Dysphagia in Nursing Home Residents: Management and Outcomes.

Abstract:

OBJECTIVES:To define the prevalence of dysphagia and its associated factors and to investigate the influence of dysphagia and nutritional therapies performed in dysphagic subjects on clinical outcomes, including nutritional status, pressure ulcers, hospitalization, and mortality. DESIGN:A prospective observational study. SETTING AND PARTICIPANTS:Thirty-one Italian nursing homes participating in the ULISSE project and 1490 long-stay nursing home residents, older than 65 years, assessed at baseline and reassessed after 6 and 12 months. MEASURES:All participants underwent a standardized comprehensive assessment using the Italian version of the nursing home Minimum Data Set. The activities of daily living Long-Form scale was used to evaluate functional status. Health care professionals assessed dysphagia by means of clinical evaluation. Nutritional status was assessed using the information on weight loss. RESULTS:The prevalence of dysphagia was 12.8%, and 16% of the subjects were treated with artificial nutrition. The mortality rate in subjects with dysphagia was significantly higher compared with that of nondysphagic subjects (27.7% vs 16.8%; P = .0001). The prevalence of weight loss and pressure ulcers was also higher in dysphagic subjects. At variance, dysphagia was not associated with a higher hospitalization risk. CONCLUSION/IMPLICATIONS:Dysphagia is common in nursing home residents, and it is associated with higher mortality. Therefore, early diagnosis and optimal management of dysphagia should become a priority issue in nursing homes.

journal_name

J Am Med Dir Assoc

authors

Jukic Peladic N,Orlandoni P,Dell'Aquila G,Carrieri B,Eusebi P,Landi F,Volpato S,Zuliani G,Lattanzio F,Cherubini A

doi

10.1016/j.jamda.2018.07.023

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

147-151

issue

2

eissn

1525-8610

issn

1538-9375

pii

S1525-8610(18)30417-1

journal_volume

20

pub_type

杂志文章
  • A randomized controlled trial on teaching geriatric medical decision making and cost consciousness with the serious game GeriatriX.

    abstract:OBJECTIVE:Medical students often lack training in complex geriatric medical decision making. We therefore developed the serious game, GeriatriX, for training medical decision making with weighing patient preferences, and appropriateness and costs of medical care. We hypothesized that education with GeriatriX would impr...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jamda.2014.04.011

    authors: Lagro J,van de Pol MH,Laan A,Huijbregts-Verheyden FJ,Fluit LC,Olde Rikkert MG

    更新日期:2014-12-01 00:00:00

  • DEFEAT heart failure: assessment and management of heart failure in nursing homes made easy.

    abstract::Heart failure (HF) in older adults presents challenges that are different in many ways than those for younger adults. Diagnosis of HF in older adults can be delayed due to attributing early symptoms to normal changes of aging or, in the setting of a normal ejection fraction, failing to appreciate diastolic heart failu...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章,评审

    doi:10.1016/j.jamda.2008.03.004

    authors: Ahmed A,Jones L,Hays CI

    更新日期:2008-07-01 00:00:00

  • Adherence to "No Transfer to Hospital" Advance Directives Among Nursing Home Residents.

    abstract:OBJECTIVES:Many older adults in long-term care (LTC) experience acute health crises but are at high risk of transfer distress and in-hospital morbidity and mortality. Residents often complete advance directives (ADs) regarding future care wishes, including directives for hospital transfers. This study aims to estimate ...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2019.03.034

    authors: Nemiroff L,Marshall EG,Jensen JL,Clarke B,Andrew MK

    更新日期:2019-11-01 00:00:00

  • Impact of tai-chi on falls among preclinically disabled older people. A randomized controlled trial.

    abstract:OBJECTIVE:To investigate the effectiveness of tai-chi in preventing falls among community-dwelling older people. DESIGN:Multisite parallel group individually randomized controlled trial. SETTING:Melbourne, Australia. PARTICIPANTS:Preclinically disabled community-dwelling people 70 + years (n = 503), without major me...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jamda.2015.01.089

    authors: Day L,Hill KD,Stathakis VZ,Flicker L,Segal L,Cicuttini F,Jolley D

    更新日期:2015-05-01 00:00:00

  • Depressive Symptoms and Frailty Among the Oldest Old: Evidence from a Multicenter Prospective Study.

    abstract:OBJECTIVE:There is a lack of studies disentangling whether changes in frailty are associated with subsequent changes in depressive symptoms or vice versa among the oldest old. Consequently, we aimed to disentangle this link. DESIGN:Three waves [follow-up (FU) wave 7 to FU wave 9; n = 423 individuals in the analytical ...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2020.10.008

    authors: Hajek A,Brettschneider C,Mallon T,Lühmann D,Oey A,Wiese B,Weyerer S,Werle J,Fuchs A,Pentzek M,Röhr S,Luppa M,Mösch E,Weeg D,Heser K,Wagner M,Scherer M,Maier W,Riedel-Heller SG,König HH

    更新日期:2020-11-19 00:00:00

  • A Quality of Care Framework for Home-Based Medical Care.

    abstract::More than 6 million adults in the United States are homebound or semi-homebound and would benefit from home-based medical care (HBMC). There is currently no nationally recognized quality of care framework for home-based medical care. We sought to capture diverse stakeholder perspectives on the essential aspects of qua...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2018.05.020

    authors: Ritchie CS,Leff B,Garrigues SK,Perissinotto C,Sheehan OC,Harrison KL

    更新日期:2018-10-01 00:00:00

  • Relationship Between Comorbidities in Patients With Cognitive Complaint and Caregiver Burden: A Cross-Sectional Study.

    abstract:BACKGROUND/OBJECTIVES:Informal caregivers of patients with a cognitive impairment may face exhaustion while taking care of their relatives, and are themselves at higher risk of disease. The objective was to assess the relationship between patients' comorbidities evaluated with the Charlson index, and the caregiver burd...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2015.10.011

    authors: Dauphinot V,Ravier A,Novais T,Delphin-Combe F,Moutet C,Xie J,Mouchoux C,Krolak-Salmon P

    更新日期:2016-03-01 00:00:00

  • Improving safety and operational efficiency in residential care settings with WiFi-based localization.

    abstract:OBJECTIVES:To assess the effectiveness of a wireless network (WiFi-based) localization system (devices mounted on resident wheelchairs) in decreasing caretaker time spent searching for residents and providing alerts of residents going outdoors in a skilled nursing facility. DESIGN:A controlled study over two 2-month p...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2012.04.010

    authors: Doshi-Velez F,Li W,Battat Y,Charrow B,Curtis D,Park JG,Hemachandra S,Velez J,Walsh C,Fredette D,Reimer B,Roy N,Teller S

    更新日期:2012-07-01 00:00:00

  • The impact of culture change on elders' behavioral symptoms: a longitudinal study.

    abstract:OBJECTIVES:Distressing behavioral symptoms often associated with dementia are not uncommon in the long term care setting. Culture change with its "person-centered approach to care" provides a potential nonpharmacological intervention to reduce these symptoms. The purpose of this study was to examine the relationship be...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2012.02.006

    authors: Burack OR,Weiner AS,Reinhardt JP

    更新日期:2012-07-01 00:00:00

  • Introducing a new incontinence management system for nursing home residents.

    abstract:OBJECTIVES:To describe current practices of incontinence care in nursing homes (NHs) provided by certified nurse assistants (CNAs), and to evaluate the feasibility and acceptability of an integrated incontinence care product, the One Step Incontinence System (OSIS) in the NH setting. While the ultimate purpose of OSIS ...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jamda.2006.10.001

    authors: Al-Samarrai NR,Uman GC,Al-Samarrai T,Alessi CA

    更新日期:2007-05-01 00:00:00

  • Aging in China: a challenge or an opportunity?

    abstract::The aging population in China is growing rapidly and by the middle of this century will peak. In addition, in 2000, elderly people aged 80 and older accounted for 18% of the world's population of oldest old. We identify here ways to begin addressing China's unique aging population needs. Through improving geriatric an...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2009.06.007

    authors: Dong B,Ding Q

    更新日期:2009-09-01 00:00:00

  • Discharge coordinator intervention prevents hospitalizations in patients with COPD: a randomized controlled trial.

    abstract:OBJECTIVES:To test whether coordination of discharge from hospital reduces hospitalizations in patients with chronic obstructive pulmonary disease (COPD). DESIGN:Randomized controlled clinical trial. SETTING:Specialized pulmonary hospital. PARTICIPANTS:Patients hospitalized for an acute exacerbation of COPD. INTERV...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jamda.2013.03.003

    authors: Lainscak M,Kadivec S,Kosnik M,Benedik B,Bratkovic M,Jakhel T,Marcun R,Miklosa P,Stalc B,Farkas J

    更新日期:2013-06-01 00:00:00

  • Describing Differences Among Recent Immigrants and Long-Standing Residents Waiting for Long-Term Care: A Population-Based Retrospective Cohort Study.

    abstract:OBJECTIVES:Immigrants often face many unique cultural and logistical challenges in their health care that differ from nonimmigrants. We sought to describe and compare characteristics and the time to placement between recent immigrants and long-standing residents waiting for long-term care (LTC). DESIGN:Population-base...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2020.07.018

    authors: Qureshi D,Schumacher C,Talarico R,Lapenskie J,Tanuseputro P,Scott M,Hsu A

    更新日期:2020-08-25 00:00:00

  • Optimizing Prescribing of Antipsychotics in Long-Term Care (OPAL): A Stepped-Wedge Trial.

    abstract:BACKGROUND:Inappropriate antipsychotic prescribing is a key quality indicator by which clinical outcomes might be monitored and improved in long-term care (LTC), but limited evidence exists on the most effective strategies for reducing inappropriate antipsychotic use. OBJECTIVES:The objective of the study was to evalu...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2019.07.025

    authors: Kirkham J,Maxwell C,Velkers C,Leung R,Moffat K,Seitz D

    更新日期:2020-03-01 00:00:00

  • The effects of humor therapy on nursing home residents measured using observational methods: the SMILE cluster randomized trial.

    abstract:OBJECTIVES:To evaluate the effects of humor therapy assessed using observational methods on agitation, engagement, positive behaviors, affect, and contentment. DESIGN:Single-blind cluster randomized controlled trial. SETTING:A total of 35 Sydney nursing homes. PARTICIPANTS:All eligible residents within geographicall...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jamda.2014.03.017

    authors: Low LF,Goodenough B,Fletcher J,Xu K,Casey AN,Chenoweth L,Fleming R,Spitzer P,Bell JP,Brodaty H

    更新日期:2014-08-01 00:00:00

  • Frailty and Risk of Adverse Outcomes in Hospitalized Older Adults: A Comparison of Different Frailty Measures.

    abstract:OBJECTIVES:There is a paucity of data for the assessment of frailty in acutely ill hospitalized older adults. We aim to (1) compare the performance of frailty measures [5-item scale of fatigue, resistance, ambulation, illnesses, and loss of weight) (FRAIL), Tilburg Frailty Indicator (TFI), and Clinical Frailty Scale (C...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2017.04.011

    authors: Chong E,Ho E,Baldevarona-Llego J,Chan M,Wu L,Tay L

    更新日期:2017-07-01 00:00:00

  • Detection of delirium and its symptoms by nurses working in a long term care facility.

    abstract:OBJECTIVE:To investigate the ability of nurses to recognize delirium and its symptoms and to investigate the factors associated with undetected delirium. DESIGN:A prospective, observational study with repeated measurements over a 6-month period. SETTING:Seven long term care settings in Montreal and Quebec City, Canad...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2010.11.002

    authors: Voyer P,Richard S,McCusker J,Cole MG,Monette J,Champoux N,Ciampi A,Belzile E

    更新日期:2012-03-01 00:00:00

  • Association Between Malnutrition and Oral Health in Dutch Nursing Home Residents: Results of the LPZ Study.

    abstract:INTRODUCTION:According to the World Health Organization (WHO) and FDI World Dental Federation (FDI), malnutrition and bad oral health are of great concern to global health, especially among the older population. This study aimed to assess the associations between oral health problems ([artificial] teeth problems, chewi...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2017.05.022

    authors: Huppertz VAL,van der Putten GJ,Halfens RJG,Schols JMGA,de Groot LCPGM

    更新日期:2017-11-01 00:00:00

  • Spontaneous Reversion of Mild Cognitive Impairment to Normal Cognition: A Systematic Review of Literature and Meta-Analysis.

    abstract:OBJECTIVES:The issue of subjects with mild cognitive impairment (MCI) reverting to normal cognition (NC) has to date been taken in limited consideration, and no conclusive data are available on the rate of reversion. We aimed at systematically reviewing available longitudinal studies on MCI and meta-analyzing data with...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.jamda.2016.06.020

    authors: Canevelli M,Grande G,Lacorte E,Quarchioni E,Cesari M,Mariani C,Bruno G,Vanacore N

    更新日期:2016-10-01 00:00:00

  • Is there a conflicted surrogate syndrome affecting quality of care in nursing homes?

    abstract::Is there a point at which family complaints about care cease to be constructive and become excessive and counterproductive? Do excessive complaint behaviors represent a "conflicted surrogate syndrome" that is indicative of psychopathology in the family member or family system? Can this psychopathology result in avoida...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2005.12.005

    authors: Kidder SW,Smith DA

    更新日期:2006-03-01 00:00:00

  • To What Extent Do Local Nursing Home Prescribing Patterns Relate to Psychotropic Prescribing in Assisted Living?

    abstract:OBJECTIVE:In nursing homes (NHs), psychoactive medication use has received notable attention, but less is known about prescribing in assisted living (AL). This study examined how antipsychotic and antianxiety medication prescribing in AL compares with NHs. DESIGN:Observational, cross-sectional AL data linked to public...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2020.11.037

    authors: Thomas K,Wretman CJ,Sloane PD,Carder P,Schwartz L,Beeber AS,Zimmerman S

    更新日期:2020-12-28 00:00:00

  • Reduced ability to self-administer medication is associated with assisted living placement in a continuing care retirement community.

    abstract:OBJECTIVE:To examine whether reduced ability to self-administer medication can accurately classify living placement (independent or assisted living) in a continuing care retirement community (CCRC). DESIGN:Convenience sample of consecutive patients seen in a medical clinic. SETTING:An outpatient medical clinic at a C...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jamda.2005.04.002

    authors: Lieto JM,Schmidt KS

    更新日期:2005-07-01 00:00:00

  • Receipt of Timely Primary Care Services Following Post-Acute Skilled Nursing Facility Care.

    abstract:OBJECTIVES:Our study examined the proportion of skilled nursing facility (SNF) post-acute care residents who did not receive timely primary care provider (PCP) services following discharge, factors associated with lack of timely PCP services, and factors associated with perfect 30-day home time among those who did not ...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2020.09.016

    authors: Simning A,Orth J,Caprio TV,Li Y,Wang J,Temkin-Greener H

    更新日期:2020-10-26 00:00:00

  • Underutilization of calcium and vitamin D supplements in an academic long-term care facility.

    abstract:BACKGROUND:Good scientific evidence indicates that calcium and vitamin D supplementation decrease the incidence of osteoporosis-related fractures among institutionalized elderly. OBJECTIVE:The objective was to study the frequency of prescribing calcium and vitamin D supplements in elderly institutionalized individuals...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1097/01.JAM.0000110649.22467.B4

    authors: Kamel HK

    更新日期:2004-03-01 00:00:00

  • The Risk of Hospital Admission Due to Traumatic Brain Injury Is Increased in Older Persons With Severe Functional Limitations.

    abstract:INTRODUCTION:Hospital admissions due to traumatic brain injuries (TBIs) in older persons are increasing. Falls are the leading mechanism of injury in this age group. TBIs are associated with unfavorable outcomes such as mortality and institutionalization. OBJECTIVES:To estimate rates of TBIs in older persons with seve...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2016.02.032

    authors: Büchele G,Rapp K,König HH,Jaensch A,Rothenbacher D,Becker C,Benzinger P

    更新日期:2016-07-01 00:00:00

  • Effects of Legal Access to Cannabis on Scheduled II-V Drug Prescriptions.

    abstract:BACKGROUND:Co-prescribing of scheduled drugs is endemic in the United Sates, increasing health risks to patients and the burden on healthcare systems. PURPOSE:We conducted a pragmatic historical cohort study to measure the effect of enrollment in a state-authorized United States' Medical Cannabis Program (MCP) on sche...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2017.07.017

    authors: Stith SS,Vigil JM,Adams IM,Reeve AP

    更新日期:2018-01-01 00:00:00

  • International Transferability of Research Evidence in Residential Long-term Care: A Comparative Analysis of Aged Care Systems in 7 Nations.

    abstract:OBJECTIVE:To compare publicly available information on aged care systems in 7 countries to determine the degree of transferability for research on aged care between these countries. DESIGN:A cross-country comparative analysis. SETTING:Aged care systems in 7 countries classified as liberal welfare states (Australia, C...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章,评审

    doi:10.1016/j.jamda.2019.07.017

    authors: Jain B,Cheong E,Bugeja L,Ibrahim J

    更新日期:2019-12-01 00:00:00

  • Comparing Advance Care Planning in Young-Onset Dementia in the USA vs Belgium: Challenges Partly Related to Societal Context.

    abstract:OBJECTIVES:Advance care planning in young-onset dementia largely remains a blind spot within current literature. This study aimed to explore the engagement in and the conceptualization of advance care planning from the perspective of family caregivers of persons with young-onset dementia and to identify potential simil...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2020.01.007

    authors: Van Rickstal R,De Vleminck A,Morrison SR,Koopmans RT,van der Steen JT,Engelborghs S,Neugroschl J,Aldridge MD,Sano M,Van den Block L

    更新日期:2020-06-01 00:00:00

  • How Important Are Health Care Expenditures for Life Expectancy? A Comparative, European Analysis.

    abstract:OBJECTIVES:The relationship between health care expenditures and health care outcomes, such as life expectancy and mortality, is complex. Research outcomes show different and contradictory results on this relationship. How and why health care expenditures affect health outcomes is not clear. A causal link between the t...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:10.1016/j.jamda.2016.11.027

    authors: van den Heuvel WJ,Olaroiu M

    更新日期:2017-03-01 00:00:00

  • Barriers to vision care for nursing home residents.

    abstract:OBJECTIVE:To describe the prevalence of periodic eye examinations by eye professionals and to examine nursing facility resident characteristics associated with lack of periodic screening. DESIGN:Retrospective chart review. SETTING:Two Midwestern nursing facilities. PARTICIPANTS:Between 1995 and 1997, 134 subjects ag...

    journal_title:Journal of the American Medical Directors Association

    pub_type: 杂志文章

    doi:

    authors: Keller BK,Hejkal T,Potter JF

    更新日期:2001-01-01 00:00:00