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Journal of the American Geriatrics Society

Geoffrey J Hoffman, Jinkyung Ha, Neil B Alexander, Kenneth M Langa, Mary Tinetti, Lillian C Min
OBJECTIVES: To compare the accuracy of and factors affecting the accuracy of self-reported fall-related injuries (SFRIs) with those of administratively obtained FRIs (AFRIs). DESIGN: Retrospective observational study SETTING: United States PARTICIPANTS: Fee-for-service Medicare beneficiaries aged 65 and older (N=47,215). MEASUREMENTS: We used 24-month self-report recall data from 2000-2012 Health and Retirement Study data to identify SFRIs and linked inpatient, outpatient, and ambulatory Medicare data to identify AFRIs...
April 17, 2018: Journal of the American Geriatrics Society
Matteo Bassetti, Elda Righi, Paola Del Giacomo, Assunta Sartor, Filippo Ansaldi, Cecilia Trucchi, Cristiano Alicino, Enrico Maria Trecarichi, Teresa Spanu, Chiara Paganino, Mario Tumbarello, Alessia Carnelutti
OBJECTIVES: To analyze risk factors for early and late mortality in individuals aged 75 and older with Staphylococcus aureus bacteremia (SAB) in Italy. DESIGN: Four-year retrospective observational study (January 2011-December 2014). SETTING: Two tertiary care university hospitals in Italy (Santa Maria Misericordia Hospital in Udine, Policlinico Universitario Agostino Gemelli in Rome). PARTICIPANTS: All adults consecutively admitted with SAB...
April 17, 2018: Journal of the American Geriatrics Society
Paul Rousseau
No abstract text is available yet for this article.
April 17, 2018: Journal of the American Geriatrics Society
James S Goodwin, Shuang Li, Addie Middleton, Kenneth Ottenbacher, Yong-Fang Kuo
OBJECTIVES: To determine how the risk of subsequent long-term care (LTC) placement varies between skilled nursing facilities (SNFs) and the SNF characteristics associated with this risk. DESIGN: Population-based national cohort study with participants nested in SNFs and hospitals in a cross-classified multilevel model. SETTING: SNFs (N=6,680). PARTICIPANTS: Fee-for-service Medicare beneficiaries (N=552,414) discharged from a hospital to a SNF in 2013...
April 14, 2018: Journal of the American Geriatrics Society
Yong-Fang Kuo, Mukaila A Raji, Victor Liaw, Jacques Baillargeon, James S Goodwin
OBJECTIVES: To examine how an October 2014 Drug Enforcement Administration policy reclassified hydrocodone product from schedule III to II has affected older adults, who are among the largest consumers of prescription opioids in the United States. DESIGN: Retrospective cohort study. SETTING: United States. PARTICIPANTS: A 20% sample of Medicare Part D beneficiaries aged 65 and older from 2013 through 2015 (> 2,500,000 beneficiaries each year) MEASUREMENTS: From January 2013 to December 2015, we calculated the monthly prevalence of opioid prescriptions and the prevalence of individuals who received prescriptions for a 90-day supply or longer (prolonged), as well as hospitalizations related to opioid toxicity in 2013 and 2015...
April 14, 2018: Journal of the American Geriatrics Society
Daniel Jung, Amy Kind, Stephanie Robert, William Buckingham, Eva DuGoff
OBJECTIVES: To examine whether neighborhood context moderates the relationship between multiple chronic conditions (MCCs) and function in Medicare Advantage (MA) beneficiaries. DESIGN: Cross-sectional study. SETTING: Medicare Health Outcome Survey Cohort 16 baseline data from 2013. PARTICIPANTS: MA beneficiaries aged 65 and older (N=187,434). MEASUREMENTS: We defined disadvantaged neighborhoods as those with an Area Deprivation Index greater than the 85th percentile...
April 12, 2018: Journal of the American Geriatrics Society
Asri Maharani, Piers Dawes, James Nazroo, Gindo Tampubolon, Neil Pendleton
OBJECTIVES: To test whether hearing aid use alters cognitive trajectories in older adults. DESIGN: US population-based longitudinal cohort study SETTING: Data were drawn from the Health and Retirement Study (HRS), which measured cognitive performance repeatedly every 2 years over 18 years (1996-2014). PARTICIPANTS: Adults aged 50 and older who who took part in a minimum of 3 waves of the HRS and used hearing aids for the first time between Waves 4 and 11 (N=2,040)...
April 10, 2018: Journal of the American Geriatrics Society
Andrea L Rosso, Andrea L Metti, Nancy W Glynn, Robert M Boudreau, W Jack Rejeski, Nicolaas Bohnen, Haiying Chen, Neil M Johannsen, Abby C King, Todd M Manini, Marco Pahor, Stephanie A Studenski, Carlos A Vaz Fragoso, Caterina Rosano
OBJECTIVES: To determine whether intervention-induced physical activity (PA) changes in sedentary older adults differed according to dopamine-related genotype. DESIGN: Randomized clinical trial (Lifestyle Interventions and Independence for Elders Trial (2010-13)). SETTING: Multicenter study, 8 U.S. LOCATIONS: <AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Volunteer sample of sedentary adults aged 70 to 89 at risk of disability (N=1635)...
April 10, 2018: Journal of the American Geriatrics Society
Suzanne V Arnold, Kasia J Lipska, Jingyan Wang, Leo Seman, Sanjeev N Mehta, Mikhail Kosiborod
OBJECTIVES: To examine the proportion of older adults with diabetes mellitus treated with tight glucose control and the factors associated with this practice. DESIGN: Cross-sectional analysis. SETTING: Outpatient sites in the Diabetes Collaborative Registry (N=151). PARTICIPANTS: Adults aged 75 and older with type 2 diabetes mellitus (N=42,669). MEASUREMENTS: Participants were categorized based on glycosylated hemoglobin (HbA1c) and glucose-lowering medications: poor control (HbA1c >9%), moderate control (HbA1c 8-9%), conservative control (HbA1c 7-8%), tight control (HbA1c <7%) with low-risk agents (low risk for hypoglycemia), tight control with high-risk agents, and diet control (HbA1c <7% taking no glucose-lowering medications)...
April 10, 2018: Journal of the American Geriatrics Society
Cyrus M Kosar, Kali S Thomas, Pedro L Gozalo, Jessica A Ogarek, Vincent Mor
OBJECTIVES: To examine the effect of obesity (body mass index (BMI)≥30.0 kg/m2 ) on outcomes of older adults admitted to skilled nursing facilities (SNFs) for hip fracture postacute care (PAC). DESIGN: Retrospective cohort study. SETTING: U.S. Medicare- and Medicaid-certified SNFs from 2008 to 2015. PARTICIPANTS: Medicare fee-for-service beneficiaries discharged to a SNF after hospitalization for hip fracture (N=586,683; n=82,768 (14...
April 3, 2018: Journal of the American Geriatrics Society
Michael E Miller, Jay Magaziner, Anthony P Marsh, Roger A Fielding, Thomas M Gill, Abby C King, Stephen Kritchevsky, Todd Manini, Mary M McDermott, Rebecca Neiberg, Denise Orwig, Adam J Santanasto, Marco Pahor, Jack Guralnik, W Jack Rejeski
OBJECTIVES: To investigate the heterogeneity of clinically meaningful levels of gait speed relative to self-reported mobility disability (SR-MD). DESIGN: Five longitudinal studies with older adults in different health states (onset of acute event, presence of chronic condition, sedentary, community living) were used to explore the relationship between gait speed and SR-MD. SETTING: Lifestyle Interventions and Independence for Elders Pilot (LIFE-P), LIFE, Trial of Angiotensin-Converting Enzyme Inhibition and Novel Cardiovascular Risk Factors (TRAIN), Baltimore Hip Fracture Study (BHS2), Invecchiare in Chianti (InCHIANTI)...
April 2, 2018: Journal of the American Geriatrics Society
Anouk Overbeek, Ida J Korfage, Lea J Jabbarian, Pascalle Billekens, Bernard J Hammes, Suzanne Polinder, Johan Severijnen, Siebe J Swart, Frederika E Witkamp, Agnes van der Heide, Judith A C Rietjens
OBJECTIVES: To determine the effectiveness of advance care planning (ACP) in frail older adults. DESIGN: Cluster randomized controlled trial. SETTING: Residential care homes in the Netherlands (N=16). PARTICIPANTS: Care home residents and community-dwelling adults receiving home care (N=201; n=101 intervention; n=100 control). Participants were 75 years and older, frail, and capable of consenting to participation. INTERVENTION: Adjusted Respecting Choices ACP program...
April 2, 2018: Journal of the American Geriatrics Society
Nicole R Fowler, Noll L Campbell, Gerhardt M Pohl, Leanne M Munsie, Noam Y Kirson, Urvi Desai, Erich J Trieschman, Mark K Meiselbach, J Scott Andrews, Malaz A Boustani
OBJECTIVES: To examine the effect of the Medicare Annual Wellness Visit (AWV) on the detection of cognitive impairment and on follow-up cognitive care for older adults. DESIGN: Retrospective matched-cohort study. SETTING: United States. PARTICIPANTS: A 5% random sample of fee-for-service Medicare beneficiaries continuously enrolled for 12 months before and after an index ambulatory visit occurring from 2011 to 2013 with no claims evidence of cognitive impairment before index...
April 2, 2018: Journal of the American Geriatrics Society
Caterina Rosano, Beth E Snitz
No abstract text is available yet for this article.
April 2, 2018: Journal of the American Geriatrics Society
Manuel Montero-Odasso, Mark Speechley, Susan W Muir-Hunter, Yanina Sarquis-Adamson, Luciano A Sposato, Vladimir Hachinski, Michael Borrie, Jennie Wells, Alanna Black, Ervin Sejdić, Louis Bherer, Howard Chertkow
OBJECTIVES: To compare the trajectories of motor and cognitive decline in older adults who progress to dementia with the trajectories of those who do not. To evaluate the added value of measuring motor and cognitive decline longitudinally versus cross-sectionally for predicting dementia. DESIGN: Prospective cohort study with 5 years of follow-up. SETTING: Clinic based at a university hospital in London, Ontario, Canada. PARTICIPANTS: Community-dwelling participants aged 65 and older free of dementia at baseline (N=154)...
April 2, 2018: Journal of the American Geriatrics Society
Jori Fleisher, William Barbosa, Meghan M Sweeney, Sarah E Oyler, Amy C Lemen, Arash Fazl, Mia Ko, Talia Meisel, Naomi Friede, Geraldine Dacpano, Rebecca M Gilbert, Alessandro Di Rocco, Joshua Chodosh
Parkinson's disease (PD) is a complex, multisymptom, neurodegenerative disease affecting primarily older adults. With progression, many individuals become homebound and removed from coordinated, expert care, resulting in excess morbidity, mortality, and healthcare expenditures in acute care settings and institutions. Home visit care models have achieved the triple aim of improving individual and population health while reducing costs in many frail, community-dwelling geriatric cohorts. This study details a novel, interdisciplinary home visit program specifically designed for individuals with PD and related disorders and their family caregivers built upon best practice principles in the care of multimorbid older adults...
April 2, 2018: Journal of the American Geriatrics Society
Mi-Hyang Jung, Ho-Joong Youn, Sang-Hyun Ihm, Hae Ok Jung, Kyung-Soon Hong
OBJECTIVES: To determine whether high heart rate is associated with low bone mineral density (BMD) in older women with hypertension. DESIGN: Retrospective cohort study. SETTING: Population-based study conducted in Korea (Korea National Health and Nutritional Examination Survey 2009-10). PARTICIPANTS: Postmenopausal women aged 60 and older with hypertension (N=981) divided into 2 groups according to resting heart rate, with a cut-off value of 80 bpm, which has been found to be associated with osteoporosis...
April 2, 2018: Journal of the American Geriatrics Society
Sheila M Manemann, Alanna M Chamberlain, Véronique L Roger, Cynthia Boyd, Andrea Cheville, Shannon M Dunlay, Susan A Weston, Ruoxiang Jiang, Lila J Finney Rutten
OBJECTIVES: To characterize the individual and combined effects of multimorbidity and functional limitation on healthcare use and mortality in a large, community cohort of individuals with heart failure (HF). DESIGN: Prospective cohort study. SETTING: Eleven southeastern Minnesota counties. PARTICIPANTS: Individuals (mean age 74, 54% male) with a first-ever HF code (International Classification of Diseases, Ninth Revision code 428 or Tenth Revision code I50) between January 1, 2013 and March 31, 2016 (N=2,692)...
March 30, 2018: Journal of the American Geriatrics Society
Catriona M McNeil
No abstract text is available yet for this article.
March 30, 2018: Journal of the American Geriatrics Society
Raudah M Yunus, Noran N Hairi, Wan Y Choo, Maw P Tan, Farizah Hairi, Rajini Sooryanarayana, Norliana Ismail, Shatanapriya Kandiben, Devi Peramalah, Zainudin M Ali, Sharifah N Ahmad, Inayah A Razak, Sajaratulnisah Othman, Fadzilah Hm Mydin, Karuthan Chinna, Awang Bulgiba
OBJECTIVES: To examine the cross-sectional and longitudinal relationships between elder abuse and neglect (EAN) and chronic pain in rural older Malaysians. DESIGN: Two-year prospective cohort study. SETTING: Kuala Pilah, a district in Negeri Sembilan approximately 100 km from the capital city, Kuala Lumpur. PARTICIPANTS: Community-dwelling older adults aged 60 and older. Using a multistage cluster sampling strategy, 1,927 respondents were recruited and assessed at baseline, of whom 1,189 were re-assessed 2 years later...
March 30, 2018: Journal of the American Geriatrics Society
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