Longitudinal investigation of wandering behavior in department of veterans affairs nursing home care units

King-Kallimanis, Bellinda; Schonfeld, Lawrence; Molinari, Victor; Algase, Donna L.; Brown, Lisa M.; Kearns, William D.; Davis, Darlene; Werner, Dennis C.; Beattie, Elizabeth; Nelson, Audrey

doi:10.1002/gps.2316

Cited by 19 publications

(12 citation statements)

References 48 publications

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“…18,26–28,31,39,40,50,51 Although the incidence of agitation might be particularly high, 18,27,35 wandering might develop less often. 37…”

Section: Resultsmentioning

confidence: 99%

“…36 King-Kallimanis et al found that wandering status was more likely to change from wandering to non-wandering rather than the reverse and that wandering was a temporary phase for approximately half of care-home residents who were admitted as wanderers. 37 Several authors analysed the course of hyperactivity over time using repeated measures analysis or a latent class linear mixed model. Garre-Olmo et al reported that over a 2-year period hyperactivity symptoms were mostly low and smoothly increasing (this pattern was found in two-thirds of participants).…”

Section: Resultsmentioning

confidence: 99%

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Longitudinal course of behavioural and psychological symptoms of dementia: systematic review

et al. 2016

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BackgroundMore information about the pattern of behavioural and psychological symptoms of dementia (BPSD) in the course of dementia is needed to inform patients and clinicians and to design future interventions.AimsTo determine the persistence and incidence of BPSD and their relation to cognitive function, in individuals with dementia or in cohorts investigated for dementia onset.MethodA systematic literature review analysed the baseline prevalence, persistence and incidence of 11 symptoms. The review was conducted according to established guidelines with the exception that we could not exclude the possibilities of bias in the studies examined.ResultsThe 59 included studies showed considerable heterogeneity in their objectives and methods. The symptoms hyperactivity and apathy showed high persistence and incidence; depression and anxiety low or moderate persistence and moderate incidence; and psychotic symptoms low persistence with moderate or low incidence.ConclusionsDespite heterogeneity across studies in terms of setting, focus and length of follow-up, there were clinically relevant differences in the longitudinal courses of different BPSD. Apathy was the only symptom with high baseline prevalence, persistence and incidence during the course of dementia.

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“…18,26–28,31,39,40,50,51 Although the incidence of agitation might be particularly high, 18,27,35 wandering might develop less often. 37…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Longitudinal course of behavioural and psychological symptoms of dementia: systematic review

et al. 2016

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“…Several predictors of wandering behavior (lower MMSE scores, less functional impairment, and higher number of comorbidities) previously reported in the literature (Kiely et al , ; King‐Kallimanis et al ., ) were not elicited in our study. This is likely due to the inclusion criteria used for the study, participants who had mild dementia, who were functioning well in the community, and had less comorbidity as evidenced by the low score on the Charlson comorbidity index.…”

Section: Discussionmentioning

confidence: 99%

Risk assessment of wandering behavior in mild dementia

Ali

Luther

Volicer

et al. 2015

Int J Geriatr Psychiatry

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“…Previous studies reported inconsistent results of the association between physical function and wandering behavior. [7][8][9][10][11] This inconsistent result can be due to the confounding effect of cognitive decline. Our results showed that the risk ratio of 'unable to walk' relative to 'independent' was increased to 4.54 from 3.83 after adding cognitive decline into the model.…”

Section: Discussionmentioning

confidence: 99%

Joint effect of cognitive decline and walking ability on incidence of wandering behavior in older adults with dementia: A cohort study

Murata

Takegami²,

Ogata

et al. 2022

Int J Geriat Psychiatry

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Objectives Wandering behavior is one of the most troublesome behavioral disturbances in dementia. Inconsistent associations between physical function and wandering behavior were reported, and the effect of cognitive decline may be different according to walking ability. The purposes of this study are to investigate whether high walking ability is a risk factor for wandering behavior and to investigate the interaction of walking ability and cognitive function with wandering behavior in older adults with dementia. Methods This retrospective cohort study included 3979 elderly adults with dementia. The association of cognitive function and walking ability with incidence of wandering behavior during a 5‐year follow‐up period were examined using a generalized linear model, and relative excess risk due to interaction (RERI) was calculated. Results Severe cognitive decline and high walking ability were associated with a higher risk for wandering behavior. Additionally, some joint effects of cognitive decline and walking ability decline were higher than the sum of its individual effects (RERI [95% confidence interval], severe cognitive decline × ‘walk with help’: 1.58 [0.35, 2.81]; severe cognitive decline × ‘independent’: 3.09 [1.05, 5.14]). Conclusions Effects of cognitive decline and walking ability on incidence of wandering behavior were observed, and the effects varied depending on their combination.

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Longitudinal investigation of wandering behavior in department of veterans affairs nursing home care units

Abstract: A resident's change from non-wandering to wandering status may reflect an undetected medical event that affects cognition, but spares mobility.

Cited by 19 publications

References 48 publications

Longitudinal course of behavioural and psychological symptoms of dementia: systematic review

Longitudinal course of behavioural and psychological symptoms of dementia: systematic review

Risk assessment of wandering behavior in mild dementia

Joint effect of cognitive decline and walking ability on incidence of wandering behavior in older adults with dementia: A cohort study

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