abstract：OBJECTIVES:This study examined the extent to which program site-based and Veteran characteristics were associated with potentially avoidable hospitalizations or other hospitalization of Veterans enrolled in the Veterans Affairs (VA) Home Based Primary Care (HBPC). DESIGN:Retrospective claims-based study. SETTING AND ...

journal_title：Journal of the American Medical Directors Association

authors： Gillespie SM,Li J,Karuza J,Levy C,Dang S,Olsan T,Kinosian B,Intrator O

更新日期：2021-01-29 00:00:00

abstract：OBJECTIVES:Green House and other small nursing home (NH) models are considered "nontraditional" due to their size (10-12 beds), universal caregivers, and other home-like features. They have garnered great interest regarding their potential benefit to limit Coronavirus Disease 2019 (COVID-19) infections due to fewer peo...

journal_title：Journal of the American Medical Directors Association

authors： Zimmerman S,Dumond-Stryker C,Tandan M,Preisser JS,Wretman CJ,Howell A,Ryan S

更新日期：2021-01-26 00:00:00

abstract：OBJECTIVES:This study examined the association between intensive rehabilitation for subacute stroke patients and medical costs and readmission ratio during the year after discharge. DESIGN:This was a natural experiment study. SETTING AND PARTICIPANTS:We identified individuals with a diagnosis of cerebrovascular disor...

journal_title：Journal of the American Medical Directors Association

authors： Nagayama H,Tomori K,Ikeda K,Yamauchi K

更新日期：2021-01-18 00:00:00

abstract：OBJECTIVES:This study aimed to examine the incidence of, and factors associated with, hospital presentation for self-harm among older Canadians in long-term care (LTC). DESIGN:Retrospective cohort study. SETTING AND PARTICIPANTS:The LTC data were collected using Resident Assessment Instrument-Minimum Data Set (RAI-MD...

journal_title：Journal of the American Medical Directors Association

authors： Chai Y,Luo H,Yip PSF,Perlman CM,Hirdes JP

更新日期：2021-01-15 00:00:00

abstract：OBJECTIVES:To assess whether using coronavirus disease 2019 (COVID-19) community activity level can accurately inform strategies for routine testing of facility staff for active severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. DESIGN:Cross-sectional study. SETTING AND PARTICIPANTS:In total, 59,...

journal_title：Journal of the American Medical Directors Association

authors： Blackburn J,Weaver L,Cohen L,Menachemi N,Rusyniak DE,Unroe KT

更新日期：2021-01-01 00:00:00

abstract：OBJECTIVE:Describe the care preference changes among nursing home residents receiving proactive Advance Care Planning (ACP) conversations from health care practitioners during the COVID-19 pandemic. DESIGN:Retrospective chart review. SETTING AND PARTICIPANTS:Nursing home residents (n = 963) or their surrogate decisio...

journal_title：Journal of the American Medical Directors Association

authors： Ye P,Fry L,Champion JD

更新日期：2021-01-01 00:00:00

abstract：OBJECTIVE:In nursing homes (NHs), psychoactive medication use has received notable attention, but less is known about prescribing in assisted living (AL). This study examined how antipsychotic and antianxiety medication prescribing in AL compares with NHs. DESIGN:Observational, cross-sectional AL data linked to public...

journal_title：Journal of the American Medical Directors Association

authors： Thomas K,Wretman CJ,Sloane PD,Carder P,Schwartz L,Beeber AS,Zimmerman S

更新日期：2020-12-28 00:00:00

abstract：OBJECTIVES:To describe the clinical characteristics, 30-day mortality, and associated factors of patients living in nursing homes (NH) with COVID-19, from March 20 to June 1, 2020. DESIGN:This is a retrospective study. A geriatric hospital-based team acted as a consultant and coordinated the care of older people livin...

journal_title：Journal of the American Medical Directors Association

authors： Bielza R,Sanz J,Zambrana F,Arias E,Malmierca E,Portillo L,Thuissard IJ,Lung A,Neira M,Moral M,Andreu-Vázquez C,Esteban A,Ramírez MI,González L,Carretero G,Moreno RV,Martínez P,López J,Esteban-Ortega M,García I,Vaq

更新日期：2020-12-11 00:00:00

abstract：OBJECTIVES:Older people who are admitted to inpatient rehabilitation settings often experience sleep disturbance or disorders. Both intrinsic and environmental factors may contribute to reduced sleep quality. Poor sleep quality has been reported to be associated with poorer rehabilitation outcomes. The aim of this revi...

journal_title：Journal of the American Medical Directors Association

authors： Laver KE,Spargo C,Saggese A,Ong V,Crotty M,Lovato N,Stevens D,Vakulin A

更新日期：2020-12-01 00:00:00

abstract：OBJECTIVES:EHealth interventions are increasingly being applied in perioperative care but have not been adequately studied for older surgical patients who could potentially benefit from them. Therefore, we evaluated the feasibility of perioperative eHealth interventions for this population. DESIGN:A systematic review ...

journal_title：Journal of the American Medical Directors Association

authors： Jonker LT,Haveman ME,de Bock GH,van Leeuwen BL,Lahr MMH

更新日期：2020-12-01 00:00:00

abstract：OBJECTIVES:Rehabilitation plays a vital role in the mitigation and improvement of functional limitations associated with aging and chronic conditions. Moderating factors such as sex, age, the medical diagnosis, and rehabilitation timing for admission status, as well as the expected change related to inpatient rehabilit...

journal_title：Journal of the American Medical Directors Association

authors： Grote V,Unger A,Böttcher E,Muntean M,Puff H,Marktl W,Mur E,Kullich W,Holasek S,Hofmann P,Lackner HK,Goswami N,Moser M

更新日期：2020-12-01 00:00:00

abstract：OBJECTIVES:Coronavirus disease 2019 (COVID-19) has caused many nursing homes to prohibit resident visits to prevent viral spread. Although visiting restrictions are instituted to prolong the life of nursing home residents, they may detrimentally affect their quality of life. The aim of this study was to capture perspec...

journal_title：Journal of the American Medical Directors Association

authors： Wammes JD,Kolk MSc D,van den Besselaar Md JH,MacNeil-Vroomen PhD JL,Buurman-van Es Rn BM,van Rijn PhD M

更新日期：2020-12-01 00:00:00

abstract：OBJECTIVE:Clinical implications of asymptomatic cases of the novel coronavirus disease 2019 (COVID-19) in nursing homes remain poorly understood. We assessed the association of symptom status and medical comorbidities on mortality and hospitalization risk associated with COVID-19 in residents across 15 nursing homes in...

journal_title：Journal of the American Medical Directors Association

authors： Tang O,Bigelow BF,Sheikh F,Peters M,Zenilman JM,Bennett R,Katz MJ

更新日期：2020-12-01 00:00:00

abstract：:Older adults living in nursing homes are the most vulnerable group of the COVID-19 pandemic. There are many difficulties in isolating residents and limiting the spread in this setting. We have developed a simple algorithm with a traffic light format for resident classification and sectorization within nursing homes, b...

journal_title：Journal of the American Medical Directors Association

authors： González de Villaumbrosia C,Martínez Peromingo J,Ortiz Imedio J,Álvarez de Espejo Montiel T,García-Puente Suárez L,Navas Clemente I,Morales Cubo S,Cotano Abad LE,Suárez Sánchez Y,Torras Cortada S,Oñoro Algar C,Palicio Martínez C,

更新日期：2020-12-01 00:00:00

abstract：OBJECTIVES:This study presents the design of an integrated, proactive palliative care pathway covering the full care cycle and evaluates its effects using 3 types of outcomes: (1) physician-reported outcomes, (2) outcomes reported by family, and (3) (utilization of) health care outcomes. DESIGN:A clustered, partially ...

journal_title：Journal of the American Medical Directors Association

authors： Groenewoud AS,Wichmann AB,Dijkstra L,Knapen E,Warmerdam F,De Weerdt-Spaetgens C,Dominicus W,Akkermans R,Meijers J

更新日期：2020-11-19 00:00:00

abstract：OBJECTIVE:There is a lack of studies disentangling whether changes in frailty are associated with subsequent changes in depressive symptoms or vice versa among the oldest old. Consequently, we aimed to disentangle this link. DESIGN:Three waves [follow-up (FU) wave 7 to FU wave 9; n = 423 individuals in the analytical ...

journal_title：Journal of the American Medical Directors Association

authors： Hajek A,Brettschneider C,Mallon T,Lühmann D,Oey A,Wiese B,Weyerer S,Werle J,Fuchs A,Pentzek M,Röhr S,Luppa M,Mösch E,Weeg D,Heser K,Wagner M,Scherer M,Maier W,Riedel-Heller SG,König HH

更新日期：2020-11-19 00:00:00

abstract：OBJECTIVE:In cognitively normal adults, nutritional parameters are related to cognitive decline and incidence of dementia. Studies on the role of nutrition in predementia stages subjective cognitive decline and mild cognitive impairment, and mild stages of Alzheimer's disease (AD) dementia in a clinical setting are lac...

journal_title：Journal of the American Medical Directors Association

authors： Doorduijn AS,de van der Schueren MAE,van de Rest O,de Leeuw FA,Hendriksen HMA,Teunissen CE,Scheltens P,van der Flier WM,Visser M

更新日期：2020-11-15 00:00:00

abstract：OBJECTIVE:To assess whether medical orders within Physician Orders for Life-Sustaining Treatment (POLST) forms reflect patients' preferences for care at the end of life. DESIGN:This cross-sectional study assessed the agreement between medical orders in POLST forms and the free-form text documentation of an advance car...

journal_title：Journal of the American Medical Directors Association

authors： Lovadini GB,Fukushima FB,Schoueri JFL,Reis RD,Fonseca CGF,Rodriguez JJC,Coelho CS,Neves AF,Rodrigues AM,Marques MA,Bassett R,Steinberg KE,Moss AH,Vidal EIO

更新日期：2020-11-13 00:00:00

abstract：OBJECTIVES:Early-onset Alzheimer's disease (EOAD), defined as onset of AD before the age of 65 years, is less common than the late-onset type, and little is known about the factors affecting disease progression. The aim of the study was to investigate factors influencing disease progression in people with EOAD. DESIGN...

journal_title：Journal of the American Medical Directors Association

authors： Velayudhan L,Baillon S,Daby L,Suntharamoorthy P,Kablan A,Tromans S,Lindesay J

更新日期：2020-11-01 00:00:00

abstract：OBJECTIVES:Our study examined the proportion of skilled nursing facility (SNF) post-acute care residents who did not receive timely primary care provider (PCP) services following discharge, factors associated with lack of timely PCP services, and factors associated with perfect 30-day home time among those who did not ...

journal_title：Journal of the American Medical Directors Association

authors： Simning A,Orth J,Caprio TV,Li Y,Wang J,Temkin-Greener H

更新日期：2020-10-26 00:00:00

abstract：OBJECTIVE:The aim of this study was to evaluate the effect of sarcopenic obesity on activities of daily living and home discharge rates in adults undergoing convalescent rehabilitation. In addition, we evaluated diagnostic criteria for sarcopenic obesity to predict outcomes. DESIGN:A retrospective cohort study. SETTI...

journal_title：Journal of the American Medical Directors Association

authors： Yoshimura Y,Wakabayashi H,Nagano F,Bise T,Shimazu S,Kudo M,Shiraishi A

更新日期：2020-10-01 00:00:00

abstract：OBJECTIVES:This study investigates the transitions of community-dwelling patients with a proximal femoral fracture towards recovery of independence using multistate modeling. The prognostic value of factors affecting the short-term rate of recovery of independence in activities of daily living was assessed for the resi...

journal_title：Journal of the American Medical Directors Association

authors： van der Sijp MPL,van Eijk M,Niggebrugge AHP,Putter H,Blauw GJ,Achterberg WP

更新日期：2020-09-19 00:00:00

abstract：OBJECTIVE:To describe nurse hand hygiene practices in the home health care (HHC) setting, nurse adherence to hand hygiene guidelines, and factors associated with hand hygiene opportunities during home care visits. DESIGN:Observational study of nurse hand hygiene practices. SETTING:and Participants: Licensed practical...

journal_title：Journal of the American Medical Directors Association

authors： McDonald MV,Brickner C,Russell D,Dowding D,Larson EL,Trifilio M,Bick IY,Sridharan S,Song J,Adams V,Woo K,Shang J

更新日期：2020-09-15 00:00:00

abstract：OBJECTIVES:To develop a prognostic model to predict the probability of a short-term fall (within the next 7 to 30 days) in older adults with dementia. DESIGN:Prospective observational study. SETTING AND PARTICIPANTS:Fifty-one individuals with dementia at high risk of falls from a specialized dementia inpatient unit. ...

journal_title：Journal of the American Medical Directors Association

authors： Mehdizadeh S,Sabo A,Ng KD,Mansfield A,Flint AJ,Taati B,Iaboni A

更新日期：2020-09-05 00:00:00

abstract：OBJECTIVES:From 2013 to 2016, the Centers for Medicare and Medicaid Services Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents ("the Initiative") tested a series of clinical interventions and care models, through organizations called Enhanced Care and Coordination Providers (ECCPs), with ...

journal_title：Journal of the American Medical Directors Association

authors： Vadnais AJ,Vreeland E,Coomer NM,Feng Z,Ingber MJ

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND/OBJECTIVES:Studies show that in nursing homes (NHs), the prevalence of moderate-to-severe obesity has doubled in the last decade and continues to increase. Obese residents are often complex and costly, and this increase in prevalence has come at a time when NHs struggle to decrease hospitalizations, particul...

journal_title：Journal of the American Medical Directors Association

authors： Temkin-Greener H,Wang S,Caprio T,Mukamel DB,Cai S

更新日期：2020-09-01 00:00:00

abstract：OBJECTIVE:To determine whether single interventions (SI), multifactorial interventions (MI), or multiple component interventions (MCI) including vitamin D supplementation prevent the incidence of falls and fall risk factors among older adults who are community-dwelling or living in long-term care facilities. DESIGN:Sy...

journal_title：Journal of the American Medical Directors Association

authors： Senderovich H,Tsai PM

更新日期：2020-09-01 00:00:00

abstract：OBJECTIVES:To provide an estimate and level of uncertainty for Medicaid cost savings due to Minnesota's Return to Community Initiative (RTCI). DESIGN:Medicaid cost savings are estimated using a semi-Markov model and simulation approach. SETTING AND PARTICIPANTS:RTCI is a statewide program that assists private paying ...

journal_title：Journal of the American Medical Directors Association

authors： Hass Z,Woodhouse M,Arling G

更新日期：2020-08-28 00:00:00

abstract：OBJECTIVES:Immigrants often face many unique cultural and logistical challenges in their health care that differ from nonimmigrants. We sought to describe and compare characteristics and the time to placement between recent immigrants and long-standing residents waiting for long-term care (LTC). DESIGN:Population-base...

journal_title：Journal of the American Medical Directors Association

authors： Qureshi D,Schumacher C,Talarico R,Lapenskie J,Tanuseputro P,Scott M,Hsu A

更新日期：2020-08-25 00:00:00

abstract：:The management of diabetes in long-term care (LTC) facilities requires facility staff to perform most self-care activities on the behalf of the residents. A practical model of care to improve diabetes management was developed and implemented at 6 LTC facilities in the Northeast United States between 2009 and 2012. The...

journal_title：Journal of the American Medical Directors Association

authors： Munshi MN,Sy S,Lekarcyk J,Sullivan E

更新日期：2020-08-02 00:00:00

abstract：OBJECTIVES:To determine the prevalence, rate of underdiagnosis and undertreatment, and association with activities of daily living dependency of spasticity in a nursing home setting. DESIGN:Cross-sectional study. SETTING AND PARTICIPANTS:This study is an analysis of a deidentified data set generated by a prior qualit...

journal_title：Journal of the American Medical Directors Association

authors： Gill CE,Hacker ML,Meystedt J,Turchan M,Schnelle JF,Simmons SF,Habermann R,Phibbs FT,Charles D

更新日期：2020-08-01 00:00:00

abstract：OBJECTIVES:The number of older people dying in long-term care facilities (LTCFs) is increasing globally, but care quality may be variable. A framework was developed drawing on empirical research findings from the Palliative Care for Older People (PACE) study and a scoping review of literature on the implementation of p...

journal_title：Journal of the American Medical Directors Association

authors： Froggatt KA,Moore DC,Van den Block L,Ling J,Payne SA,PACE consortium collaborative authors on behalf of the European Association for Palliative Care.

更新日期：2020-08-01 00:00:00

abstract：OBJECTIVES:To examine the bidirectional temporal relationship between depressive symptoms and cognition in relation to risk, reaction, and prodrome. DESIGN:Cross-lag analysis of longitudinal data collected online at baseline and 12-month follow-up. SETTING AND PARTICIPANTS:A United Kingdom population cohort of 11,855...

journal_title：Journal of the American Medical Directors Association

authors： Desai R,Charlesworth GM,Brooker HJ,Potts HWW,Corbett A,Aarsland D,Ballard CG

更新日期：2020-08-01 00:00:00

abstract：OBJECTIVES:Age-related changes mean that the older population can encounter barriers toward taking medication orally. Further work is needed to identify the characteristics of oral solid dosage forms that will improve patient acceptance and adherence. The aim of this systematic review was to identify if and how formula...

journal_title：Journal of the American Medical Directors Association

authors： Shariff ZB,Dahmash DT,Kirby DJ,Missaghi S,Rajabi-Siahboomi A,Maidment ID

更新日期：2020-08-01 00:00:00

abstract：OBJECTIVES:Adverse events in nursing homes are leading causes of morbidity and mortality, prompting facilities to investigate their antecedents. This study examined the contribution of safety climate-how frontline staff typically think about safety and act on safety issues-to adverse events in Veterans Affairs (VA) nur...

journal_title：Journal of the American Medical Directors Association

authors： Quach ED,Kazis LE,Zhao S,Ni P,McDannold SE,Clark VA,Hartmann CW

更新日期：2020-07-19 00:00:00

abstract：OBJECTIVE:Sex-specific impact of frailty on all-cause mortality in older age population remains controversial. This meta-analysis aimed to evaluate the association between frailty and all-cause mortality in older age women vs men from the general population. DESIGN:Meta-analysis. SETTING AND PARTICIPANTS:PubMed and E...

journal_title：Journal of the American Medical Directors Association

authors： Fan Y,Huang J,Zhou Y,Gu X,Gong D

更新日期：2020-07-15 00:00:00

abstract：OBJECTIVES:In the United States, home health agencies (HHAs) provide essential services for patients recovering from post-acute care and older adults who are aging in place. During the COVID-19 pandemic, HHAs may face additional challenges caring for these vulnerable patients. Our objective was to explore COVID-19 prep...

journal_title：Journal of the American Medical Directors Association

authors： Shang J,Chastain AM,Perera UGE,Quigley DD,Fu CJ,Dick AW,Pogorzelska-Maziarz M,Stone PW

更新日期：2020-07-01 00:00:00

abstract：OBJECTIVES:We examined the dose-response relationships of body composition indices with mortality and identified the best predictor. DESIGN AND SETTING:Kusatsu Longitudinal Study and Hatoyama Cohort Study, Japan. PARTICIPANTS:In total, 1977 community-dwelling Japanese adults age ≥65 years (966 men and 1011 women) par...

journal_title：Journal of the American Medical Directors Association

authors： Seino S,Kitamura A,Abe T,Taniguchi Y,Yokoyama Y,Amano H,Nishi M,Nofuji Y,Narita M,Ikeuchi T,Fujiwara Y,Shinkai S

更新日期：2020-06-01 00:00:00

abstract：OBJECTIVES:Advance care planning in young-onset dementia largely remains a blind spot within current literature. This study aimed to explore the engagement in and the conceptualization of advance care planning from the perspective of family caregivers of persons with young-onset dementia and to identify potential simil...

journal_title：Journal of the American Medical Directors Association

authors： Van Rickstal R,De Vleminck A,Morrison SR,Koopmans RT,van der Steen JT,Engelborghs S,Neugroschl J,Aldridge MD,Sano M,Van den Block L

更新日期：2020-06-01 00:00:00

abstract：OBJECTIVES:To evaluate the impact of a multicenter intervention to reduce potentially inappropriate antipsychotic use in Canadian nursing homes at the individual and facility levels. DESIGN:Longitudinal, population-based cohort study to evaluate the Canadian Foundation for Healthcare Improvement's Spreading Healthcare...

journal_title：Journal of the American Medical Directors Association

authors： Hirdes JP,Major J,Didic S,Quinn C,Mitchell L,Chen J,Jantzi M,Phillips K

更新日期：2020-06-01 00:00:00