title: Predictors of institutionalisation in incident dementia--results of the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe study).
abstract: OBJECTIVE
  In the past few decades, a number of studies investigated risk factors of nursing home placement (NHP) in dementia patients. The aim of the study was to investigate risk factors of NHP in incident dementia cases, considering characteristics at the time of the dementia diagnosis.
  
  
  METHODS
  254 incident dementia cases from a German general practice sample aged 75 years and older which were assessed every 1.5 years over 4 waves were included. A Cox proportional hazard regression model was used to determine predictors of NHP. Kaplan-Meier survival curves were used to evaluate the time until NHP.
  
  
  RESULTS
  Of the 254 incident dementia cases, 77 (30%) were institutionalised over the study course. The mean time until NHP was 4.1 years. Significant characteristics of NHP at the time of the dementia diagnosis were marital status (being single or widowed), higher severity of cognitive impairment and mobility impairment.
  
  
  CONCLUSIONS
  Marital status seems to play a decisive role in NHP. Early initiation of support of sufferers may ensure remaining in the familiar surroundings as long as possible.
authors: Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany. Melanie.Luppa@medizin.uni-leipzig.de
authors: Melanie
authors: M
authors: Luppa
authors: Steffi G
authors: SG
authors: Riedel-Heller
authors: Janine
authors: J
authors: Stein
authors: Hanna
authors: H
authors: Leicht
authors: Hans-Helmut
authors: HH
authors: König
authors: Hendrik
authors: H
authors: van den Bussche
authors: Wolfgang
authors: W
authors: Maier
authors: Martin
authors: M
authors: Scherer
authors: Horst
authors: H
authors: Bickel
authors: Edelgard
authors: E
authors: Mösch
authors: Jochen
authors: J
authors: Werle
authors: Michael
authors: M
authors: Pentzek
authors: Angela
authors: A
authors: Fuchs
authors: Marion
authors: M
authors: Eisele
authors: Frank
authors: F
authors: Jessen
authors: Franziska
authors: F
authors: Tebarth
authors: Birgitt
authors: B
authors: Wiese
authors: Siegfried
authors: S
authors: Weyerer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D003071:Cognition / Q000502:physiology*; D003704:Dementia / Q000453:epidemiology / Q000523:psychology / Q000628:therapy*; D004522:Educational Status; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007326:Institutionalization / Q000706:statistics & numerical data*; D053208:Kaplan-Meier Estimate; D008297:Male; D009483:Neuropsychological Tests; D009735:Nursing Homes / Q000706:statistics & numerical data; D011237:Predictive Value of Tests; D011320:Primary Health Care; D012307:Risk Factors; D018401:Sample Size; D012959:Socioeconomic Factors