Determining six-month prognosis among people with dementia living in care homes: a systematic review of prognostic tools.
Background Dementia is a leading cause of death among residents in care home settings internationally. Proactive identification of those approaching end-of-life can support future care planning, respecting preferences. We aimed to synthesise existing literature on prognostic tools designed to predic...
| Publicado en: | Age & Ageing Vol. 55; no. 4; pp. 1 - 13 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Apr2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=193500083&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 193500083 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Apr2026 vid: 55 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 193500083 10.1093/ageing/afag087 ppf: 1 ppct: 12 formats: tig: atl: Determining six-month prognosis among people with dementia living in care homes: a systematic review of prognostic tools. aug: au: West, Emily Mulligan, Laura Paudyal, Prabin Quinn, Terence J Burton, Jennifer Kirsty affil: Academic Geriatric Medicine, School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, Scotland, UKDepartment of Medicine for the Elderly, Glasgow Royal Infirmary, Glasgow, Scotland, UK Department of Medicine for the Elderly, Glasgow Royal Infirmary, Glasgow, Scotland, UKSchool of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, UK Medicine for Older Adults, University Hospital Hairmyres, East Kilbride, UK Academic Geriatric Medicine, School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, Scotland, UKMedicine for Older Adults, University Hospital Hairmyres, East Kilbride, UK su: Food consumption Body weight Age distribution Nursing care facilities Cognition Mortality risk factors Risk assessment Medical information storage & retrieval systems Research funding CINAHL database Functional status Systematic reviews MEDLINE Dementia Dementia patients Psychology information storage & retrieval systems sug: subj: Food consumption Body weight Age distribution Nursing care facilities Cognition Nursing Care Facilities (Skilled Nursing Facilities) Community care facilities for the elderly Mortality risk factors Risk assessment Medical information storage & retrieval systems Research funding CINAHL database Functional status Systematic reviews MEDLINE Dementia Dementia patients Psychology information storage & retrieval systems keyword: care home copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia https://dx.doi.org/10.1093/ageing/afag087 inLanguage:en long-term care mortality older people palliative and end of life care patient prognosis prognosis publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41965251/ systematic review care home copyrightHolder:British Geriatrics Society copyrightYear:2026 dementia https://dx.doi.org/10.1093/ageing/afag087 inLanguage:en long-term care mortality older people palliative and end of life care patient prognosis prognosis publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/41965251/ systematic review ab: Background Dementia is a leading cause of death among residents in care home settings internationally. Proactive identification of those approaching end-of-life can support future care planning, respecting preferences. We aimed to synthesise existing literature on prognostic tools designed to predict 6-month mortality in individuals with dementia residing in care homes including their content and prognostic performance. Methods A systematic review was undertaken, searching Embase, CINAHL, PsycINFO and MEDLINE in December 2024. Studies evaluating prognostic tools for predicting 6-month mortality in individuals with dementia living in care homes were included. Risk of bias was assessed using the PROBAST tool. Data were extracted and narratively synthesised. Results Thirteen studies involving 503 501 participants were included from a total of 5438 records screened. Eleven prognostic tools were identified. Only three studies were assessed at low risk of bias. Predictive factors per tool ranged from 4 to 12. Age, change in cognitive function, functional decline/dependency and concerns around nutritional intake/weight were the commonest domains of predictors across included tools. Reporting around the discriminative performance of tools was limited and only two tools (Mortality Risk Index Score and Advanced Dementia Prognostic Tool had acceptable discrimination (area under receiver operating curve >0.70), which was not replicated in validation studies. Conclusions While identified predictors have clinical congruence, there is significant variability in how these are assessed and operationalised and in the application of prognostic tools. Specific prediction of mortality remains challenging and would benefit from further research to adapt and validate dynamic prognostic tools for use in practice. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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