Infections in long-term care populations in the United States.


OBJECTIVES:To estimate infection prevalence and explore associated risk factors in nursing home (NH) residents, individuals receiving home health care (HHC), and individuals receiving hospice care. DESIGN:Cross-sectional. SETTING:Nationally representative samples of 1,174 U.S. NHs in the 2004 National Nursing Home Survey (NNHS) and 1,036 U.S. HHC and hospice agencies in the 2007 National Home and Hospice Care Survey (NHHCS). PARTICIPANTS:A nationally representative sample of 12,270 NH residents, 4,394 individuals receiving HHC, and 4,410 individuals receiving hospice care. MEASUREMENTS:International Classification of Diseases, Ninth Revision, Clinical Modification, codes were used to identify the presence of infection, including community-acquired infection and those acquired during earlier healthcare exposures. RESULTS:Unweighted response rates were 78% for the 2004 NHHS and 67% for the 2007 NHHCS. Approximately 12% of NH residents and 12% of individuals receiving HHC had an infection at the time of the survey interview, and more than 10% of individuals receiving hospice care had an infection when discharged from hospice care. The most common infections were urinary tract infection (3.0–5.2%), pneumonia (2.2–4.4%), and cellulitis (1.6–2.0%). Short length of care and recent inpatient stay in a healthcare facility were associated with infections in all three populations. Taking 10 or more medications and urinary catheter exposure were significant in two of these three long-term care populations. CONCLUSION:Infection prevalence in HHC, hospice, and NH populations is similar. Although these infections may be community acquired or acquired during earlier healthcare exposures, these findings fill an important gap in understanding the national infection burden and may help inform future research on infection epidemiology and prevention strategies in long-term care populations.


J Am Geriatr Soc


Dwyer LL,Harris-Kojetin LD,Valverde RH,Frazier JM,Simon AE,Stone ND,Thompson ND




Has Abstract


2013-03-01 00:00:00












  • Walking and talking as predictors of falls in the general population: the Leiden 85-Plus Study.

    abstract:OBJECTIVES:To compare the value of dual tasking in predicting falling in the general population of oldest old with that of easy-to-administer single tasks. DESIGN:Prospective population-based follow-up study. SETTING:Municipality of Leiden, the Netherlands. PARTICIPANTS:Representative cohort of 380 individuals, all ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Bootsma-van der Wiel A,Gussekloo J,de Craen AJ,van Exel E,Bloem BR,Westendorp RG

    更新日期:2003-10-01 00:00:00

  • Inadequate Risk Adjustment Impacts Geriatricians' Performance on Medicare Cost and Quality Measures.

    abstract:OBJECTIVES:Medicare value-based payment programs evaluate physicians' performance on their patients' annual Medicare costs and clinical outcomes. However, little is known about how geriatricians, who disproportionately provide care for medically complex older adults, perform on these measures. DESIGN:A retrospective s...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Johnston KJ,Wen H,Joynt Maddox KE

    更新日期:2020-02-01 00:00:00

  • Effects of a Safe Transportation Educational Program for Older Drivers on Driving Exposure and Community Participation: A Randomized Controlled Trial.

    abstract:OBJECTIVES:To ascertain whether a safe-transportation program can change driving exposure while maintaining community participation of older drivers. DESIGN:Randomized controlled trial. SETTING:Northwest Sydney. PARTICIPANTS:Drivers aged 75 and older (mean 80 ± 4) (n = 380). INTERVENTION:Intervention group particip...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验


    authors: Coxon K,Chevalier A,Brown J,Clarke E,Billot L,Boufous S,Ivers R,Keay L

    更新日期:2017-03-01 00:00:00

  • Confusion Strongly Associated with Antibiotic Prescribing Due to Suspected Urinary Tract Infections in Nursing Homes.

    abstract:OBJECTIVES:To quantify the prevalence of documented urinary tract infection (UTI), nonspecific symptoms, and antibiotic treatment of suspected UTI in nursing homes (NHs) in the tropics and to describe the typical resident likely to receive antibiotic treatment for suspected UTI and factors associated with the developme...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Mayne S,Sundvall PD,Gunnarsson R

    更新日期:2018-02-01 00:00:00

  • Lipoprotein metabolism in Japanese centenarians: effects of apolipoprotein E polymorphism and nutritional status.

    abstract:OBJECTIVES:To assess the complex interaction of apolipoprotein (apo) E polymorphisms and environmental factors on lipoprotein profile in centenarians. DESIGN:Cross-sectional analysis. SETTING:Tokyo metropolitan area. PARTICIPANTS:Seventy-five centenarians and 73 healthy older volunteers (mean age 63.1 +/- 10.0) livi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Arai Y,Hirose N,Nakazawa S,Yamamura K,Shimizu K,Takayama M,Ebihara Y,Osono Y,Homma S

    更新日期:2001-11-01 00:00:00

  • Efficacy, safety, and tolerability of sertraline in patients with late-life depression and comorbid medical illness.

    abstract:OBJECTIVES:To report on the efficacy, safety, and tolerability of sertraline in the treatment of elderly depres-sed patients with and without comorbid medical illness. SETTING:Multicenter. DESIGN:Randomized, double-blind, placebo-controlled study. PARTICIPANTS:A total of 752 patients aged 60 and older with diagnosis...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Sheikh JI,Cassidy EL,Doraiswamy PM,Salomon RM,Hornig M,Holland PJ,Mandel FS,Clary CM,Burt T

    更新日期:2004-01-01 00:00:00

  • Physical Activity and Amyloid-β Brain Levels in Elderly Adults with Intact Cognition and Mild Cognitive Impairment.

    abstract:OBJECTIVES:To examine the associations between amyloid-β brain deposition and physical activity (PA) in elderly adults without dementia and to investigate whether the association has a dose-response relationship. DESIGN:Cross-sectional study. SETTING:French community-dwelling people. PARTICIPANTS:Elderly adults with...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: de Souto Barreto P,Andrieu S,Payoux P,Demougeot L,Rolland Y,Vellas B,Multidomain Alzheimer Preventive Trial\/Data Sharing Alzheimer Study Group.

    更新日期:2015-08-01 00:00:00

  • Dental, visual, auditory and olfactory complications in Paget's disease of bone.

    abstract:OBJECTIVE:To determine the prevalence of dental problems in Paget's patients and in a control population without Paget's disease. The relationship of localization of bony involvement of Paget's disease with the prevalence of dental, auditory, visual, and smell changes is examined. DESIGN:Cross-sectional national surve...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Wheeler TT,Alberts MA,Dolan TA,McGorray SP

    更新日期:1995-12-01 00:00:00

  • Association of Hospitalization, Critical Illness, and Infection with Brain Structure in Older Adults.

    abstract:OBJECTIVES:To examine the association between hospitalization, critical illness, and infection occurring during middle- and late-life and structural brain abnormalities in older adults. DESIGN:Prospective cohort study. SETTING:Atherosclerosis Risk in Communities (ARIC) Study. PARTICIPANTS:A community sample of adult...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Walker KA,Gottesman RF,Wu A,Knopman DS,Mosley TH Jr,Alonso A,Kucharska-Newton A,Brown CH 4th

    更新日期:2018-10-01 00:00:00

  • Hallucinations of widowhood.

    abstract::Widowed residents of two nursing homes who were oriented to person, time, and place were interviewed to determine the extent to which they had hallucinatory experiences of their deceased spouse. Fifty-two interviews were completed with 46 widows and six widowers. Results are reported for the widows. Twenty-eight (61%)...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Olson PR,Suddeth JA,Peterson PJ,Egelhoff C

    更新日期:1985-08-01 00:00:00

  • Atherosclerosis is associated with delirium after coronary artery bypass graft surgery.

    abstract:OBJECTIVES:To investigate whether atherosclerosis of the ascending aorta, internal carotid arteries, and coronary arteries is predictive of postoperative delirium in subjects undergoing coronary artery bypass graft (CABG) surgery. DESIGN:Prospective cohort study. SETTING:Boston Veterans Affairs Healthcare System. PA...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Rudolph JL,Babikian VL,Birjiniuk V,Crittenden MD,Treanor PR,Pochay VE,Khuri SF,Marcantonio ER

    更新日期:2005-03-01 00:00:00

  • Fighting against age discrimination in clinical trials.

    abstract::At the American Geriatrics Society 2008 Annual Meeting, representatives of two geriatric societies, the European Union Geriatric Medicine Societies and the American Geriatrics Society, and two regulatory agencies, the U.S. Food and Drug Administration and the European Medicine Agency, conducted a roundtable discussion...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审


    authors: Cherubini A,Del Signore S,Ouslander J,Semla T,Michel JP

    更新日期:2010-09-01 00:00:00

  • Clinician Effectiveness in Assessing Fitness to Drive of Medically At-Risk Older Adults.

    abstract:OBJECTIVES:To model the relative contributions of driver data and clinical judgments to clinical ratings of driver capability for a state licensing authority and to compare ratings with on-road test results. DESIGN:Retrospective, logistic regression. SETTING:Missouri Driver License Bureau. PARTICIPANTS:Adults aged 6...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Meuser TM,Berg-Weger M,Carr DB,Shi S,Stewart D

    更新日期:2016-04-01 00:00:00

  • High body mass index does not predict mortality in older people: analysis of the Longitudinal Study of Aging.

    abstract:OBJECTIVE:To determine the excess mortality associated with obesity (defined by body mass index (BMI)) in older people, with and without adjustment for other risk factors associated with mortality and for demographic factors. DESIGN:Retrospective cohort analysis of the Longitudinal Study of Aging (LSOA). SETTING:Nati...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Grabowski DC,Ellis JE

    更新日期:2001-07-01 00:00:00

  • Prolonged mechanical ventilation in 540 seriously ill older adults: effects of increasing age on clinical outcomes and survival.

    abstract:OBJECTIVES:To investigate effects of older age, comorbidities, and physiological measures on outcomes of elderly adults requiring prolonged mechanical ventilation (PMV). DESIGN:Retrospective cohort study. SETTING:Public long-term acute care hospital (LTACH) with an active program for ventilator weaning from PMV. PAR...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Dermot Frengley J,Sansone GR,Shakya K,Kaner RJ

    更新日期:2014-01-01 00:00:00

  • Circulating 25-hydroxyvitamin D levels and frailty in older men: the osteoporotic fractures in men study.

    abstract:OBJECTIVES:To determine the cross-sectional and longitudinal associations between 25-hydroxyvitamin D (25(OH)D) levels and frailty status in older men. DESIGN:Prospective cohort study. SETTING:Six U.S. community-based centers. PARTICIPANTS:One thousand six hundred six men aged 65 and older. MEASUREMENTS:25(OH)D (li...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究


    authors: Ensrud KE,Blackwell TL,Cauley JA,Cummings SR,Barrett-Connor E,Dam TT,Hoffman AR,Shikany JM,Lane NE,Stefanick ML,Orwoll ES,Cawthon PM,Osteoporotic Fractures in Men Study Group.

    更新日期:2011-01-01 00:00:00

  • Serum total and bioavailable testosterone levels, central obesity, and muscle strength changes with aging in healthy Chinese men.

    abstract:OBJECTIVES:To investigate the effects of the changes in serum bioavailable and total testosterone (TT) levels with aging on visceral body fat distribution and muscle strength in Chinese men. DESIGN:Cross-sectional study. SETTING:Ambulatory care. PARTICIPANTS:Four hundred seventy-five healthy ambulatory Chinese men (...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Chu LW,Tam S,Kung AW,Lo S,Fan S,Wong RL,Morley JE,Lam KS

    更新日期:2008-07-01 00:00:00

  • Low total cholesterol and increased risk of dying: are low levels clinical warning signs in the elderly? Results from the Italian Longitudinal Study on Aging.

    abstract:OBJECTIVES:To analyze the relationship between serum total cholesterol (TC) and all-cause mortality, taking into account various potential confounders. DESIGN:Population-based prospective cohort study. SETTING:Older Italians residing in the general community. PARTICIPANTS:Four thousand five hundred twenty-one men an...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Brescianini S,Maggi S,Farchi G,Mariotti S,Di Carlo A,Baldereschi M,Inzitari D,ILSA Group.

    更新日期:2003-07-01 00:00:00

  • Comparative efficacy and safety of selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors in older adults: a network meta-analysis.

    abstract:OBJECTIVES:To establish the comparative efficacy and safety of selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors in older adults using the network meta-analysis approach. DESIGN:Systematic review and network meta-analysis. PARTICIPANTS:Individuals aged 60 and older. MEASUREMENT...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,meta分析


    authors: Thorlund K,Druyts E,Wu P,Balijepalli C,Keohane D,Mills E

    更新日期:2015-05-01 00:00:00

  • Perhexiline maleate as a cause of reversible parkinsonism and peripheral neuropathy.

    abstract::In a 78-year-old woman receiving perhexiline maleate for intractable angina pectoris, a syndrome of parkinsonism and peripheral neuropathy developed. The neuropathy was confirmed by electromyographic and nerve conduction studies. The parkinsonism and peripheral neuropathy disappeared when perhexiline maleate was disco...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Gordon M,Gordon AS

    更新日期:1981-06-01 00:00:00

  • A plan for regional medical health centers for the geriatric patient.

    abstract::A rough plan is proposed which may facilitate the care of geriatric patients. The plan is to introduce pilot programs of geriatric regional centers attached to Veteran's Administration hospitals. Thus, at minimal cost, the problems of geriatric medicine would be under the supervision of our excellent university medica...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Dawson D

    更新日期:1966-05-01 00:00:00

  • Effect of medical conditions on improvement in self-reported and observed functional performance of elders.

    abstract:OBJECTIVES:To evaluate the effect of nine disabling medical conditions upon recovery from functional limitations by elders. DESIGN:Retrospective analysis of prospective longitudinal cohort. SETTING:Community. PARTICIPANTS:Persons aged 65 and older in Framingham Heart Study. MEASUREMENTS:Change in function in elders...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Miller RR,Zhang Y,Silliman RA,Hayes MK,Leveille SG,Murabito JM,Kiel D,O'Connor GT,Felson DT

    更新日期:2004-02-01 00:00:00

  • Developing a geriatric business plan for an academic medical center.

    abstract::Leaders of geriatric programs at academic health centers (AHCs) face several challenges in seeking support for clinical program development. These challenges relate to how revenues from Medicare activities flow within AHCs. Typically, clinical departments such as the Department of Medicine see a very small proportion ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Goodwin JS

    更新日期:2002-04-01 00:00:00

  • Flexible bronchoscopy as a diagnostic tool in the evaluation of pulmonary tuberculosis in an elderly population.

    abstract:OBJECTIVE:This study intends to determine what role fiberoptic bronchoscopy (FOB) plays in the diagnosis of tuberculosis (TB), particularly in a geriatric population. DESIGN:Cases of tuberculosis reported to the Tennessee Department of Health during the years 1989 and 1990 were divided into two age groups: Group A (< ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Patel YR,Mehta JB,Harvill L,Gateley K

    更新日期:1993-06-01 00:00:00

  • Nosocomial pneumococcal pneumonia in the elderly.

    abstract::Among 35 elderly patients with transtracheal aspirate (TTA)-documented nosocomial pneumonia, 7 (20 percent) had Streptococcus pneumoniae infection. Clinical and epidemiologic data are reported on these 7 patients and on 2 others with nosocomial pneumococcal pneumonia documented by bacteremia. Malignancy and chronic ob...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Berk SL,Gallemore GM,Smith JK

    更新日期:1981-07-01 00:00:00

  • Serum thyrotropin and thyroid hormone levels in elderly and middle-aged euthyroid persons.

    abstract:OBJECTIVE:To determine whether serum thyrotropin (TSH) levels are altered in euthyroid older persons compared with middle-aged adults. DESIGN:Serum TSH and thyroid hormone levels were measured in a large group of older persons (> 70 years old, n = 216) and their middle-aged offspring (40-60 years old, n = 211) after e...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Hershman JM,Pekary AE,Berg L,Solomon DH,Sawin CT

    更新日期:1993-08-01 00:00:00

  • Predictors of treatment with osteoporosis medications after recent fragility fractures in a multinational cohort of postmenopausal women.

    abstract:OBJECTIVES:To determine the proportion of untreated women who reported receiving treatment after incident fracture and to identify factors that predict treatment across an international spectrum of individuals. DESIGN:Prospective observational study. Self-administered questionnaires were mailed at baseline and 1 year....

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究


    authors: Greenspan SL,Wyman A,Hooven FH,Adami S,Gehlbach S,Anderson FA Jr,Boone S,Lacroix AZ,Lindsay R,Netelenbos JC,Pfeilschifter J,Silverman S,Siris ES,Watts NB

    更新日期:2012-03-01 00:00:00

  • Speech perception in older adults: the importance of speech-specific cognitive abilities.

    abstract:OBJECTIVE:To provide a critical evaluation of studies examining the contribution of changes in language-specific cognitive abilities to the speech perception difficulties of older adults. DESIGN:A review of the literature on aging and speech perception. CONCLUSIONS:The research considered in the present review sugges...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审


    authors: Sommers MS

    更新日期:1997-05-01 00:00:00

  • The effect of homebound status on older persons.

    abstract:OBJECTIVES:To examine the effect of homebound status of older persons in Israel on mortality, mental health and function, future homebound status, and institutionalization. DESIGN:Cross-sectional and longitudinal analysis using existing data sets of a national survey. SETTING:A national survey. PARTICIPANTS:The anal...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章


    authors: Cohen-Mansfield J,Shmotkin D,Hazan H

    更新日期:2010-12-01 00:00:00

  • Osteoporosis Treatment Efficacy for Men: A Systematic Review and Meta-Analysis.

    abstract:OBJECTIVES:To evaluate the efficacy of treatment options to reduce osteoporotic fracture risk in men. DESIGN:Systematic review and meta-analysis. SETTING:Randomized clinical trials that evaluated the efficacy of a treatment for osteoporosis or low bone mineral density for adult men and reported fracture outcomes. PA...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,meta分析,评审


    authors: Nayak S,Greenspan SL

    更新日期:2017-03-01 00:00:00