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Journal of the American Geriatrics Society

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https://www.readbyqxmd.com/read/29231962/symptoms-reported-by-frail-elderly-adults-independently-predict-30-day-hospital-readmission-or-emergency-department-care
#1
Lynn S Borkenhagen, Rozalina G McCoy, Rachel D Havyer, Stephanie M Peterson, James M Naessens, Paul Y Takahashi
OBJECTIVES: To assess the degree to which self-reported symptoms predict unplanned readmission or emergency department (ED) care within 30 days of high-risk, elderly adults enrolled in a posthospitalization care transition program (CTP). DESIGN: Retrospective cohort study. SETTING: Posthospitalization CTP at Mayo Clinic, Rochester, Minnesota, from January 1, 2013, through March 3, 2015. PARTICIPANTS: Frail, elderly adults (N = 230; mean age 83...
December 12, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29231960/prospective-validation-of-a-screening-tool-to-identify-older-adults-in-need-of-a-driving-evaluation
#2
Marian E Betz, Jason S Haukoos, Robert Schwartz, Carolyn DiGuiseppi, Deepika Kandasamy, Brenda Beaty, Elizabeth Juarez-Colunga, David B Carr
OBJECTIVES: To prospectively validate and refine the 5-item "CRASH" screening tool for identifying older drivers needing a behind-the-wheel (BTW) test. DESIGN: Prospective observational study. SETTING: Geriatric and internal medicine primary care clinics affiliated with a tertiary care hospital and a local BTW program. PARTICIPANTS: Cognitively intact drivers aged 65 and older (N = 315). MEASUREMENTS: Participants completed baseline questionnaire (including CRASH tool) and assessments and BTW test (evaluator blinded to questionnaire results) and participated in 1-month telephone follow-up...
December 12, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29226318/my-mom-is-dead-and-that-is-ok
#3
Nancy E Lundebjerg
No abstract text is available yet for this article.
December 11, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29210056/utility-of-a-precision-medicine-test-in-elderly-adults-with-symptoms-suggestive-of-coronary-artery-disease
#4
Joseph A Ladapo, Matthew J Budoff, David Sharp, Jane Z Kuo, Lin Huang, Bruce Maniet, Lee Herman, Mark Monane
BACKGROUND: Diagnosing obstructive coronary artery disease (CAD) is challenging in elderly adults, and current diagnostic approaches for CAD expose these individuals to risks from contrast dye and invasive procedures. DESIGN: A Registry to Evaluate Patterns of Care Associated with the Use of Corus CAD in Real World Clinical Care Settings (PRESET; NCT01677156), pragmatic clinical trial. SETTING: Community, 21 primary care practices. PARTICIPANTS: Of 566 stable, nonacute outpatients presenting with symptoms suggestive of obstructive CAD, the 176 who were aged 65 and older (median age 70, 61% female) were the current study participants...
December 6, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29206286/recognition-of-delirium-features-in-clinical-practice-data-from-the-delirium-day-2015-national-survey
#5
Enrico Mossello, Francesca Tesi, Simona G Di Santo, Andrea Mazzone, Monica Torrini, Antonio Cherubini, Mario Bo, Massimo Musicco, Angelo Bianchetti, Alberto Ferrari, Nicola Ferrara, Marco Trabucchi, Alessandro Morandi, Giuseppe Bellelli
BACKGROUND/OBJECTIVES: Delirium is underrecognized in clinical practice. The primary aim of the present multicenter study was to compare the ability of nurses to identify delirium features with a standardized assessment. The secondary aim was to identify predictors of missed or incorrect identifications of delirium by nurses. DESIGN: Point prevalence study in 120 wards across Italy. SETTING: "Delirium Day 2015." PARTICIPANTS: Inpatients aged 65 and older (N = 1,867)...
December 5, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29206285/the-future-of-health
#6
S Jay Olshansky
No abstract text is available yet for this article.
December 5, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29206284/healthy-life-expectancy-is-expanding
#7
A Mark Clarfield
No abstract text is available yet for this article.
December 5, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29206277/response-to-dr-clarfield
#8
S Jay Olshansky
No abstract text is available yet for this article.
December 5, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29206276/response-to-dr-olshansky
#9
A Mark Clarfield
No abstract text is available yet for this article.
December 5, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29205261/report-and-research-agenda-of-the-american-geriatrics-society-and-national-institute-on-aging-bedside-to-bench-conference-on-urinary-incontinence-in-older-adults-a-translational-research-agenda-for-a-complex-geriatric-syndrome
#10
Camille P Vaughan, Alayne D Markland, Phillip P Smith, Kathryn L Burgio, George A Kuchel
The American Geriatrics Society, with support from the National Institute on Aging and other funders, held its ninth Bedside-to-Bench research conference, entitled "Urinary Incontinence in the Older Adult: A Translational Research Agenda for a Complex Geriatric Syndrome," October 16 to 18, 2016, in Bethesda, Maryland. As part of a conference series addressing three common geriatric syndromes-delirium, sleep and circadian rhythm disturbance, and urinary incontinence-the series highlighted relationships and pertinent clinical and pathophysiological commonalities between these conditions...
December 4, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29194573/stability-and-change-in-cognitive-status-classification-of-black-older-adults
#11
Adrienne T Aiken-Morgan, Alyssa A Gamaldo, Regina S Wright, Jason C Allaire, Keith E Whitfield
OBJECTIVES: The purpose of this study was to determine whether stability and change in cognitive status are associated with sociodemographic characteristics and health function. DESIGN: Secondary analysis of data. SETTING: Baltimore Study of Black Aging-Patterns of Cognitive Aging. PARTICIPANTS: Community-dwelling black adults (N = 407; mean age 68.6 ± 9.1). MEASUREMENTS: Baseline (n = 602) and 33-month follow-up (n = 450) assessments of cognition, health, and psychosocial function...
November 30, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29192967/targeting-behavioral-symptoms-and-functional-decline-in-dementia-a-randomized-clinical-trial
#12
Laura N Gitlin, Paul Arthur, Catherine Piersol, Virginia Hessels, Samuel S Wu, Yunfeng Dai, William C Mann
BACKGROUND/OBJECTIVES: Dementia-related behavioral symptoms and functional dependence result in poor quality of life for persons with dementia and their caregivers. The goal was to determine whether a home-based activity program (Tailored Activity Program; TAP-VA) would reduce behavioral symptoms and functional dependence of veterans with dementia and caregiver burden. DESIGN: Single-blind (interviewer), parallel, randomized, controlled trial (Clinicaltrials.gov: NCT01357564)...
November 28, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29178317/community-program-improves-quality-of-life-and-self-management-in-older-adults-with-diabetes-mellitus-and-comorbidity
#13
Maureen Markle-Reid, Jenny Ploeg, Kimberly D Fraser, Kathryn A Fisher, Amy Bartholomew, Lauren E Griffith, John Miklavcic, Amiram Gafni, Lehana Thabane, Ross Upshur
OBJECTIVES: To compare the effect of a 6-month community-based intervention with that of usual care on quality of life, depressive symptoms, anxiety, self-efficacy, self-management, and healthcare costs in older adults with type 2 diabetes mellitus (T2DM) and 2 or more comorbidities. DESIGN: Multisite, single-blind, parallel, pragmatic, randomized controlled trial. SETTING: Four communities in Ontario, Canada. PARTICIPANTS: Community-dwelling older adults (≥65) with T2DM and 2 or more comorbidities randomized into intervention (n = 80) and control (n = 79) groups (N = 159)...
November 27, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29168884/transformation-of-a-geriatric-department-in-china
#14
Birong Dong, Jirong Yue, Li Cao, Ming Yang, Ning Ge, Hao Qiukui, Lujia He, Ying Wang, Joseph H Flaherty
China has the world's largest elderly population, and the oldest-old population, with a current disability rate greater than 50%, will triple in the next 35 years. The field of geriatrics is young, because almost all geriatric departments were established after 2000, and so faces many challenges. Management of diseases and hospital care is the focus. Senior physicians were trained in other subspecialties, such as pulmonary or cardiology, and junior physicians entered geriatrics departments as masters or doctorate students after medical school...
November 23, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29168883/prevalence-of-frailty-and-associated-factors-in-the-community-dwelling-population-of-china
#15
Lina Ma, Zhe Tang, Li Zhang, Fei Sun, Yun Li, Piu Chan
BACKGROUND/OBJECTIVES: Frailty in older adults predicts dependence and mortality and is a major challenge for healthcare systems in countries with rapidly aging populations. Little is known about frailty in China. We investigated the prevalence and associated risk factors of frailty in older adults in China. DESIGN: Cross-sectional. SETTING: Data were obtained from the China Comprehensive Geriatric Assessment Study, conducted in 2011-12, which was the first uniform comprehensive assessment system adopted in China...
November 23, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29168880/cost-effectiveness-of-a-care-transitions-program-in-a-multimorbid-older-adult-cohort
#16
Gregory J Hanson, Bijan J Borah, James P Moriarty, Jeanine E Ransom, James M Naessens, Paul Y Takahashi
BACKGROUND/OBJECTIVES: Facing penalties for preventable 30-day hospital readmissions, many provider groups have implemented programs to remedy this problem, but the cost efficacy and value of such programs are not well delineated. The objective was to compare total cost of care over 30 days of individuals enrolled in the Mayo Clinic Care Transitions (MCCT) program and individuals not enrolled. DESIGN: Retrospective cohort study using secondary data analysis of a previously published cohort study...
November 23, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29165791/targeting-function-at-home-in-older-adults-how-to-promote-and-disseminate-promising-models-of-care
#17
EDITORIAL
Richard H Fortinsky, Julie T Robison
No abstract text is available yet for this article.
November 22, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29165789/medicaid-cost-savings-of-a-preventive-home-visit-program-for-disabled-older-adults
#18
Sarah L Szanton, Y Natalia Alfonso, Bruce Leff, Jack Guralnik, Jennifer L Wolff, Ian Stockwell, Laura N Gitlin, David Bishai
BACKGROUND/OBJECTIVES: Little is known about cost savings of programs that reduce disability in older adults. The objective was to determine whether the Community Aging in Place, Advancing Better Living for Elders (CAPABLE) program saves Medicaid more money than it costs to provide. DESIGN: Single-arm clinical trial (N = 204) with a comparison group of individuals (N = 2,013) dually eligible for Medicaid and Medicare matched on baseline geographic and demographic characteristics, chronic conditions, and healthcare use...
November 22, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29165786/square-pegs-round-holes-our-healthcare-system-is-failing-seriously-ill-older-americans-in-their-last-years
#19
EDITORIAL
V J Periyakoil
No abstract text is available yet for this article.
November 22, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29164595/frequency-of-leaving-the-house-and-mortality-from-age-70-to-95
#20
Jeremy M Jacobs, Aliza Hammerman-Rozenberg, Jochanan Stessman
OBJECTIVES: To determine the association between frequency of leaving the house and mortality. DESIGN: Prospective follow-up of an age-homogenous, representative, community-dwelling birth cohort (born 1920-21) from the Jerusalem Longitudinal Study (1990-2015). SETTING: Home. PARTICIPANTS: Individuals aged 70 (n = 593), 78 (n = 973), 85 (n = 1164), and 90 (n = 645), examined in 1990, 1998, 2005, and 2010, respectively...
November 22, 2017: Journal of the American Geriatrics Society
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