Prevalence of dementia in long-term care institutions: a meta-analysis

ABSTRACT Objective: This study comprises a systematic review and meta-analysis that aimed to estimate the prevalence of dementia in long-term care institutions (LTCIs). Methods: We used the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Original transversal and longitudinal articles published until July 2020 were eligible in this review. Databases PubMed/MedLine, Web of Science, Scopus and ScienceDirect were searched. Overall prevalence and confidence intervals were estimated. Heterogeneity was calculated according to the index of heterogeneity (I2). Results: One hundred seventy-five studies were found in all databases and 19 studies were meta-analyses, resulting in an overall prevalence of 53% (CI 46-59%; p < 0.01) of demented older adults living in LTCIs. Conclusion: Prevalence of dementia is higher in older adults living in LTCIs than those living in general communities. This data shows a worrying reality that needs to be changed. There is a need for a better understanding of the elements that cause this increase in dementia in LTCFs to direct actions to improve the quality of life and health of institutionalized elderly.

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Main Authors: Fagundes,Daniel Ferreira, Costa,Marcos Túlio, Alves,Bárbara Bispo da Silva, Benício,Maria Madalena Soares, Vieira,Lanna Pinheiro, Carneiro,Lara S. F., Nascimento,Osvaldo José Moreira, Monteiro Junior,Renato Sobral
Format: Digital revista
Language:English
Published: Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852021000100059
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spelling oai:scielo:S0047-208520210001000592021-03-29Prevalence of dementia in long-term care institutions: a meta-analysisFagundes,Daniel FerreiraCosta,Marcos TúlioAlves,Bárbara Bispo da SilvaBenício,Maria Madalena SoaresVieira,Lanna PinheiroCarneiro,Lara S. F.Nascimento,Osvaldo José MoreiraMonteiro Junior,Renato Sobral Dementia prevalence epidemiology long-term care institutions nursing homes health facilities institutionalization ABSTRACT Objective: This study comprises a systematic review and meta-analysis that aimed to estimate the prevalence of dementia in long-term care institutions (LTCIs). Methods: We used the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Original transversal and longitudinal articles published until July 2020 were eligible in this review. Databases PubMed/MedLine, Web of Science, Scopus and ScienceDirect were searched. Overall prevalence and confidence intervals were estimated. Heterogeneity was calculated according to the index of heterogeneity (I2). Results: One hundred seventy-five studies were found in all databases and 19 studies were meta-analyses, resulting in an overall prevalence of 53% (CI 46-59%; p < 0.01) of demented older adults living in LTCIs. Conclusion: Prevalence of dementia is higher in older adults living in LTCIs than those living in general communities. This data shows a worrying reality that needs to be changed. There is a need for a better understanding of the elements that cause this increase in dementia in LTCFs to direct actions to improve the quality of life and health of institutionalized elderly.info:eu-repo/semantics/openAccessInstituto de Psiquiatria da Universidade Federal do Rio de JaneiroJornal Brasileiro de Psiquiatria v.70 n.1 20212021-03-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852021000100059en10.1590/0047-2085000000298
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author Fagundes,Daniel Ferreira
Costa,Marcos Túlio
Alves,Bárbara Bispo da Silva
Benício,Maria Madalena Soares
Vieira,Lanna Pinheiro
Carneiro,Lara S. F.
Nascimento,Osvaldo José Moreira
Monteiro Junior,Renato Sobral
spellingShingle Fagundes,Daniel Ferreira
Costa,Marcos Túlio
Alves,Bárbara Bispo da Silva
Benício,Maria Madalena Soares
Vieira,Lanna Pinheiro
Carneiro,Lara S. F.
Nascimento,Osvaldo José Moreira
Monteiro Junior,Renato Sobral
Prevalence of dementia in long-term care institutions: a meta-analysis
author_facet Fagundes,Daniel Ferreira
Costa,Marcos Túlio
Alves,Bárbara Bispo da Silva
Benício,Maria Madalena Soares
Vieira,Lanna Pinheiro
Carneiro,Lara S. F.
Nascimento,Osvaldo José Moreira
Monteiro Junior,Renato Sobral
author_sort Fagundes,Daniel Ferreira
title Prevalence of dementia in long-term care institutions: a meta-analysis
title_short Prevalence of dementia in long-term care institutions: a meta-analysis
title_full Prevalence of dementia in long-term care institutions: a meta-analysis
title_fullStr Prevalence of dementia in long-term care institutions: a meta-analysis
title_full_unstemmed Prevalence of dementia in long-term care institutions: a meta-analysis
title_sort prevalence of dementia in long-term care institutions: a meta-analysis
description ABSTRACT Objective: This study comprises a systematic review and meta-analysis that aimed to estimate the prevalence of dementia in long-term care institutions (LTCIs). Methods: We used the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA). Original transversal and longitudinal articles published until July 2020 were eligible in this review. Databases PubMed/MedLine, Web of Science, Scopus and ScienceDirect were searched. Overall prevalence and confidence intervals were estimated. Heterogeneity was calculated according to the index of heterogeneity (I2). Results: One hundred seventy-five studies were found in all databases and 19 studies were meta-analyses, resulting in an overall prevalence of 53% (CI 46-59%; p < 0.01) of demented older adults living in LTCIs. Conclusion: Prevalence of dementia is higher in older adults living in LTCIs than those living in general communities. This data shows a worrying reality that needs to be changed. There is a need for a better understanding of the elements that cause this increase in dementia in LTCFs to direct actions to improve the quality of life and health of institutionalized elderly.
publisher Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852021000100059
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