Caregiving and Institutionalization of Cognitively Impaired Older People: Utilizing Dynamic Predictors of Change

Gaugler, Joseph E.; Kane, Robert L; Kane, Rosalie A.; Clay, Ted; Newcomer, Robert

doi:10.1093/geront/43.2.219

Cited by 220 publications

(230 citation statements)

References 31 publications

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“…назад, демонстрируют ухудшение как минимум по одному домену когнитивных функций, а у половины ухудшение затрагивает не менее 3 доменов [13]. Нарушение когни-тивных функций после перенесенного инсульта может быть одним из факторов инвалидизации, а также приво-дить к снижению качества жизни [8,12,39].…”

Section: распространенность постинсультных когнитивных нарушенийunclassified

Poststroke cognitive impairment and dementia

Сергеев¹,

Домашенко²,

Пирадов³

2016

Med. sov.

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В обзоре, подготовленном по данным последних публикаций ведущих европейских специалистов в области постинсультных когнитивных нарушений, приведены краткие сведения о распространенности, механизмах развития и факторах риска этих состояний, которые представляют собой серьезную проблему в период восстановления после инсульта. Описаны общие под-ходы к профилактике постинсультной деменции и возможности нейропротективной терапии у этой категории пациентов. Post-stroke cognitive impairment and dementia are one of the major causes of the disability and quality of life deterioration following cerebrovascular accident. In this review we cover current views on the prevalence, mechanisms and risk factors of post-stroke cognitive deficit, according to recent publications of leading European opinion leaders in this area. We also focus on the approaches to the pharmacological treatment and the role of neuroprotective agents.

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Section: распространенность постинсультных когнитивных нарушенийunclassified

Poststroke cognitive impairment and dementia

Сергеев¹,

Домашенко²,

Пирадов³

2016

Med. sov.

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“…29, These are summarised in tabular format in Appendices 4-7, classified according to study design (26 RCT/quasiexperimental papers; 29, 14 longitudinal beforeand-after papers; [57][58][59][60][61][62][63][64][65][66][67][68][69][70] 19 longitudinal papers; [71][72][73][74][75][76][77][78][79][80][81][82][83][84][85][86][87][88][89] and 45 cross-sectional observational papers ). In some cases more than one paper refers to the same study and so the number of studies at each level of evidence was seven RCTs, 12 quasiexperimental studies, 13 longitudinal before-andafter studies, 13 observational longitudinal studies and 40 observational cross-sectional studies.…”

Section: Studies Included In the Reviewmentioning

confidence: 99%

“…Tests for heterogeneity were still significant for burden but not for depression and quality of life. [77][78][79][80][81][82][83] The majority of the research (nine studies) was carried out in the USA with one study carried out in the UK, 71 one in Canada 72 and two in Australia 73,87 ( Table 7). All except two examined mixed respite provision; the remaining two examined in-home care.…”

Section: Sensitivity Analysismentioning

confidence: 99%

“…The MADDE study [77][78][79][80][81][82][83] These papers, carried out in the USA, report on the MADDE project and explore the relationship between service use and institutionalisation in dementia care recipients. The service of most interest to the present review is ADC.…”

Section: -83mentioning

confidence: 99%

“…77 An unmet need for ADC and an overnight hospital stay was also reported to be a predictor of institutionalisation. 81 One of the papers 78 reported that, over a 3-year period, both low use of ADC (1-30 days in a 6-month period) and high use (78+ days) gave a 30% increased likelihood of institutionalisation compared with no use of ADC, whereas moderate use did not show any relationship. The authors pointed to the complex relationship between which found that care recipients with behavioural problems such as aggression and delusional or mood disruptive behaviours were more likely to be institutionalised earlier.…”

Section: -83mentioning

confidence: 99%

See 2 more Smart Citations

Systematic review of respite care in the frail elderly

Shaw

McNamara²,

Abrams³

et al. 2009

Health Technol Assess

105

152

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Converging Issues in Heart Disease, Stroke, and Alzheimer's Disease in Women

Spiers

2013

Women's Health Psychology

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Caregiving and Institutionalization of Cognitively Impaired Older People: Utilizing Dynamic Predictors of Change

Abstract: The findings emphasize the importance of incorporating both care recipient and caregiver function and service use patterns when targeting programs designed to prevent or delay institutionalization for people with dementia.

Cited by 220 publications

References 31 publications

Poststroke cognitive impairment and dementia

Poststroke cognitive impairment and dementia

Systematic review of respite care in the frail elderly

Converging Issues in Heart Disease, Stroke, and Alzheimer's Disease in Women

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