[Influencing factors for nursing home admission in case of pre-existing need of care - a systematic review].
Level 3 - non-randomized controlled study
Systematic review of observational cohort studies
PubMed 32540308 · doi:10.1016/j.zefq.2020.05.001
What was done
A systematic review of longitudinal quantitative cohort studies was conducted searching The Cochrane Library, PubMed, CINAHL, GeroLit, and CareLit databases through September 2017. The review evaluated predictors of nursing home admission among populations with pre-existing care needs. Methodological quality was appraised using the Newcastle-Ottawa Scale.
What was found
A total of 45 cohort studies were included, with 21 examining populations with need for care and 24 with unclear care status. Identified predictors associated with at least a 1.5-fold higher risk of admission included older age, dementia, underweight status, higher caregiver age, psychiatric symptoms, smoking status, ethnicity, challenging behavior in dementia, higher number of hospitalizations, and lower life satisfaction. The abstract reports no specific numerical point estimates or confidence intervals.
Why it matters
Identifying risk factors for nursing home placement helps target counseling, preventive measures, and structural supports to delay or prevent institutionalization.
Limits
The search ended in September 2017. Specific effect sizes, confidence intervals, and pooled quantitative analyses are not reported in the abstract. Study quality was noted to be limited among studies of people with confirmed care needs compared to those with unclear status.
Cited by
- contradicts The inability to get up and down off the ground independently is the number one reason people end up in nursing homes.