International Workshop) . Neurology . 1996;47:1113–1124
  17. Neary D , Snowden JS , Gustafson L , et al.   Frontotemporal lobar degeneration (A consensus on clinical diagnostic criteria) . Neurology . 1998;51:1546–1554
  18. Hughes CP , Berg L , Danzinger WL , et al.   A new clinical scale for the staging of dementia . Br J Psychiatry . 1982;140:566–572
  19. Cummings JL , Mega M , Gray K , et al.   The Neuropsychiatric Inventory (Comprehensive assessment of psychopathology in dementia) . Neurology . 1994;44:2308–2314
  20. Alexopoulos GS , Abrams RC , Young RC , et al.   Cornell Scale for Depression in Dementia . J Health Soc Behav . 1993;34:54–70
  21. Mahoney FI , Barthel D . Functional evaluation (the Barthel Index) . Md State Med J . 1965;14:56–61
  22. Tinetti ME . Performance oriented assessment of mobility problems in elderly patients . J Am Geriatr Soc . 1986;34:119–126
  23. Novak M , Guest C . Application of a multidimensional Caregiver Burden Invertory . Gerontologist . 1989;29:798–803
  24. (Italian version) Statistical Package for the Social Sciences for Windows, release 11.5.1 . Chicago, IL: SPSS Inc; 2002;
  25. Granger CV , Devis LS , Peters MC , et al.   Stroke rehabilitation (Analysis of repeated Barthel Index measures) . Arch Phys Med Rehabil . 1979;60:14–17
  26. Spruytte N , Van Audenhove C , Lammertyn F . Predictors of institutionalization of cognitively-impaired elderly cared for by their relatives . Int J Geriatr Psychiatry . 2001;16:1119–1128
  27. Smith GE , O’Brien PC , Ivnik RJ . Prospective analysis of risk factors for nursing home placement of dementia patients . Neurology . 2001;57:1467–1473
  28. Tennstedt SL , Crawford S , McKinlay JB . Determining the pattern of community care (Is coresidence more important than caregiver relationship?) . J Gerontol . 1993;48:S74–S83
  29. Gaugler JE , Kane RL , Kane RA , et al.   Caregiving and institutionalization of cognitively impaired older people (Utilizing dynamic predictors of change) . Gerontologist . 2003;43:219–229
  30. Black BS , Kasper J , Brandt J . Identifying dementia in high-risk community samples (The memory and medical care study) . Alzheimer Dis Assoc Disord . 2003;17:9–18
  31. Rudberg MA , Sager MA , Zhang J . Risk factors for nursing home use after hospitalization for medical illness . J Gerontol A Biol Sci Med Sci . 1996;51:M189–M194
  32. Geldmacher DS , Provenzano G , McRae T , Mastey V , Ieni JR . Donepezil is associated with delayed nursing home placement in patients with Alzheimer’s disease . J Am Geriatr Soc . 2003;51:937–944
  33. Beusterien KM , Thomas SK , Gause D , Kimel M , Arcona S , Mirski D . Impact of rivastigmine use on the risk of nursing home placement in a US sample . CNS Drugs . 2004;18:1143–1148
  34. Kim JM , Shin IS , Jeong SJ , Gormley N , Yoon JS . Predictors of institutionalization in patients with dementia in Korea . Int J Geriatr Psychiatry . 2002;17:101–106
  35. Aneshensel CS , Pearlin LI , Schuler RH . Stress, role captivity, and the cessation of caregiving . J Health Soc Behav . 1993;34:54–70
  36. Yaffe K , Fox P , Newcomer R , et al.   Patient and caregiver characteristics and nursing home placement in patients with dementia . JAMA . 2002;287:2090–2097

PII: S1525-8610(05)00647-X

doi: 10.1016/j.jamda.2005.11.008

JAMDA
Volume 7, Issue 6 , Pages 345-349 , July 2006

Article Tools