HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Magaziner, J. Articles by Kittner, S. Search for Related Content PubMed PubMed Citation Articles by Magaziner, J. Articles by Kittner, S.

The Prevalence of Dementia in a Statewide Sample of New Nursing Home Admissions Aged 65 and Older

Diagnosis by Expert Panel

^a Department of Epidemiology and Preventive Medicine, School of Medicine, University of Maryland, Baltimore
^b Department of Health Policy and Management, School of Hygiene and Public Health, The Johns Hopkins University, Baltimore, Maryland
^c School of Social Work, The University of North Carolina at Chapel Hill, North Carolina
^d Department of Medicine, School of Medicine, University of Maryland, Baltimore
^e Department of Neurology, School of Medicine, University of Maryland, Baltimore
^f Other investigators in The Epidemiology of Dementia in Nursing Homes Research Group are Mary Cody, MD (University of Maryland, Baltimore), Paul Fishman, MD, PhD (University of Maryland, Baltimore), Dana Hilt, MD (Guilford Pharmaceutical), Frank Hooper, ScD (University of Maryland, Baltimore), Bruce Kaup, MD, MPH (University of Maryland, Baltimore), David Loreck, MD (University of Maryland, Baltimore), Joana Rosario, MD, MPH (University of Maryland, Baltimore), and George Taler, MD (University of Maryland, Baltimore)

Correspondence: Jay Magaziner, PhD, Division of Gerontology, School of Medicine, University of Maryland, 660 W. Redwood Street, Suite 200, Baltimore, MD 21201. E-mail: jmagazin{at}epi.umaryland.edu.

Vernon L. Greene, PhD

This study estimated the prevalence of dementia in 2,285 new admissions age 65+ to a statewide sample of 59 nursing homes in Maryland, 1992–1995. Dementia was ascertained according to DSM-III-R criteria by an expert panel of geriatric psychiatrists, neurologists, and a geriatrician using detailed information collected by trained lay evaluators from residents, family, staff, and medical records. Admissions to Maryland nursing homes are similar to admissions to nursing homes elsewhere in the United States. The prevalence of dementia was 48.2% (CI: 43.6–52.8) with an upper bound estimated at 54.5% (CI: 49.9–59.1). Prevalence is highest in facilities with <50 beds versus 200+ beds (65.5% vs 39.6%) and those in urban versus rural areas (50.0% vs 39.1%). Those who are non-White, married, and with fewer years of education are more likely to be demented. Prevalence is highest among those with 4+ physical impairments versus 0–1 (60.3% vs 27.7%) and lowest in those with 4+ comorbidities versus 0–1 (44.8% vs 52.0%). There was considerable overlap in the comorbid status of demented and nondemented admissions, and both groups contained members with only a few functional limitations. Results suggest that the level of medical supervision provided in nursing homes may not be required for some residents with dementia.

Key Words: Aged • Long-term care • Mental morbidity

This article has been cited by other articles:

				R. M. Weinick, S. R. Wilcox, E. R. Park, R. T. Griffey, and J. S. Weissman Use of Advance Directives for Nursing Home Residents in the Emergency Department American Journal of Hospice and Palliative Medicine, June 1, 2008; 25(3): 179 - 183. [Abstract] [PDF]

				S. Zimmerman, A. L. Gruber-Baldini, J. R. Hebel, L. Burton, K. Boockvar, G. Taler, C. C. Quinn, and J. Magaziner Nursing Home Characteristics Related to Medicare Costs for Residents With and Without Dementia American Journal of Alzheimer's Disease and Other Dementias, March 1, 2008; 23(1): 57 - 65. [Abstract] [PDF]

				D. G. Morgan, M. F. Crossley, N. J. Stewart, C. D'Arcy, D. A. Forbes, S. A. Normand, and A. L. Cammer Taking the Hit: Focusing on Caregiver "Error" Masks Organizational-Level Risk Factors for Nursing Aide Assault Qual Health Res, March 1, 2008; 18(3): 334 - 346. [Abstract] [PDF]

				J. E. Gaugler and R. L. Kane Families and Assisted Living Gerontologist, December 1, 2007; 47(suppl_1): 83 - 99. [Abstract] [Full Text] [PDF]

				A. Gruneir, S. C. Miller, O. Intrator, and V. Mor Hospitalization of Nursing Home Residents With Cognitive Impairments: The Influence of Organizational Features and State Policies Gerontologist, August 1, 2007; 47(4): 447 - 456. [Abstract] [Full Text] [PDF]

				B. A. Kaup, D. Loreck, A. L. Gruber-Baldini, P. German, A. S. Menon, S. Zimmerman, L. Burton, and J. Magaziner Depression and Its Relationship to Function and Medical Status, By Dementia Status, in Nursing Home Admissions Am J Geriatr Psychiatry, May 1, 2007; 15(5): 438 - 442. [Abstract] [Full Text] [PDF]

				B. Resnick, A. L. Gruber-Baldini, I. Pretzer-Aboff, E. Galik, V. C. Buie, K. Russ, and S. Zimmerman Reliability and Validity of the Evaluation to Sign Consent Measure Gerontologist, February 1, 2007; 47(1): 69 - 77. [Abstract] [Full Text] [PDF]

				C. L. Port Informal caregiver involvement and illness detection among cognitively impaired nursing home residents. J. Gerontol. A Biol. Sci. Med. Sci., September 1, 2006; 61(9): 970 - 974. [Abstract] [Full Text] [PDF]

				D. T. Maust, C. U. Onyike, J.-M. E. Sheppard, L. S. Mayer, Q. M. Samus, J. Brandt, P. V. Rabins, C. G. Lyketsos, and A. Rosenblatt Predictors of Caregiver Unawareness and Nontreatment of Dementia Among Residents of Assisted Living Facilities: The Maryland Assisted Living Study Am J Geriatr Psychiatry, August 1, 2006; 14(8): 668 - 675. [Abstract] [Full Text] [PDF]

				J. C. Mentes, B. L. Chang, and J. Morris Keeping nursing home residents hydrated. West J Nurs Res, June 1, 2006; 28(4): 392 - 406. [Abstract] [PDF]

				D. S. Friedman, B. Munoz, K. B. Roche, R. Massof, A. Broman, and S. K. West Poor Uptake of Cataract Surgery in Nursing Home Residents: The Salisbury Eye Evaluation in Nursing Home Groups Study Arch Ophthalmol, November 1, 2005; 123(11): 1581 - 1587. [Abstract] [Full Text] [PDF]

				B. Stuart, A. L. Gruber-Baldini, C. Fahlman, C. C. Quinn, L. Burton, I. H. Zuckerman, J. R. Hebel, S. Zimmerman, P. K. Singhal, and J. Magaziner Medicare Cost Differences Between Nursing Home Patients Admitted With and Without Dementia Gerontologist, August 1, 2005; 45(4): 505 - 515. [Abstract] [Full Text] [PDF]

				D. Lacey Tube feeding, antibiotics, and hospitalization of nursing home residents with end-stage dementia: Perceptions of key medical decision-makers American Journal of Alzheimer's Disease and Other Dementias, July 1, 2005; 20(4): 211 - 219. [Abstract] [PDF]

				D. Lacey Predictors of social service staff involvement in selected palliative care tasks in nursing homes: An exploratory model American Journal of Hospice and Palliative Medicine, July 1, 2005; 22(4): 269 - 276. [Abstract] [PDF]

				C. Lindman Port Identifying Changeable Barriers to Family Involvement in the Nursing Home for Cognitively Impaired Residents Gerontologist, December 1, 2004; 44(6): 770 - 778. [Abstract] [Full Text] [PDF]

				J. H. Karlawish, R. J. Bonnie, P. S. Appelbaum, C. Lyketsos, B. James, D. Knopman, C. Patusky, R. A. Kane, and P. S. Karlan Addressing the Ethical, Legal, and Social Issues Raised by Voting by Persons With Dementia JAMA, September 15, 2004; 292(11): 1345 - 1350. [Abstract] [Full Text] [PDF]

				R. Schulz, S. H. Belle, S. J. Czaja, K. A. McGinnis, A. Stevens, and S. Zhang Long-term Care Placement of Dementia Patients and Caregiver Health and Well-being JAMA, August 25, 2004; 292(8): 961 - 967. [Abstract] [Full Text] [PDF]

				J. Fenton, A. Raskin, A. L. Gruber-Baldini, A. S. Menon, S. Zimmerman, B. Kaup, D. Loreck, P. E. Ruskin, and J. Magaziner Some Predictors of Psychiatric Consultation in Nursing Home Residents Am J Geriatr Psychiatry, June 1, 2004; 12(3): 297 - 304. [Abstract] [Full Text] [PDF]

				O. Heeren, L. Borin, A. Raskin, A. L. Gruber-Baldini, A. S. Menon, B. Kaup, D. Loreck, P. E. Ruskin, S. Zimmerman, and J. Magaziner Association of Depression with Agitation in Elderly Nursing Home Residents J Geriatr Psychiatry Neurol, March 1, 2003; 16(1): 4 - 7. [Abstract] [PDF]

				S. A. Brangman Long-term cholinesterase inhibitor therapy for Alzheimer's disease: Implications for long-term care American Journal of Alzheimer's Disease and Other Dementias, March 1, 2003; 18(2): 79 - 84. [Abstract] [PDF]

				E. G. Tangalos Commentary J. Gerontol. A Biol. Sci. Med. Sci., December 1, 2002; 57(12): M811 - M811. [Full Text] [PDF]

				M. Mezey, N. N. Dubler, E. Mitty, and A. A. Brody What Impact Do Setting and Transitions Have on the Quality of Life at the End of Life and the Quality of the Dying Process? Gerontologist, October 1, 2002; 42(90003): 54 - 67. [Abstract] [Full Text] [PDF]

				V. A. Freedman, H. Aykan, and L. G. Martin Another Look at Aggregate Changes in Severe Cognitive Impairment: Further Investigation Into the Cumulative Effects of Three Survey Design Issues J. Gerontol. B. Psychol. Sci. Soc. Sci., March 1, 2002; 57(2): S126 - 131. [Abstract] [Full Text] [PDF]

				C. L. Port, A. L. Gruber-Baldini, L. Burton, M. Baumgarten, J. R. Hebel, S. I. Zimmerman, and J. Magaziner Resident Contact With Family and Friends Following Nursing Home Admission Gerontologist, October 1, 2001; 41(5): 589 - 596. [Abstract] [Full Text] [PDF]