Abstract:
:Objective: For long-term care (LTC) residents, transfers to emergency departments (EDs) can be associated with poor health outcomes. We aimed to describe characteristics of residents transferred, factors related to decisions during transfer, care received in emergency medical services (EMS), ED settings, outcomes on return to LTC, and times of transfer segments along the transition. Method: We prospectively followed 637 transitions to an ED in British Columbia and Alberta, Canada, over a 12-month period. Data were captured through an electronic Transition Tracking Tool and interviews with health care professionals. Results: Common events triggering transfer were falls (26.8%), sudden change in condition (23.5%), and shortness of breath (19.8%). Discrepancies existed between reason for transfer, EMS reported chief complaint, and ED diagnosis. Many transfers resulted in resident return directly to LTC (42.7%). Discussion: Avoidable transfers may put residents at risk of receiving inappropriate care. Standardized communication strategies to highlight changes in resident condition are warranted.
journal_name
J Aging Healthjournal_title
Journal of aging and healthauthors
Cummings GG,McLane P,Reid RC,Tate K,Cooper SL,Rowe BH,Estabrooks CA,Cummings GE,Abel SL,Lee JS,Robinson CA,Wagg Adoi
10.1177/0898264318808908subject
Has Abstractpub_date
2020-03-01 00:00:00pages
119-133issue
3-4eissn
0898-2643issn
1552-6887journal_volume
32pub_type
杂志文章abstract::Objective: To develop an assessment method of active aging for research on older people. Method: A multiphase process that included drafting by an expert panel, a pilot study for item analysis and scale validity, a feedback study with focus groups and questionnaire respondents, and a test-retest study. Altogether 235 ...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264317750449
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVES:This article seeks to review debates about age-based rationing in health care. METHODS:The article identifies four different levels (or types) of decision-making in health resources allocation--societal, strategic, programmatic, and clinical--and assesses how the issues of rationing vary in relation to each...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826430001200404
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVE:To explore the association between baseline life-space mobility and nursing home (NH) admission among community-dwelling older adults over 6 years. METHODS:Using data from a prospective, observational cohort study consisting of a random sample of 1,000 Medicare beneficiaries ≥ 65 years of age stratified by r...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264313497507
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:The aim of this study is to investigate how socioeconomic position (SEP) is associated with multidimensional measures of successful aging (SA), and how this varies and accumulates across the life-course. METHOD:Using data from 1,733 Scottish men and women from two cohorts aged around 57 and 76, respectively,...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264316665208
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:This study aims to examine the cognitive and emotional reactions of Chinese elderly people toward death, to extend the use of a Western scale on death anxiety to a Chinese sample, and to explore the correlates of death anxiety. METHODS:A community sample of 237 Chinese elderly people (62 men and 175 women) ...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826430201400103
更新日期:2002-02-01 00:00:00
abstract:OBJECTIVE:This research seeks to determine which aspects of social support are most effective in mediating mood state among working-age and elderly adults with disability (N = 442). METHODS:Participants were identified through random-digit dialing of telephone exchanges and administration of a disability screen. Mult...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826430001200303
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVES:To describe the growth of the Hispanic population in the Midwest states of the United States, to present disability levels in older Mexican and non-Mexican-origin Midwest Hispanics by place of birth and poverty status, and compare disability levels among older Midwest Hispanics with those among Southwest His...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264311422100
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVES:Multimorbidity in centenarians is common; although investigations of the prevalence of morbidity in centenarians are accumulating, research on profiles of co-occurrence of morbidities is still sparse. Our aim was to explore profiles of comorbidities in centenarians. METHOD:Health insurance data from 1,121 c...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264317737894
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:This aim of this study was to characterize trends in alcohol-related hospital admissions among middle-aged and older adults from 1993 to 2010 in relation to age, gender, race, and cohort membership. METHOD:This study utilized repeated cross-sectional data from the Nationwide Inpatient Sample. Using alcohol-r...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264315583052
更新日期:2015-12-01 00:00:00
abstract::Objectives: Drawing on UK Household Longitudinal Study data, this study assessed a pathway from early-life disadvantage to suboptimal later-life health via health behavior. Methods: Latent class analysis was used to identify distinct smoking, nutrition, alcohol, and physical activity health behavior profiles. Mediatio...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264320981233
更新日期:2020-12-19 00:00:00
abstract:OBJECTIVE:To examine how the experience of a negative health event (i.e., onset of heart disease, diabetes, lung disease, cancer, or stroke) of one spouse affects the mental and physical well-being of the other partner as measured by depressive symptoms and self-reported health. METHODS:We employ latent growth curve a...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264313494800
更新日期:2013-10-01 00:00:00
abstract::Objective: Geriatricians are skilled in the recognition of asymptomatic and atypical presentations that occur in the elderly and provide comprehensive medication management including recognizing adverse drug events, reducing polypharmacy, and de-prescribing. However, despite the increasing average age of the U.S. popu...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264319879325
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:This study examines the associations between social networks and vision-specific health-related quality of life (HRQOL) among Chinese older adults. METHOD:Urban older adults with visual problems (N = 167) were interviewed using a structured questionnaire to assess self-reported visual functioning, general he...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264308321083
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVES:The objectives were to examine the validity and reliability of a five-item neighborhood measurement scale. METHODS:Respondents were enrolled from two catchment areas: a poor inner city and a heterogeneous suburban area. Items combine for a total score of 5 (best) to 20 (worst). The authors compared scales a...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264305281001
更新日期:2006-02-01 00:00:00
abstract::Responses of older adults ( greater than 65 years) from the 1990 National Health Interview Survey and Assistive Device Supplement are analyzed to determine if selected demographic and health variables are associated with the use of assistive devices, multiple-device use, and the expressed need for such devices. Bivar...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826439801000106
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVE:This study examined the relationship between volunteer activity and hypertension, a risk factor for cardiovascular disease, renal failure, and cognitive impairment. METHOD:Employing data from the Health and Retirement Study, we estimated regression models of hypertension status that include volunteer activit...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264310388272
更新日期:2011-02-01 00:00:00
abstract::Objectives: This study examined the link between neighborhood social cohesion, disorder, and physical function in older adults, and identified potential racial/ethnic differences in these associations. Method: Data come from the National Health and Aging Trends Study (NHATS; N = 5,619). A series of linear regression m...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264319890944
更新日期:2020-10-01 00:00:00
abstract::Use of medication has become an increasingly important issue in the health and health care of older populations. The demographic changes resulting in greater numbers of individuals 65 and over, accompanied by a higher prevalence of chronic disease, focus attention on prescription and over-the-counter drugs, the major ...
journal_title:Journal of aging and health
pub_type: 杂志文章,评审
doi:10.1177/089826438900100102
更新日期:1989-02-01 00:00:00
abstract::Objectives: We investigated changes in the prevalence of disabilities among individuals with type 2 diabetes and analyzed the contribution of comorbidities on this change. Methods: Data were drawn from the Survey of Health, Ageing, and Retirement in Europe (SHARE). We estimated predicted probabilities of impaired (ins...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264320970324
更新日期:2020-10-31 00:00:00
abstract:OBJECTIVE:A cohort of older people living in a low-resource setting in Nairobi is followed to understand the transitions in caregiving status and trajectories in health over a 3-year period. METHODS:Three categories of older people comprising 65 AIDS caregivers, 102 Other caregivers and 1,322 noncaregivers identified ...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264313488164
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:To investigate whether older adults participating in social activities are more likely to maintain or achieve recommended waist circumference (WC) levels. METHOD:A total of 4,280 older adults who participated in Wave 2 (baseline) and Wave 4 (follow-up) of the English Longitudinal Study of Ageing. WC was meas...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264311421960
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:This study identified associations between chronic diseases (diabetes, asthma, depression, and arthritis) and workforce participation patterns with a gendered perspective. METHOD:We used data from 1,261 middle-aged participants of the Australian Life Histories and Health (LHH) Survey, aged 60 to 64 years in ...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264316635586
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:We examine the association between poverty, economic inequality, and health among elderly in Myanmar. METHOD:We analyze 2012 data from Myanmar's first representative survey of older adults to investigate how health indicators vary across wealth quintiles as measured by household possessions and housing quali...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264315584577
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:To use anchoring vignettes to evaluate reporting heterogeneity (RH) in self-rated mobility and cognition in older adults. METHOD:We analyzed vignettes and self-rated mobility and cognition in 2,558 individuals aged 50 years and above. We tested for assumptions of vignette equivalence (VE) and response consis...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264314535634
更新日期:2014-09-01 00:00:00
abstract:OBJECTIVES:Older female smokers are highly vulnerable, yet little is known about their attitudes, beliefs, and behaviors regarding smoking cessation. METHODS:Southeast region Women's Health Initiative participants identified as smokers on at least one prior assessment were surveyed in 2012 regarding current tobacco us...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264316687622
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:To assess the effectiveness of psychosocial interventions for the prevention of depression in older people. METHOD:Systematic review and meta-analysis of prospective controlled trials. RESULTS:Thirty studies were included. Overall, psychosocial interventions had a small but statistically significant effect ...
journal_title:Journal of aging and health
pub_type: 杂志文章,meta分析,评审
doi:10.1177/0898264310378041
更新日期:2011-04-01 00:00:00
abstract::The article examines the association of disability and sociodemographic background with the type of social network in which elders are embedded and considers the implications of such associations for network continuity. METHODS. Secondary analysis of data from a national probability sample of Jewish adults aged 60 and...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264303015002004
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:To determine the effect of body-mass index (BMI) categories (a proxy for adiposity) on 4-year changes in health-related quality of life (HRQL) independent of baseline disease severity. DESIGN:Secondary analyses of a prospective, longitudinal study. PARTICIPANTS:Data on 7,895 adults ages 51 to 61 years who r...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/089826430201400202
更新日期:2002-05-01 00:00:00
abstract::Objectives: This study examined the associations between parent-child relationships and sleep difficulty among older parents in the context of Chinese multiple-children and one-child families. Methods: Using the 2014 China Longitudinal Aging Social Survey, this study analyzed older parents' (N = 8,450) reports of slee...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264320947304
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:This was a cross-sectional study of the ability of independently living healthy elders to follow a medication regimen. Participants were divided into a group with High Cognitive Function (HCF) or Low Cognitive Function (LCF) based on their scores on the ADAS-Cog. METHOD:Thirty-eight participants aged 65 or o...
journal_title:Journal of aging and health
pub_type: 杂志文章
doi:10.1177/0898264309332836
更新日期:2009-06-01 00:00:00