• Melanie Luppa, Tobias Luck, Elmar Brähler, Hans-Helmut König, and Steffi G Riedel-Heller.
• Department of Psychiatry, Public Mental Health Research Unit, University of Leipzig, Leipzig, Germany. Melanie.Luppa@medizin.uni-leipzig.de
• Dement Geriatr Cogn Disord. 2008 Jan 1;26(1):65-78.

Background/AimsIn the past decades, a substantial number of studies considered factors influencing institutionalisation of persons with dementia. This study reviews recent work on predictors of actual institutionalisation in dementia.MethodRelevant articles were identified by a systematic search of the literature. Studies were considered which included persons aged 65 and over, and whose results were based on prospective design and on multivariate statistical analyses.ResultsForty-two studies were identified. The rate of institutionalisation increased from 20% in the first year after diagnosis to 50% after 5 years. Median time to institutionalisation was estimated between 30 and 40 months. Predictors of institutionalisation were classified according to a provided conceptual framework in the categories sociodemographic and relationship characteristics of persons with dementia and caregivers, primary stressors, secondary stressors and resources.ConclusionThe overview of research activities in this area showed a lack of methodological strength in a large part of identified studies. Nevertheless, a lot of well-examined and less highlighted predictors could be identified.Copyright 2008 S. Karger AG, Basel.

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