Time from diagnosis to institutionalization and death in people with dementia.
care trajectories
data linkage
primary care
registry data
risk factors
survival
time to institutionalization
Journal
Alzheimer's & dementia : the journal of the Alzheimer's Association
ISSN: 1552-5279
Titre abrégé: Alzheimers Dement
Pays: United States
ID NLM: 101231978
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
18
06
2019
revised:
14
10
2019
accepted:
03
01
2020
pubmed:
20
2
2020
medline:
22
1
2021
entrez:
20
2
2020
Statut:
ppublish
Résumé
Reliable estimates of time from diagnosis until institutionalization and death in people with dementia from routine nationally representative databases are lacking. We selected 9230 people with dementia and 24,624 matched controls from family physicians' electronic records linked with national administrative databases to analyze time until institutionalization and death and associated factors. Median time from recorded diagnosis until institutionalization and until death for people with dementia was 3.9 and 5.0 years, respectively, which was considerably shorter than for controls. Once institutionalized, median time to death was longer for persons with dementia (2.5 years) than for controls (1.2 years). Older age and receiving home care were the strongest predictors of shorter time until institutionalization and death in people with dementia. Gender, cohabitation, migration status, frailty, polypharmacy, and dementia medication were other significant factors. The estimates could help to inform patients, their families, and policymakers about probable trajectories.
Identifiants
pubmed: 32072728
doi: 10.1002/alz.12063
pmc: PMC7984226
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
662-671Informations de copyright
© 2019 The Authors. Alzheimer's & Dementia published by Wiley Periodicals, Inc. on behalf of Alzheimer's Association.
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