John Libbey Eurotext

Gériatrie et Psychologie Neuropsychiatrie du Vieillissement


Screening risk and protective factors of nursing home admission Volume 17, issue 1, Mars 2019

1 Gérontopôle autonomie longévité des Pays de la Loire, France
2 Pôles hospitalo-universitaires de gérontologie clinique, CHU de Nantes, France
* Tirés à part

Many aged adults want to stay as long as possible in their own homes. Hence, it is important to identify factors that can predict nursing home admission, in order to prevent this admission and maintain people at home. Several studies have investigated the risk factors of nursing home admission but syntheses are still rare. The present study aimed to identify risk and protective factors for nursing home admission for aged adults. A literature review was conducted using the PubMed search engine. Of 177 relevant reports, 27 were analyzed. We have included studies, literature reviews and meta-analyses that have highlights 59 potential factors. Falls, especially when fall causes serious injuries, cognitive impairment, activities daily living dependencies and stroke were identified as the highest risk factors. In contrast, living with spouse, having adult children, receiving a home care program based on case management or being homeowner were identified as protectives factors. This knowledge of risk and protective factors can help our prevention strategies to delay or find alternatives to nursing home admission.