Interventions to Prevent or Delay Long-Term Nursing Home Placement for Adults with Impairments—a Systematic Review of Reviews

An outreach service from a post-acute metropolitan teaching hospital delivered anintensive, multidisciplinary and coordinated allied health service, and achieved bothearly hospital discharge and the prevention or delay of nursing home placement. Thisarticle reports on three types of cases which illustrate how the service assisted wardteams, families and patients to determine whether nursing home placement wasessential. For a group of 20 cases, the total reduction in hospital length of stay was556 days, and home accommodation as an alternative to nursing homeaccommodation was achieved for a total of 7505 days. The article outlines a matrixof advantages and disadvantages, both tangible and intangible, of home versusnursing home accommodation. It is suggested that a full costing of this matrix wouldinform debate on the comparative merits of long-term home and nursing homeaccommodation.

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Gender differences in predictors of nursing home placement in the elderly. A Systematic Review

Das Gesundheitswesen ◽

10.1055/s-0030-1266577 ◽

2010 ◽

Vol 72 (08/09) ◽

Author(s):

M Luppa ◽

T Luck ◽

S Weyerer ◽

H König ◽

S Riedel-Heller

Keyword(s):

Systematic Review ◽

Gender Differences ◽

Nursing Home ◽

The Elderly ◽

Nursing Home Placement ◽

Home Placement

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Gender differences in predictors of nursing home placement in the elderly: a systematic review

International Psychogeriatrics ◽

10.1017/s1041610209990238 ◽

2009 ◽

Vol 21 (6) ◽

pp. 1015-1025 ◽

Cited By ~ 27

Author(s):

Melanie Luppa ◽

Tobias Luck ◽

Siegfried Weyerer ◽

Hans-Helmut König ◽

Steffi G. Riedel-Heller

Keyword(s):

Systematic Review ◽

Gender Differences ◽

Nursing Home ◽

The Elderly ◽

Nursing Home Placement ◽

Living Situation ◽

Female Ratio ◽

Research Activities ◽

Home Placement ◽

Gender Specific

ABSTRACTBackground: In recent decades a substantial number of studies have examined predictors of nursing home placement (NHP) in the elderly. This study provides a systematic review of gender-differences in predictors of NHP from population-based, longitudinal studies worldwide.Methods: Relevant articles were identified by a systematic search of literature. The articles based on prospective studies with representative samples of community-living elders identified predictors by gender-specific multivariate analyses.Results: Eleven studies were identified. We found gender differences in the prediction of NHP for marital status, living situation, housing and car availability and urinary incontinence. For both genders the risk of NHP did not differ substantially for age, functional impairment, cognitive impairment, dementia, and depression. The male to female ratio of admission rates ranged between 1 to 1.4 and 1 to 1.6.Conclusions: Only a few studies analyzed gender-specific predictors of NHP, probably owing to the associated statistical difficulties. However, gender differences in prediction of NHP do actually exist, and this should encourage further research activities in this area using appropriate statistical methods.

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