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Prediction of institutionalization in the elderly. A systematic review
Luppa M, Luck T, Weyerer S, König HH, Brähler E, Riedel-Heller SG.. Age and ageing, 2009-11-23
Topic: Risk, prevention and care in population studies
Objective in the past decades, many studies have examined predictors of nursing home placement (NHP) in the elderly. This study provides a systematic review of predictors of NHP in the general population of developed countries. Design relevant articles were identified by searching the databases MEDLINE, Web of Science, Cochrane Library and PSYNDEXplus. Studies based on population-based samples with prospective study design and identification of predictors by multivariate analyses were included. Quality of studies and evidence of predictors were determined. Results thirty-six studies were identified; one-third of the studies were of high quality. Predictors with strong evidence were increased age, low self-rated health status, functional and cognitive impairment, dementia, prior NHP and a high number of prescriptions. Predictors with inconsistent results were male gender, low education status, low income, stroke, hypertension, incontinence, depression and prior hospital use. Conclusions findings suggested that predictors of NHP are mainly based on underlying cognitive and/or functional impairment, and associated lack of support and assistance in daily living. However, the methodical quality of studies needs improvement. More theoretical embedding of risk models of NHP would help to establish more clarity in complex relationships in using nursing homes.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Luppa, M., Luck, T., Weyerer, S., König, H. H., Brähler, E., & Riedel-Heller, S. G. (2010). Prediction of institutionalization in the elderly. A systematic review. Age and ageing. https://doi.org/10.1093/ageing/afp202
Vancouver
Luppa M, Luck T, Weyerer S, König HH, Brähler E, Riedel-Heller SG. Prediction of institutionalization in the elderly. A systematic review. Age and ageing. 2010. doi:10.1093/ageing/afp202. PMID: 19934075.
BibTeX
@article{luppa2010-19934075,
author = {Luppa, M. and Luck, T. and Weyerer, S. and König, H. H. and Brähler, E. and Riedel-Heller, S. G.},
title = {{Prediction of institutionalization in the elderly. A systematic review}},
journal = {Age and ageing},
year = {2010},
doi = {10.1093/ageing/afp202},
pmid = {19934075},
url = {https://doi.org/10.1093/ageing/afp202}
}
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Key findings
- Results thirty-six studies were identified; one-third of the studies were of high quality.
- Predictors with inconsistent results were male gender, low education status, low income, stroke, hypertension, incontinence, depression and prior hospital use.
- Conclusions findings suggested that predictors of NHP are mainly based on underlying cognitive and/or functional impairment, and associated lack of support and assistance in daily living.
Why it matters
This systematic review found that predictors of nursing home placement with strong evidence were increased age, low self-rated health, functional and cognitive impairment, dementia, prior nursing home placement, and a high number of prescriptions. It addresses care planning, not treating, curing, or preventing Alzheimer's disease.
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Study details
- Study designsystematic review
- Evidence strengthHigh
How this study scored 65/100
Published in a peer-reviewed journal, and it is a systematic review of all the studies on the question. Scored zero for sample size, effect reported and studied in people because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Age and ageing) |
| Journal's citation record | 2 / 4 | Age and Ageing: journal h-index 231 (OpenAlex, 2026-10-29) |
| Study design | 12 / 12 | A systematic review of all the studies on the question |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2010 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | A review of other studies — randomisation is not credited here |
| Times cited | 6 / 7 | Cited 907 times (OpenAlex, 2026-10-10) |
| Citations per year | 5 / 5 | 50.4 citations a year over 18 year(s) since 2010 |
| Impact for its field and year | 3 / 6 | Cited 5.7× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 3 / 6 | Cited by 10 other studies in this library |
| Still being cited | 3 / 4 | Cited 126 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 4 / 4 | Last-listed author Steffi Gerlinde Riedel-Heller: h-index 100 (OpenAlex, whole career) |
| Institution's track record | 1 / 3 | Leipzig University: institution h-index 763 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 19934075) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 65 / 100 | — |
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