abstract：OBJECTIVES:Assisted living (AL) is an expanding site of end-of-life (EOL) care in the United States. Understanding determinants of quality of life (QoL) for AL residents near EOL is vital to optimize care for this growing population, most of whom have some degree of cognitive impairment (CI). This analysis aimed to ide...

journal_title：Journal of the American Medical Directors Association

authors： Arneson L,Bender AA,Robert MN,Perkins MM

更新日期：2020-05-01 00:00:00

abstract：OBJECTIVES:Long-term care (LTC) is an important setting for goals of care (GoC) discussions. Understanding clinician barriers to GoC discussions could identify opportunities for LTC-specific interventions to improve quantity and quality of GoC discussions in the context of serious illness. DESIGN:A multicenter, cross-...

journal_title：Journal of the American Medical Directors Association

authors： Siu HYH,Elston D,Arora N,Vahrmeyer A,Kaasalainen S,Chidwick P,Howard M,Heyland DK

更新日期：2020-05-01 00:00:00

abstract：OBJECTIVES:Approximately 14% of Medicare beneficiaries are readmitted to a hospital within 30 days of home health care admission. Individuals with dementia account for 30% of all home health care admissions and are at high risk for readmission. Our primary objective was to determine the association between dementia sev...

journal_title：Journal of the American Medical Directors Association

authors： Knox S,Downer B,Haas A,Middleton A,Ottenbacher KJ

更新日期：2020-04-01 00:00:00

abstract：OBJECTIVES:To investigate the current evidence on the use of point-of-care chest ultrasonography in older patients and geriatric settings and present the current state of the art of chest ultrasound applications. DESIGN:Special article based on a literature review with narrative analyses and expert clinical knowledge....

journal_title：Journal of the American Medical Directors Association

authors： Ticinesi A,Scarlata S,Nouvenne A,Lauretani F,Incalzi RA,Ungar A,GRETA (Gruppo di Ricerca sull’Ecografia Toracica nell’Anziano) Group of the Italian Society of Gerontology and Geriatrics (SIGG).

更新日期：2020-04-01 00:00:00

abstract：OBJECTIVE:To determine the short- (4 weeks) and long-term (6 month) effectiveness of Tibetan medicated bathing therapy in patients with post-stroke limb spasticity. DESIGN:Prospective, blinded, randomized controlled trial. SUBJECTS:Post-stroke patients with limb spasticity were recruited between December 2013 and Feb...

journal_title：Journal of the American Medical Directors Association

authors： Wang M,Liu S,Peng Z,Zhu Y,Feng X,Gu Y,Sun J,Tang Q,Chen H,Huang X,Hu J,Chen W,Xiang J,Wan C,Fan G,Lu J,Xia W,Lihua Wang,Steven Y Cheng,Lu X,Li J

更新日期：2020-03-01 00:00:00

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

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

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND/OBJECTIVES:Polypharmacy and multimorbidity is a threat to older people; hence, listing approaches should support physicians to optimize medication. The FORTA (Fit fOR The Aged) classification of drug appropriateness for older people provides positive or negative labels: A (A-bsolutely), B (B-eneficial), C (C...

journal_title：Journal of the American Medical Directors Association

authors： Pazan F,Gercke Y,Weiss C,Wehling M,FORTA Raters.

更新日期：2020-03-01 00:00:00

abstract：OBJECTIVES:Nonagenarian patients are underrepresented in clinical trials that have evaluated oral anticoagulation in patients with atrial fibrillation (AF). The aim of this study was to assess the pronostic impact of oral anticoagulation in patients with AF age ≥90 years. DESIGN:Retrospective multicenter study of nona...

journal_title：Journal of the American Medical Directors Association

authors： Raposeiras-Roubín S,Alonso Rodríguez D,Camacho Freire SJ,Abu-Assi E,Cobas-Paz R,Rodríguez Pascual C,García Comesaña J,González-Carrero López A,Cubelos Fernández N,López-Masjuán Ríos Á,Cespón-Fernández M,Muñoz-Pousa I,Caneiro-Quei

更新日期：2020-03-01 00:00:00

abstract：OBJECTIVES:Evidence on associations between marital status and frailty is limited. The objectives of this study were to perform a systematic review for associations between marital status and physical frailty and to perform a meta-analysis to combine findings. DESIGN:Systematic review and meta-analysis. SETTING AND P...

journal_title：Journal of the American Medical Directors Association

authors： Kojima G,Walters K,Iliffe S,Taniguchi Y,Tamiya N

更新日期：2020-03-01 00:00:00

abstract：:Up to 80% of nursing home residents are affected by pain. Pain assessment aims to determine pain intensity, quality, and course of pain to underpin diagnostic decision making. In the nursing home population, pain assessment is frequently compromised by cognitive impairment. Characteristics of the nursing home setting,...

journal_title：Journal of the American Medical Directors Association

authors： Sirsch E,Lukas A,Drebenstedt C,Gnass I,Laekeman M,Kopke K,Fischer T,Guideline workgroup (Schmerzassessment bei älteren Menschen in der vollstationären Altenhilfe, AWMF Registry 145-001).

更新日期：2020-02-01 00:00:00

abstract：OBJECTIVES:We sought to examine the associations of osteosarcopenia with physical performance, balance, and falls and fractures in community-dwelling older adults. Additionally, we aimed to determine which clinical outcomes are associated with specific components of osteosarcopenia. DESIGN:Cross-sectional study. SETT...

journal_title：Journal of the American Medical Directors Association

authors： Sepúlveda-Loyola W,Phu S,Bani Hassan E,Brennan-Olsen SL,Zanker J,Vogrin S,Conzade R,Kirk B,Al Saedi A,Probst V,Duque G

更新日期：2020-02-01 00:00:00

abstract：OBJECTIVES:Nursing home (NH) residents receiving texture-modified diet (TMD) are at risk of inadequate nutritional intake and subsequent malnutrition. It is essential to monitor dietary intake to take corrective actions, if necessary. Plate diagrams (PDs) are widely used to assess dietary intake in institutions but lit...

journal_title：Journal of the American Medical Directors Association

authors： Ott A,Voigt M,Sieber CC,Volkert D

更新日期：2020-01-27 00:00:00

abstract：:Antibiotics are among the most widely prescribed drugs in long-term care facilities, which highlights the importance of antibiotic stewardship (ABS) in this setting. In this article, we describe the experiences with ABS in nursing homes (NHs) from the perspective of 4 European countries: the Netherlands, Norway, Polan...

journal_title：Journal of the American Medical Directors Association

authors： Van Buul LW,Monnier AA,Sundvall PD,Ulleryd P,Godycki-Cwirko M,Kowalczyk A,Lindbaek M,Hertogh CMPM

更新日期：2020-01-01 00:00:00

abstract：OBJECTIVES:To assess the 30-day mortality predictive markers in the oldest patients with Clostridioides difficile infection (CDI) and to analyze the accuracy of the European severity risk markers in this population. DESIGN:Observational prospective multicenter cohort study conducted by the French Infectious Diseases S...

journal_title：Journal of the American Medical Directors Association

authors： Caupenne A,Ingrand P,Ingrand I,Forestier E,Roubaud-Baudron C,Gavazzi G,Paccalin M

更新日期：2020-01-01 00:00:00

abstract：OBJECTIVES:Paratonia, a form of hypertonia typically seen in dementia, is often associated with difficulties in positioning and daily care. No evidence-based therapy or clinical guideline for management is available. In this study, the short-term effect of harmonic techniques (HT) and supporting cushions (SC) on parato...

journal_title：Journal of the American Medical Directors Association

authors： Van Deun B,Van Den Noortgate N,Van Bladel A,De Weerdt K,Cambier D

更新日期：2019-12-01 00:00:00

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

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

更新日期：2019-12-01 00:00:00

abstract：OBJECTIVE:Delirium superimposed on dementia (DSD) is common, morbid, and costly, yet frequently undiagnosed. Our study aimed to develop a brief screening test to improve health care worker recognition of DSD. DESIGN/SETTING/PARTICIPANTS:Older hospitalized adults with dementia were prospectively enrolled from medical a...

journal_title：Journal of the American Medical Directors Association

authors： Steensma E,Zhou W,Ngo L,Gallagher J,Inouye S,Leslie D,Boltz M,Kolanowski A,Mion L,Marcantonio ER,Fick D

更新日期：2019-11-01 00:00:00

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

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

更新日期：2019-11-01 00:00:00

abstract：OBJECTIVES:To evaluate whether STOPP/START v2 potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs) are associated with 6-month mortality and unplanned hospitalization in hospital-discharged older patients. DESIGN:Multicenter prospective cohort observational study. SETTING AND PARTIC...

journal_title：Journal of the American Medical Directors Association

authors： Brunetti E,Aurucci ML,Boietti E,Gibello M,Sappa M,Falcone Y,Cappa G,Bo M

更新日期：2019-11-01 00:00:00

abstract：OBJECTIVE:Motoric cognitive risk syndrome (MCR) is a predementia stage associated with increased risk for falls. There are conflicting results regarding its association with recurrent falls and no information about its association with postfall fractures. The aim of the study was to examine the association of MCR and i...

journal_title：Journal of the American Medical Directors Association

authors： Beauchet O,Sekhon H,Schott AM,Rolland Y,Muir-Hunter S,Markle-Reid M,Gagne H,Allali G

更新日期：2019-10-01 00:00:00

abstract：OBJECTIVES:The aim of this systematic review was to summarize the validity of nutritional screening tools to detect the risk of malnutrition in community-dwelling older adults. DESIGN:A systematic review and meta-analysis. The protocol for this systematic review was registered in the PROSPERO database (CRD42017072703)...

journal_title：Journal of the American Medical Directors Association

authors： Isautier JMJ,Bosnić M,Yeung SSY,Trappenburg MC,Meskers CGM,Whittaker AC,Maier AB

更新日期：2019-10-01 00:00:00

abstract：OBJECTIVES:The aim of this study was to create a screening tool to predict first-time injurious falls in community-living older men and women. DESIGN:Longitudinal cohort study between 2001 and 2009. SETTING:The Swedish National Study on Aging and Care in Kungsholmen (SNAC-K), Sweden. PARTICIPANTS:Community-living ol...

journal_title：Journal of the American Medical Directors Association

authors： Ek S,Rizzuto D,Calderón-Larrañaga A,Franzén E,Xu W,Welmer AK

更新日期：2019-09-01 00:00:00

abstract：OBJECTIVES:Nursing facilities have lagged behind in the adoption of interoperable health information technology (ie technologies that allow the sharing and use of electronic patient information between different information systems). The objective of this study was to estimate the nationwide prevalence of electronic he...

journal_title：Journal of the American Medical Directors Association

authors： Vest JR,Jung HY,Wiley K Jr,Kooreman H,Pettit L,Unruh MA

更新日期：2019-08-01 00:00:00

abstract：OBJECTIVES:Frailty phenotype (FP) has low sensitivity toward the identification of older people who will lose 1 or more activities of daily living. Nevertheless, the definition of disability in terms of activities of daily living may not resemble the pattern of functional impairment occurring during aging. The aim of t...

journal_title：Journal of the American Medical Directors Association

authors： Costanzo L,Cesari M,Ferrucci L,Bandinelli S,Antonelli Incalzi R,Pedone C

更新日期：2019-08-01 00:00:00

abstract：OBJECTIVES:While various short variants of the Montreal Cognitive Assessment (MoCA) have been developed, they have not been compared among each other to determine the most optimal variant for routine use. This study evaluated the comparative performance of the short variants in identifying mild cognitive impairment or ...

journal_title：Journal of the American Medical Directors Association

authors： Liew TM

更新日期：2019-08-01 00:00:00

abstract：OBJECTIVES:Older age is associated with higher risk of death during acute exacerbations of chronic obstructive pulmonary disease (AE-COPD). Older patients hospitalized for AE-COPD often require post-acute care after acute phase. The aim of this study was to evaluate components of a comprehensive geriatric assessment an...

journal_title：Journal of the American Medical Directors Association

authors： Spannella F,Giulietti F,Cocci G,Landi L,Lombardi FE,Borioni E,Cenci A,Giordano P,Sarzani R

更新日期：2019-07-01 00:00:00

abstract：OBJECTIVES:To describe the relation between physician visits and physicians' recognition of a resident's terminal phase in long-term care facilities (LTCFs) in Belgium, England, Finland, Italy, the Netherlands, and Poland. DESIGN:In each country, a cross-sectional study was conducted across representative samples of L...

journal_title：Journal of the American Medical Directors Association

authors： Oosterveld-Vlug MG,Pasman HRW,Ten Koppel M,van Hout HPJ,van der Steen JT,Collingridge Moore D,Deliens L,Gambassi G,Kylänen M,Smets T,Szczerbińska K,Van den Block L,Onwuteaka-Philipsen BD,PACE.

更新日期：2019-06-01 00:00:00

abstract：OBJECTIVE:To evaluate the effects of the modified Hospital Elder Life Program (mHELP) comprising 3 nurse-administered protocols in older patients undergoing gastrointestinal (GI) surgery. DESIGN:Cluster randomized trial. SETTING:Two 36-bed GI wards at a university-affiliated medical center in Taiwan. PARTICIPANTS:Ol...

journal_title：Journal of the American Medical Directors Association

authors： Chia-Hui Chen C,Yang YT,Lai IR,Lin BR,Yang CY,Huang J,Tien YW,Chen CN,Lin MT,Liang JT,Li HC,Huang GH,Inouye SK

更新日期：2019-05-01 00:00:00

abstract：BACKGROUND:Long-term care (LTC) homes expressed concern that patients had experienced medication incidents after hospital discharge as a result of poor coordination of care. OBJECTIVE:The London Transfer Project aimed to reduce LTC medication incidents by 50% within 48 hours of discharge from general medicine units at...

journal_title：Journal of the American Medical Directors Association

authors： Carson J,Gottheil S,Lawson S,Rice T

更新日期：2019-04-01 00:00:00

abstract：OBJECTIVES:Patients discharged to a skilled nursing facility (SNF) for post-acute care have a high risk of hospital readmission. We aimed to develop and validate a risk-prediction model to prospectively quantify the risk of 30-day hospital readmission at the time of discharge to a SNF. DESIGN:Retrospective cohort stud...

journal_title：Journal of the American Medical Directors Association

authors： Chandra A,Rahman PA,Sneve A,McCoy RG,Thorsteinsdottir B,Chaudhry R,Storlie CB,Murphree DH Jr,Hanson GJ,Takahashi PY

更新日期：2019-04-01 00:00:00

abstract：OBJECTIVE:To investigate whether depression and/or antidepressants can be a potential risk factor for the development of dementia and mild cognitive impairment (MCI). DESIGN:Systematic review and meta-analysis of longitudinal studies. SETTING AND PARTICIPANTS:Community or clinical settings. Participants included pati...

journal_title：Journal of the American Medical Directors Association

authors： Chan JYC,Yiu KKL,Kwok TCY,Wong SYS,Tsoi KKF

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVE:To assess all-cause mortality patients with dementia treated with typical and atypical antipsychotic drugs (APDs). DESIGN:Registry-based cohort study. SETTING AND PARTICIPANTS:A total of 58,412 patients diagnosed with dementia and registered in the Swedish Dementia Registry were included in the study. Of th...

journal_title：Journal of the American Medical Directors Association

authors： Schwertner E,Secnik J,Garcia-Ptacek S,Johansson B,Nagga K,Eriksdotter M,Winblad B,Religa D

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVE:With advancing age, the prevalence of vitamin D deficiency and musculoskeletal pain increases. However, published data on the effectiveness of vitamin D supplementation in reducing chronic pain are inconclusive. The purpose of this study was to test the effect of 3 different monthly doses of vitamin D on chro...

journal_title：Journal of the American Medical Directors Association

authors： Schlögl M,Chocano-Bedoya P,Dawson-Hughes B,Orav EJ,Freystaetter G,Theiler R,Kressig RW,Egli A,Bischoff-Ferrari HA

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVES:This document offers guidance to clinicians and facilities on the use of telemedicine to deliver medically necessary evaluation and management of change of condition for nursing home residents. SETTINGS AND PARTICIPANTS:Members of the telemedicine workgroup of AMDA-The Society for Post-Acute Long-Term Medic...

journal_title：Journal of the American Medical Directors Association

authors： Gillespie SM,Moser AL,Gokula M,Edmondson T,Rees J,Nelson D,Handler SM

更新日期：2019-02-01 00:00:00

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 stu...

journal_title：Journal of the American Medical Directors Association

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

更新日期：2019-02-01 00:00:00

abstract：:Throughout the millennia, the cannabis plant has been utilized as a recognized therapy for pain relief and symptom management. Following the Prohibition-era stigmatization and criminalization of all forms of cannabis of the early 20th century, there has been a recent nationwide and worldwide resurgence in interest and...

journal_title：Journal of the American Medical Directors Association

authors： Palace ZJ,Reingold DA

更新日期：2019-01-01 00:00:00

abstract：OBJECTIVE:A 2-year cluster randomized trial of Mouth Care Without a Battle (MCWB) was conducted in nursing homes (NHs) to determine if recommended mouth care practices provided by NH staff could improve residents' oral hygiene and denture outcomes. DESIGN:Cluster randomized trial of NHs. SETTING AND PARTICIPANTS:Seve...

journal_title：Journal of the American Medical Directors Association

authors： Weintraub JA,Zimmerman S,Ward K,Wretman CJ,Sloane PD,Stearns SC,Poole P,Preisser JS

更新日期：2018-12-01 00:00:00

abstract：OBJECTIVES:For persons with dementia, the appropriate duration of cholinesterase inhibitor (ChEI) use remains unclear. We examined patterns of ChEI use during nursing home (NH) transition and the factors associated with discontinuation following admission. DESIGN:Population-based retrospective cohort study using linke...

journal_title：Journal of the American Medical Directors Association

authors： Maclagan LC,Bronskill SE,Guan J,Campitelli MA,Herrmann N,Lapane KL,Hogan DB,Amuah JE,Seitz DP,Gill SS,Maxwell CJ

更新日期：2018-11-01 00:00:00

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

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

更新日期：2018-10-01 00:00:00

abstract：OBJECTIVES:To examine the association of rurality with skilled nursing facility (SNF) all-cause 30-day risk-adjusted rehospitalization rates. DESIGN:Cross-sectional study combining Center for Medicare and Medicaid Services Nursing Home Compare (CMS-NHC) website for 30-day risk-adjusted rehospitalization rates for 2014...

journal_title：Journal of the American Medical Directors Association

authors： Clement JP,Khushalani J,Baernholdt M

更新日期：2018-10-01 00:00:00