abstract：BACKGROUND:Poor gait performance predicts risk of developing dementia. No structured critical evaluation has been conducted to study this association yet. The aim of this meta-analysis was to systematically examine the association of poor gait performance with incidence of dementia. METHODS:An English and French Medli...

journal_title：Journal of the American Medical Directors Association

authors： Beauchet O,Annweiler C,Callisaya ML,De Cock AM,Helbostad JL,Kressig RW,Srikanth V,Steinmetz JP,Blumen HM,Verghese J,Allali G

更新日期：2016-06-01 00:00:00

abstract：:Currently, the Agency for Healthcare Research and Quality (AHRQ) Common Format for nursing homes (NHs) accommodates voluntary reporting for 4 adverse events: falls with injury, pressure ulcers, medication errors, and infections. In 2015, AHRQ funded a technical brief to describe the state of the science related to saf...

journal_title：Journal of the American Medical Directors Association

authors： Simmons SF,Schnelle JF,Sathe NA,Slagle JM,Stevenson DG,Carlo ME,McPheeters ML

更新日期：2016-06-01 00:00:00

abstract：OBJECTIVE:Young-onset dementia (YOD) is defined as dementia that develops before the age of 65. Neuropsychiatric symptoms (NPS) have important clinical consequences for patients and their family members. To date, knowledge about the prevalence and correlates of NPS in YOD is limited, but essential to establish specific...

journal_title：Journal of the American Medical Directors Association

authors： Mulders AJ,Fick IW,Bor H,Verhey FR,Zuidema SU,Koopmans RT

更新日期：2016-06-01 00:00:00

abstract：PURPOSE:Long-term care facilities have lagged heavily behind other health providers in adopting health information technology (IT). This article examines the facility characteristics that are associated with health IT adoption. DESIGN AND METHODS:This study is a secondary data analysis of information gathered between ...

journal_title：Journal of the American Medical Directors Association

authors： Zhang N,Lu SF,Xu B,Wu B,Rodriguez-Monguio R,Gurwitz J

更新日期：2016-05-01 00:00:00

abstract：OBJECTIVES:Existing studies have indicated that caring for a person with disabilities in a family could result in strong adverse impacts on the health of his or her spouse. However, little is known about the potential joint burden and interactive patterns in a family when both spouses are in poor health. The objective ...

journal_title：Journal of the American Medical Directors Association

authors： Lu WH,Chiou ST,Chen LK,Hsiao FY

更新日期：2016-04-01 00:00:00

abstract：OBJECTIVE:To compare the effects of care based on comprehensive geriatric assessment (CGA) as a complement to usual care in an outpatient setting with those of usual care alone. The assessment was performed 36 months after study inclusion. DESIGN:Randomized, controlled, assessor-blinded, single-center trial. SETTING:...

journal_title：Journal of the American Medical Directors Association

authors： Ekdahl AW,Alwin J,Eckerblad J,Husberg M,Jaarsma T,Mazya AL,Milberg A,Krevers B,Unosson M,Wiklund R,Carlsson P

更新日期：2016-03-01 00:00:00

abstract：OBJECTIVE:Identifying patients at risk for delirium allows prompt application of prevention, diagnostic, and treatment strategies; but is rarely done. Once delirium develops, patients are more likely to need posthospitalization skilled care. This study developed an a priori electronic prediction rule using independent ...

journal_title：Journal of the American Medical Directors Association

authors： Rudolph JL,Doherty K,Kelly B,Driver JA,Archambault E

更新日期：2016-03-01 00:00:00

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

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

abstract：BACKGROUND:Dementia is a syndrome associated with stigma and social isolation. Forty-two percent of people with dementia in the United States and almost 40% in the United Kingdom live in assisted living and residential care facilities. Up to 90% of residents with dementia experience behavioral and psychological symptom...

journal_title：Journal of the American Medical Directors Association

authors： Mitchell JI,Long JC,Braithwaite J,Brodaty H

更新日期：2016-02-01 00:00:00

abstract：OBJECTIVES:The objective of this study was to evaluate the impact of a well-developed theory-based function-focused care for cognitively impaired (FFC-CI) intervention on eating performance among long-term care (LTC) residents with moderate-to-severe cognitive impairment. DESIGN:A secondary analysis of longitudinal da...

journal_title：Journal of the American Medical Directors Association

authors： Liu W,Galik E,Nahm ES,Boltz M,Resnick B

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:Health care-related adverse events (HCRAEs), which should not be confused with (blameworthy) medical errors, are common; they can lead to hospital admissions and can have grave consequences. Although they are sometimes potentially preventable, information is lacking on HCRAEs leading to admission to differen...

journal_title：Journal of the American Medical Directors Association

authors： Magdelijns FJ,Pijpers E,Rouhl RP,Hannemann PF,ten Broeke RH,Dings JT,Stehouwer CD,Stassen PM

更新日期：2015-12-01 00:00:00

abstract：OBJECTIVES:To examine the predictive validity of a quick frailty screening tool, the FRAIL-NH, for adverse health outcomes in nursing home residents, using variables from the Minimum Data Set (MDS). The screening items were compiled from the MDS for potential direct application in long-term care facilities using this h...

journal_title：Journal of the American Medical Directors Association

authors： Luo H,Lum TY,Wong GH,Kwan JS,Tang JY,Chi I

更新日期：2015-12-01 00:00:00

abstract：BACKGROUND:Although traditional Chinese medicine (TCM) is known as an integrative part of China's health care system, little is known on the prevalence and determinants of using TCM among the middle-aged and older Chinese population, especially among those with chronic conditions. METHODS:The nationwide survey data of...

journal_title：Journal of the American Medical Directors Association

authors： Liu T,Li X,Zou ZY,Li C

更新日期：2015-11-01 00:00:00

abstract：OBJECTIVES:To establish the mortality risk and adverse events associated with the use of atypical antipsychotic medications in people with Parkinson disease psychosis (PDP) in a clinically defined trial cohort. DESIGN:Post hoc analysis of data from a multicenter, open-label extension study of pimavanserin comparing pe...

journal_title：Journal of the American Medical Directors Association

authors： Ballard C,Isaacson S,Mills R,Williams H,Corbett A,Coate B,Pahwa R,Rascol O,Burn DJ

更新日期：2015-10-01 00:00:00

abstract：PURPOSE:The purpose of this study was to explore approaches used by administrators to respond to grief and bereavement among staff after the death of a resident. METHODS:Continuing care retirement community (CCRC) facilities (n = 10) were randomly selected from a larger study of 31 facilities. Open-ended interviews we...

journal_title：Journal of the American Medical Directors Association

authors： Chahal JK,Ewen HH,Anderson K,Miles TP

更新日期：2015-10-01 00:00:00

abstract：OBJECTIVE:To identify the differences of incidence of disability between frail older persons with and without slow walking speed. DESIGN:Prospective cohort study. SETTING:Japanese community. PARTICIPANTS:A total of l4,081 older adults aged ≥65 years living in the community, participated in a baseline assessment and ...

journal_title：Journal of the American Medical Directors Association

authors： Shimada H,Makizako H,Doi T,Tsutsumimoto K,Suzuki T

更新日期：2015-08-01 00:00:00

abstract：OBJECTIVE:To analyze the burden of institutionalizations after femoral fracture and compare it with other "catastrophic" disease entities like stroke, myocardial infarction, or pneumonia. DESIGN/SETTING/PARTICIPANTS:Routine data of 414,000 hospitalized German patients aged 66 years and older were used to calculate ins...

journal_title：Journal of the American Medical Directors Association

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

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:Anemia and frailty are both common in older people and are associated with adverse health outcomes. There have been some cross-sectional studies of anemia and frailty but no longitudinal studies. The objectives of this study were to examine cross-sectional and longitudinal associations between anemia and fra...

journal_title：Journal of the American Medical Directors Association

authors： Hirani V,Naganathan V,Blyth F,Le Couteur DG,Kelly P,Handelsman DJ,Waite LM,Cumming RG

更新日期：2015-07-01 00:00:00

abstract：OBJECTIVE:This study assessed individual and organizational context (work environment) factors that influence use of best practices by care aides (nursing assistants) in nursing homes. Little scientific attention has been focused on understanding best practice use in nursing homes and almost none on care aides. SETTIN...

journal_title：Journal of the American Medical Directors Association

authors： Estabrooks CA,Squires JE,Hayduk L,Morgan D,Cummings GG,Ginsburg L,Stewart N,McGilton K,Kang SH,Norton PG

更新日期：2015-06-01 00:00:00

abstract：OBJECTIVES:To examine costs and effects of care based on comprehensive geriatric assessment (CGA) provided by an ambulatory geriatric care unit (AGU) in addition to usual care. DESIGN:Assessor-blinded, single-center randomized controlled trial. SETTING:AGU in an acute hospital in southeastern Sweden. PARTICIPANTS:Co...

journal_title：Journal of the American Medical Directors Association

authors： Ekdahl AW,Wirehn AB,Alwin J,Jaarsma T,Unosson M,Husberg M,Eckerblad J,Milberg A,Krevers B,Carlsson P

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Previous studies have demonstrated the polymorphisms of insulinlike growth factor-1 (IGF-1) and its binding protein-3 (IGFBP3) genes could affect the circulating IGF-1 level. Moreover, the serum IGF-1 level was correlated with muscle size. OBJECTIVES:This study aimed to explore the effect of polymorphisms o...

journal_title：Journal of the American Medical Directors Association

authors： Yang CW,Li TC,Li CI,Liu CS,Lin CH,Lin WY,Lin CC

更新日期：2015-05-01 00:00:00

abstract：OBJECTIVE:Incident reports guide fall prevention efforts in long-term care (LTC) facilities, often based on descriptions of how falls occurred. The validity of these reports is poorly understood. We examined agreement on fall characteristics between fall incident reports and analysis of video footage of real-life falls...

journal_title：Journal of the American Medical Directors Association

authors： Yang Y,Feldman F,Leung PM,Scott V,Robinovitch SN

更新日期：2015-05-01 00:00:00

abstract：OBJECTIVE:To assess the proposed prevalence of unresponsiveness of older men and women to augment lean body mass, muscle fiber size, muscle strength, and/or physical function following prolonged resistance-type exercise training. DESIGN/SETTING/PARTICIPANTS:A retrospective analysis of the adaptive response to 12 (n = ...

journal_title：Journal of the American Medical Directors Association

authors： Churchward-Venne TA,Tieland M,Verdijk LB,Leenders M,Dirks ML,de Groot LC,van Loon LJ

更新日期：2015-05-01 00:00:00

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

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

abstract：OBJECTIVES:To explore what commissioners of care, regulators, providers, and care home residents in England identify as the key mechanisms or components of different service delivery models that support the provision of National Health Service (NHS) provision to independent care homes. METHODS:Qualitative, semistructu...

journal_title：Journal of the American Medical Directors Association

authors： Goodman C,Davies SL,Gordon AL,Meyer J,Dening T,Gladman JR,Iliffe S,Zubair M,Bowman C,Victor C,Martin FC

更新日期：2015-05-01 00:00:00

abstract：OBJECTIVES:The purpose of this study was to examine whether a 12-week combined physical exercise training and nutritional intervention improves physical performance and enhances health-related quality of life (HRQOL) among prefrail elderly women living in the community. DESIGN:This was a randomized controlled trial in...

journal_title：Journal of the American Medical Directors Association

authors： Kwon J,Yoshida Y,Yoshida H,Kim H,Suzuki T,Lee Y

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:Exercise has been proposed as a possible treatment for postprandial hypotension (PPH), yet, its use has not been extensively investigated. This study aimed to determine the effects of intermittent walking on blood pressure (BP) and heart rate (HR) following ingestion of a glucose drink in older people with P...

journal_title：Journal of the American Medical Directors Association

authors： Nair S,Visvanathan R,Gentilcore D

更新日期：2015-02-01 00:00:00

abstract：OBJECTIVES:The purpose of this study was to examine the beneficial effects on cognitive function by a cognitive intervention program designed for dementia care called Learning Therapy in Japan and SAIDO Learning in the United States (hereinafter "SAIDO Learning," as appropriate). SAIDO Learning is a working memory trai...

journal_title：Journal of the American Medical Directors Association

authors： Kawashima R,Hiller DL,Sereda SL,Antonczak M,Serger K,Gannon D,Ito S,Otake H,Yunomae D,Kobayashi A,Muller C,Murata H,FallCreek S

更新日期：2015-01-01 00:00:00

abstract：OBJECTIVES:To examine the independent associations between atrial fibrillation (AF) and objectively measured mobility in a nationally representative cohort. DESIGN:Wave 1 of The Irish Longitudinal Study on Ageing (TILDA), a population-based study assessing health, economic, and social aspects of ageing. SETTING:Commu...

journal_title：Journal of the American Medical Directors Association

authors： Donoghue OA,Jansen S,Dooley C,De Rooij S,Van Der Velde N,Kenny RA

更新日期：2014-12-01 00:00:00

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

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

abstract：OBJECTIVES:The current treatment program for fragility hip fractures (HFx) emphasizes a combination of early surgery, rehabilitation, and tertiary prevention strategy for osteoporosis; however, the effect is unclear and little information is available on the risk factors predicting the occurrence of a second hip fractu...

journal_title：Journal of the American Medical Directors Association

authors： Shen SH,Huang KC,Tsai YH,Yang TY,Lee MS,Ueng SW,Hsu RW

更新日期：2014-10-01 00:00:00

abstract：OBJECTIVE:New guidelines recommend a target glycated hemoglobin (HbA1c) of 7.5% to 8.0% in elderly persons with type 2 diabetes mellitus (T2DM), but real-world data regarding outcomes associated with different HbA1c levels in the elderly are limited. This study assessed outcomes and their association with defined HbA1c...

journal_title：Journal of the American Medical Directors Association

authors： Davis KL,Wei W,Meyers JL,Kilpatrick BS,Pandya N

更新日期：2014-10-01 00:00:00

abstract：OBJECTIVES:Because they are potentially modifiable and may coexist, we evaluated the combined occurrence of a reduced forced expiratory volume in 1 second (FEV1) and peripheral artery disease (PAD), including its association with exertional symptoms, physical inactivity, and impaired mobility, in sedentary elders with ...

journal_title：Journal of the American Medical Directors Association

authors： Vaz Fragoso CA,Hsu FC,Brinkley T,Church T,Liu CK,Manini T,Newman AB,Stafford RS,McDermott MM,Gill TM,LIFE Study Group.

更新日期：2014-09-01 00:00:00

abstract：OBJECTIVES:To explore determinants of behavior change maintenance of a physically active lifestyle in patients with chronic obstructive pulmonary disease (COPD) 8-11 months after completion of a 4-month outpatient pulmonary rehabilitation program. DESIGN:A qualitative descriptive study of semistructured interviews. S...

journal_title：Journal of the American Medical Directors Association

authors： Stewart KF,Meis JJ,van de Bool C,Janssen DJ,Kremers SP,Schols AM

更新日期：2014-09-01 00:00:00

abstract：IMPORTANCE:Currently there is no risk factor scale that identifies older persons at risk of frailty. OBJECTIVES:In this study, we identified significant multisystem risk factors of frailty, developed a simple frailty risk index, and evaluated it for use in primary care on an external validation cohort of community-liv...

journal_title：Journal of the American Medical Directors Association

authors： Ng TP,Feng L,Nyunt MS,Larbi A,Yap KB

更新日期：2014-09-01 00:00:00

abstract：OBJECTIVE:To compare the immunogenicity and safety between full-dose (15 μg) intramuscular (i.m.) and full-dose (15 μg) intradermal (i.d.) immunization of the trivalent influenza vaccine in nursing home older adults. DESIGN:A single-center, randomized, controlled, open-label, parallel group trial from October 2013 to ...

journal_title：Journal of the American Medical Directors Association

authors： Chan TC,Hung IF,Chan KH,Li CP,Li PT,Luk JK,Chu LW,Chan FH

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND/OBJECTIVE:Falls are common in nursing homes and cause a high burden of injuries. The objective of this study was to analyze factors associated with serious consequences of falls in nursing home residents. DESIGN:Prospective observational study. SETTING:Falls were recorded over 1 year, covering all resident...

journal_title：Journal of the American Medical Directors Association

authors： Büchele G,Becker C,Cameron ID,König HH,Robinovitch S,Rapp K

更新日期：2014-08-01 00:00:00

abstract：:The prevalence of malnutrition ranges up to 50% among patients in hospitals worldwide, and disease-related malnutrition is all too common in long-term and other health care settings as well. Regrettably, the numbers have not improved over the past decade. The consequences of malnutrition are serious, including increas...

journal_title：Journal of the American Medical Directors Association

authors： Correia MI,Hegazi RA,Higashiguchi T,Michel JP,Reddy BR,Tappenden KA,Uyar M,Muscaritoli M

更新日期：2014-08-01 00:00:00

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

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

abstract：OBJECTIVES:Psychotropic drugs are usually prescribed to deal with behavioral and psychological symptoms of dementia, especially when nonpharmacologic approaches are not available or have limited efficacy. Poor outcomes and serious adverse events of the drugs used must be addressed, and risk-benefit ratios need to be co...

journal_title：Journal of the American Medical Directors Association

authors： Calvó-Perxas L,Turró-Garriga O,Aguirregomozcorta M,Bisbe J,Hernández E,López-Pousa S,Manzano A,Palacios M,Pericot-Nierga I,Perkal H,Ramió L,Vilalta-Franch J,Garre-Olmo J,Registry of Dementias of Girona Study Group (ReDeGi Study

更新日期：2014-07-01 00:00:00