Older Persons' Transitions in Care (OPTIC): a study protocol.

Abstract:

BACKGROUND:Changes in health status, triggered by events such as infections, falls, and geriatric syndromes, are common among nursing home (NH) residents and necessitate transitions between NHs and Emergency Departments (EDs). During transitions, residents frequently experience care that is delayed, unnecessary, not evidence-based, potentially unsafe, and fragmented. Furthermore, a high proportion of residents and their family caregivers report substantial unmet needs during transitions. This study is part of a program of research whose overall aim is to improve quality of care for frail older adults who reside in NHs. The purpose of this study is to identify successful transitions from multiple perspectives and to identify organizational and individual factors related to transition success, in order to inform improvements in care for frail elderly NH residents during transitions to and from acute care. Specific objectives are to: 1. define successful and unsuccessful elements of transitions from multiple perspectives; 2. develop and test a practical tool to assess transition success; 3. assess transition processes in a discrete set of transfers in two study sites over a one year period; 4. assess the influence of organizational factors in key practice locations, e.g., NHs, emergency medical services (EMS), and EDs, on transition success; and 5. identify opportunities for evidence-informed management and quality improvement decisions related to the management of NH - ED transitions. METHODS/DESIGN:This is a mixed-methods observational study incorporating an integrated knowledge translation (IKT) approach. It uses data from multiple levels (facility, care unit, individual) and sources (healthcare providers, residents, health records, and administrative databases). DISCUSSION:Key to study success is operationalizing the IKT approach by using a partnership model in which the OPTIC governance structure provides for team decision-makers and researchers to participate equally in developing study goals, design, data collection, analysis and implications of findings. As preliminary and ongoing study findings are developed, their implications for practice and policy in study settings will be discussed by the research team and shared with study site administrators and staff. The study is designed to investigate the complexities of transitions and to enhance the potential for successful and sustained improvement of these transitions.

journal_name

BMC Geriatr

journal_title

BMC geriatrics

authors

Cummings GG,Reid RC,Estabrooks CA,Norton PG,Cummings GE,Rowe BH,Abel SL,Bissell L,Bottorff JL,Robinson CA,Wagg A,Lee JS,Lynch SL,Masaoud E

doi

10.1186/1471-2318-12-75

subject

Has Abstract

pub_date

2012-12-14 00:00:00

pages

75

issn

1471-2318

pii

1471-2318-12-75

journal_volume

12

pub_type

杂志文章
  • The association between timed up and go test and history of falls: the Tromsø study.

    abstract:BACKGROUND:Fall-related injuries in older adults are a major health problem. Although the aetiology of falls is multifactorial, physical factors are assumed to contribute significantly. The "Timed up and go test" (TUG) is designed to measure basic mobility function. This report evaluates the association between TUG tim...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2318-7-1

    authors: Thrane G,Joakimsen RM,Thornquist E

    更新日期:2007-01-12 00:00:00

  • EXamining the knowledge, Attitudes and experiences of Canadian seniors Towards influenza (the EXACT survey).

    abstract:BACKGROUND:Older adults are at high risk for influenza-related complications including worsening frailty and function. We surveyed older Canadians to explore the impact of influenza and determine how influenza knowledge influences vaccination decision-making. METHODS:We disseminated an online survey through a national...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-019-1180-5

    authors: Andrew MK,Gilca V,Waite N,Pereira JA

    更新日期:2019-06-26 00:00:00

  • Study protocol: HipSTHeR - a register-based randomised controlled trial - hip screws or (total) hip replacement for undisplaced femoral neck fractures in older patients.

    abstract:BACKGROUND:Femoral neck fractures (FNFs), which are common in the older population, are associated with high mortality and morbidity. Some 20% of FNFs are undisplaced (uFNFs). The routine surgical procedure for uFNFs is internal fixation (IF) with 2-3 screws/pins with a reported reoperation rate in older patients (age ...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12877-020-1418-2

    authors: Wolf O,Sjöholm P,Hailer NP,Möller M,Mukka S

    更新日期:2020-01-21 00:00:00

  • Protocol for a Prospective (P) study to develop a model to stratify the risk (RI) of medication (M) related harm in hospitalized elderly (E) patients in the UK (The PRIME study).

    abstract:BACKGROUND:Medication related harm (MRH) is a common cause of morbidity and hospital admission in the elderly, and has significant cost implications for both primary and secondary healthcare resources. The development of risk prediction models has become an increasingly common phenomenon in medicine and can be useful t...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-016-0191-8

    authors: Stevenson J,Parekh N,Ali K,Timeyin J,Bremner S,Van Der Cammen T,Allen J,Schiff R,Harchowal J,Davies G,Rajkumar C

    更新日期:2016-01-19 00:00:00

  • Investigating the concept of participant burden in aging technology research.

    abstract:BACKGROUND:Research participation burden, despite being an integral concept in research ethics, is not well-conceptualized in the context of the use of technology in research. This knowledge gap is especially critical for the older adult population as new technology solutions are increasingly embedded in clinical trial...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-020-1441-3

    authors: Kabacińska K,Sharma N,Kaye J,Mattek N,Kuzeljevic B,Robillard JM

    更新日期:2020-02-12 00:00:00

  • Attitudinal predictors of older peoples' and caregivers' desire to deprescribe in hospital.

    abstract:BACKGROUND:Deprescribing is a partnership between practitioners, patients and caregivers. External characteristics including age, comorbidities and polypharmacy are poor predictors of attitude towards deprescribing. This hospital-based study aimed to describe the desire of patients and caregivers to be involved in medi...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12877-019-1127-x

    authors: Scott S,Clark A,Farrow C,May H,Patel M,Twigg MJ,Wright DJ,Bhattacharya D

    更新日期:2019-04-15 00:00:00

  • Reducing the use of physical restraints in home care: development and feasibility testing of a multicomponent program to support the implementation of a guideline.

    abstract:BACKGROUND:A validated evidence-based guideline was developed to reduce physical restraint use in home care. However, the implementation of guidelines in home care is challenging. Therefore, this study aims to systematically develop and evaluate a multicomponent program for the implementation of the guideline for reduc...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-020-01946-5

    authors: Vandervelde S,Scheepmans K,Milisen K,van Achterberg T,Vlaeyen E,Flamaing J,Dierckx de Casterlé B

    更新日期:2021-01-25 00:00:00

  • Effectiveness of a multifactorial falls prevention program in community-dwelling older people when compared to usual care: study protocol for a randomised controlled trial (Prevquedas Brazil).

    abstract:BACKGROUND:Falling in older age is a major public health concern due to its costly and disabling consequences. However very few randomised controlled trials (RCTs) have been conducted in developing countries, in which population ageing is expected to be particularly substantial in coming years. This article describes t...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1471-2318-13-27

    authors: de Negreiros Cabral K,Perracini MR,Soares AT,de Cristo Stein F,Sera CT,Tiedemann A,Sherrington C,Filho WJ,Paschoal SM

    更新日期:2013-03-15 00:00:00

  • Dysbiosis, gut barrier dysfunction and inflammation in dementia: a pilot study.

    abstract:BACKGROUND:Dementia is an increasing public health threat worldwide. The pathogenesis of dementia has not been fully elucidated yet. Inflammatory processes are hypothesized to play an important role as a driver for cognitive decline but the origin of inflammation is not clear. We hypothesize that disturbances in gut mi...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-020-01644-2

    authors: Stadlbauer V,Engertsberger L,Komarova I,Feldbacher N,Leber B,Pichler G,Fink N,Scarpatetti M,Schippinger W,Schmidt R,Horvath A

    更新日期:2020-07-20 00:00:00

  • Four screening instruments for frailty in older patients with and without cancer: a diagnostic study.

    abstract:BACKGROUND:Frailty in older patients might influence treatment decisions. Frailty can be determined using a Comprehensive Geriatric Assessment (CGA), but this is time-consuming and expensive. Therefore we assessed the diagnostic value of four shorter screening instruments. METHODS:We tested the abbreviated CGA (aCGA),...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2318-14-26

    authors: Smets IH,Kempen GI,Janssen-Heijnen ML,Deckx L,Buntinx FJ,van den Akker M

    更新日期:2014-02-26 00:00:00

  • Did online publishers "get it right"? Using a naturalistic search strategy to review cognitive health promotion content on internet webpages.

    abstract:BACKGROUND:One of the most common uses of the Internet is to search for health-related information. Although scientific evidence pertaining to cognitive health promotion has expanded rapidly in recent years, it is unclear how much of this information has been made available to Internet users. Thus, the purpose of our s...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-017-0515-3

    authors: Hunter PV,Delbaere M,O'Connell ME,Cammer A,Seaton JX,Friedrich T,Fick F

    更新日期:2017-06-15 00:00:00

  • Predicting the risk of falling--efficacy of a risk assessment tool compared to nurses' judgement: a cluster-randomised controlled trial [ISRCTN37794278].

    abstract:BACKGROUND:Older people living in nursing homes are at high risk of falling because of their general frailty and multiple pathologies. Prediction of falls might lead to an efficient allocation of preventive measures. Although several tools to assess the risk of falling have been developed, their impact on clinically re...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2318-5-14

    authors: Meyer G,Köpke S,Bender R,Mühlhauser I

    更新日期:2005-11-10 00:00:00

  • Risk of venous thromboembolism after total hip and knee replacement in older adults with comorbidity and co-occurring comorbidities in the Nationwide Inpatient Sample (2003-2006).

    abstract:BACKGROUND:Venous thromboembolism is a common, fatal, and costly injury which complicates major surgery in older adults. The American College of Chest Physicians recommends high potency prophylaxis regimens for individuals undergoing total hip or knee replacement (THR or TKR), but surgeons are reluctant to prescribe th...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2318-10-63

    authors: Kapoor A,Labonte AJ,Winter MR,Segal JB,Silliman RA,Katz JN,Losina E,Berlowitz D

    更新日期:2010-09-17 00:00:00

  • Health economic evaluations of non-pharmacological interventions for persons with dementia and their informal caregivers: a systematic review.

    abstract:BACKGROUND:This systematic review aims to review the literature on trial-based economic evaluations of non-pharmacological interventions directly targeted at persons with dementia as well as persons with mild cognitive impairment and their respective caregivers. METHODS:A systematic literature research was conducted f...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,评审

    doi:10.1186/s12877-018-0751-1

    authors: Nickel F,Barth J,Kolominsky-Rabas PL

    更新日期:2018-03-09 00:00:00

  • Client, caregiver, volunteer, and therapist views on a voluntary supported group exercise programme for older adults with dementia.

    abstract:BACKGROUND:Existing group exercise programmes, or other services offered to maintain physical activity levels, are typically not developed specifically for older adults with dementia. The aim of this study was to gain knowledge about perceptions of a newly developed volunteer supported group exercise programme for olde...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-020-01632-6

    authors: Taraldsen K,Boulton E,Helbostad JL,Saltvedt I,Granbo R

    更新日期:2020-07-08 00:00:00

  • Concurrent validity and reliability of the Community Balance and Mobility scale in young-older adults.

    abstract:BACKGROUND:With the growing number of young-older adults (baby-boomers), there is an increasing demand for assessment tools specific for this population, which are able to detect subtle balance and mobility deficits. Various balance and mobility tests already exist, but suffer from ceiling effects in higher functioning...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-018-0845-9

    authors: Weber M,Van Ancum J,Bergquist R,Taraldsen K,Gordt K,Mikolaizak AS,Nerz C,Pijnappels M,Jonkman NH,Maier AB,Helbostad JL,Vereijken B,Becker C,Schwenk M

    更新日期:2018-07-03 00:00:00

  • Feasibility of evidence-based diagnosis and management of heart failure in older people in care: a pilot randomised controlled trial.

    abstract:BACKGROUND:Many older people in long-term care do not receive evidence-based diagnosis or management for heart failure; it is not known whether this can be achieved for this population. We initiated an onsite heart failure service, compared with 'usual care' with the aim of establishing the feasibility of accurate diag...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1471-2318-12-70

    authors: Hancock HC,Close H,Mason JM,Murphy JJ,Fuat A,de Belder M,Hunt T,Baker A,Wilson D,Hungin AP

    更新日期:2012-11-14 00:00:00

  • Design of a randomized controlled study of a multi-professional and multidimensional intervention targeting frail elderly people.

    abstract:BACKGROUND:Frail elderly people need an integrated and coordinated care. The two-armed study "Continuum of care for frail elderly people" is a multi-professional and multidimensional intervention for frail community-dwelling elderly people. It was designed to evaluate whether the intervention programme for frail elderl...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2318-11-24

    authors: Wilhelmson K,Duner A,Eklund K,Gosman-Hedström G,Blomberg S,Hasson H,Gustafsson H,Landahl S,Dahlin-Ivanoff S

    更新日期:2011-05-14 00:00:00

  • Cognitive and cognitive-motor interventions affecting physical functioning: a systematic review.

    abstract:BACKGROUND:Several types of cognitive or combined cognitive-motor intervention types that might influence physical functions have been proposed in the past: training of dual-tasking abilities, and improving cognitive function through behavioral interventions or the use of computer games. The objective of this systemati...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2318-11-29

    authors: Pichierri G,Wolf P,Murer K,de Bruin ED

    更新日期:2011-06-08 00:00:00

  • Refining caregiver vulnerability for clinical practice: determinants of self-rated health in spousal dementia caregivers.

    abstract:BACKGROUND:Caregivers of a family member with a chronic disability or illness such as dementia are at increased risk for chronic disease. There are many factors that contribute to dementia caregiver vulnerability and these factors can be challenging to assess in clinical settings. Self-rated health (SRH) is an independ...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12877-019-1033-2

    authors: von Känel R,Mausbach BT,Dimsdale JE,Ziegler MG,Mills PJ,Allison MA,Patterson TL,Ancoli-Israel S,Grant I

    更新日期:2019-01-22 00:00:00

  • Effects of kidney function, serum albumin and hemoglobin on dementia severity in the oldest old people with newly diagnosed Alzheimer's disease in a residential aged care facility: a cross-sectional study.

    abstract:BACKGROUND:Chronic kidney disease (CKD), low serum albumin, and anemia are known risk factors for cognitive decline in older people. We investigated the association between kidney function and cognitive impairment severity in oldest-old people with a diagnosis of Alzheimer's disease (AD). METHODS:A cross-sectional stu...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-020-01789-0

    authors: Wu JJ,Weng SC,Liang CK,Lin CS,Lan TH,Lin SY,Lin YT

    更新日期:2020-10-07 00:00:00

  • Exposure to general anesthesia and risk of Alzheimer's disease: a systematic review and meta-analysis.

    abstract:BACKGROUND:Alzheimer's disease (AD) is common among older adults and leads to significant disability. Volatile anesthetic gases administered during general anesthesia (GA) have been hypothesized to be a risk factor for the development of AD. The objective of this study is to systematically review the association betwee...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,meta分析,评审

    doi:10.1186/1471-2318-11-83

    authors: Seitz DP,Shah PS,Herrmann N,Beyene J,Siddiqui N

    更新日期:2011-12-14 00:00:00

  • Healthy aging through the lens of community-based practitioners: a focus group study.

    abstract:BACKGROUND:Nearly one in every seven Americans is 65 years and older, facing day-to-day challenge of aging. Although interest in healthy aging is growing, most of the efforts are directed towards understanding the perceptions of older adults. Little is known about the perspectives of community-based practitioners who w...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-020-01611-x

    authors: Dev R,Zaslavsky O,Cochrane B,Eagen T,Woods NF

    更新日期:2020-06-15 00:00:00

  • A perturbation-based balance training program for older adults: study protocol for a randomised controlled trial.

    abstract:BACKGROUND:Previous research investigating exercise as a means of falls prevention in older adults has shown mixed results. Lack of specificity of the intervention may be an important factor contributing to negative results. Change-in-support (CIS) balance reactions, which involve very rapid stepping or grasping moveme...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2318-7-12

    authors: Mansfield A,Peters AL,Liu BA,Maki BE

    更新日期:2007-05-31 00:00:00

  • Impact of a decision-making aid for suspected urinary tract infections on antibiotic overuse in nursing homes.

    abstract:BACKGROUND:Antibiotics are highly utilized in nursing homes. The aim of the study was to test the effectiveness of a decision-making aid for urinary tract infection management on reducing antibiotic prescriptions for suspected bacteriuria in the urine without symptoms, known as asymptomatic bacteriuria (ASB) in twelve ...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-016-0255-9

    authors: McMaughan DK,Nwaiwu O,Zhao H,Frentzel E,Mehr D,Imanpour S,Garfinkel S,Phillips CD

    更新日期:2016-04-15 00:00:00

  • Antibiotic use in the care home setting: a retrospective cohort study analysing routine data.

    abstract:BACKGROUND:Point prevalence studies in care homes show a high use of antibiotics, especially to treat urinary tract infections (UTI). There is a lack of large studies presenting annual antibiotic prescription data in care homes compared to those not in care homes. This study aimed to describe the pattern of antibiotic ...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-015-0073-5

    authors: Sundvall PD,Stuart B,Davis M,Roderick P,Moore M

    更新日期:2015-06-25 00:00:00

  • Impact of training and structured medication review on medication appropriateness and patient-related outcomes in nursing homes: results from the interventional study InTherAKT.

    abstract:BACKGROUND:Uncoordinated interprofessional communication in nursing homes increases the risk of polypharmacy and inappropriate medication use. This may lead to augmented frequency of adverse drug events, hospitalizations and mortality. The aims of this study were (1) to improve interprofessional communication and medic...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-019-1263-3

    authors: Mahlknecht A,Krisch L,Nestler N,Bauer U,Letz N,Zenz D,Schuler J,Fährmann L,Hempel G,Flamm M,Osterbrink J

    更新日期:2019-09-18 00:00:00

  • Time to move? Factors associated with burden of care among informal caregivers of cognitively impaired older people facing housing decisions: secondary analysis of a cluster randomized trial.

    abstract:BACKGROUND:Making health-related decisions about loved ones with cognitive impairment may contribute to caregiver burden of care. We sought to explore factors associated with burden of care among informal caregivers who had made housing decisions on behalf of a cognitively impaired older person. METHODS:We conducted a...

    journal_title:BMC geriatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12877-019-1249-1

    authors: Boucher A,Haesebaert J,Freitas A,Adekpedjou R,Landry M,Bourassa H,Stacey D,Croteau J,Geneviève PG,Légaré F

    更新日期:2019-09-09 00:00:00

  • Disability and ageing in China and India - decomposing the effects of gender and residence. Results from the WHO study on global AGEing and adult health (SAGE).

    abstract:BACKGROUND:China and India are the world's two most populous countries. Although their populations are growing in number and life expectancies are extending they have different trajectories of economic growth, epidemiological transition and social change. Cross-country comparisons can allow national and global insights...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/s12877-017-0589-y

    authors: Stewart Williams J,Norström F,Ng N

    更新日期:2017-08-31 00:00:00

  • Translation and adaption of the interRAI Suite to local requirements in Belgian hospitals.

    abstract:BACKGROUND:The interRAI Suite contains comprehensive geriatric assessment tools designed for various healthcare settings. Although each instrument is developed for a particular population, together they form an integrated health evaluation system. The interRAI Acute Care Minimum Data Set (interRAI AC) is tailored for h...

    journal_title:BMC geriatrics

    pub_type: 杂志文章

    doi:10.1186/1471-2318-12-53

    authors: Wellens NI,Flamaing J,Moons P,Deschodt M,Boonen S,Milisen K

    更新日期:2012-09-07 00:00:00