The effect of dementia on time to death and institutionalization in elderly
populations is of importance to resource planning, as well as to patients
and their carers, The authors report a collaborative reanalysis of nine pop
ulation-based studies conducted in Europe to compare dementia cases and non
cases in risk of and time to death and to institutionalization. Prevalent a
nd incident cases were more likely than noncases to reside in an institutio
n at baseline and were more likely to enter institutional care. Prevalent c
ases also had over twice the risk of death compared to noncases and surviva
l for men with dementia was consistently lower than that for women with dem
entia of the same age group.