title: Dementia day care and its effects on symptoms and institutionalization--a controlled Swedish study.
abstract: OBJECTIVE
  To examine the effects of Day Care (DC) on demented patients.
  
  
  METHODS
  A prospective non-randomized concurrent-control study.
  
  
  METHODS
  55 demented patients in DC and 44 controls.
  
  
  METHODS
  Sundsvall, an industrial community in northern Sweden.
  
  
  METHODS
  Cognition, ADL-functions, behaviour and institutionalization.
  
  
  RESULTS
  Measurements of cognition, ADL-functions, and behaviour showed no or only small differences between the groups. After one year, 24% of the patients in the DC-group were institutionalized, compared with 44% of the controls. In the control group, the exhaustion of spouse and supervision need were highly correlated to institutionalization (p < 0.001), while high physical nursing load was correlated to institutionalization in the DC-group (p < 0.01).
  
  
  CONCLUSIONS
  DC postpones institutionalization, probably because of less exhaustion of spouses and decreased supervision need.
authors.affiliation: Primary Health Care Research Unit, Sundsvall, Sweden.
authors.forename: A
authors.initials: A
authors.lastname: Wimo
authors.forename: B
authors.initials: B
authors.lastname: Mattsson
authors.forename: R
authors.initials: R
authors.lastname: Adolfsson
authors.forename: T
authors.initials: T
authors.lastname: Eriksson
authors.forename: A
authors.initials: A
authors.lastname: Nelvig
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000544:Alzheimer Disease / Q000523:psychology / Q000628:therapy; D017028:Caregivers / Q000523:psychology; D003631:Day Care, Medical / Q000706:statistics & numerical data*; D003704:Dementia / Q000523:psychology / Q000628:therapy*; D005260:Female; D015577:Geriatric Assessment; D006707:Homes for the Aged / Q000706:statistics & numerical data; D006801:Humans; D007326:Institutionalization / Q000639:trends*; D008297:Male; D008609:Mental Status Schedule; D009483:Neuropsychological Tests; D013548:Sweden