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Journal of the American Geriatrics Society

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https://www.readbyqxmd.com/read/30098203/acetylcholinesterase-inhibitors-start-low-or-risk-going-slow
#1
EDITORIAL
Holly M Holmes, Rajender R Aparasu
No abstract text is available yet for this article.
August 11, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30098017/vision-impairment-and-risk-of-dementia-findings-from-the-english-longitudinal-study-of-ageing
#2
Hilary R Davies-Kershaw, Ruth A Hackett, Dorina Cadar, Annie Herbert, Martin Orrell, Andrew Steptoe
OBJECTIVES: To determine whether vision impairment is independently associated cross-sectionally and longitudinally with dementia. DESIGN: Retrospective cohort study. SETTING: English Longitudinal Study of Ageing. PARTICIPANTS: Individuals aged 50 and older MEASUREMENTS: Cross-sectional association between self-rated vision (poor or blind, moderate, normal) and dementia was analyzed, adjusting for potential confounders (sex, wealth, education, cardiovascular risk factors) using multivariable logistic regression...
August 11, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30098015/a-multicomponent-model-to-improve-hospital-care-of-older-adults-with-cognitive-impairment-a-propensity-score-matched-analysis
#3
Liron Sinvani, Jessy Warner-Cohen, Andrew Strunk, Travis Halbert, Ruchika Harisingani, Colm Mulvany, Michael Qiu, Andrzej Kozikowski, Vidhi Patel, Tara Liberman, Maria Carney, Renee Pekmezaris, Gisele Wolf-Klein, Corey Karlin-Zysman
OBJECTIVES: To determine whether a multicomponent intervention improves care in hospitalized older adults with cognitive impairment. DESIGN: One-year retrospective chart review with propensity score matching on critical demographic and clinical variables was used to compare individauls with cognitive impairmenet on intervention and nonintervention units. SETTING: Large tertiary medical center. PARTICIPANTS: All hospitalized individuals age 65 and older with cognitive impairment admitted to medicine who required constant or enhanced observation for behavioral and psychological symptoms...
August 11, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30095854/prevalence-and-characteristics-of-moderate-to-severe-pain-among-hospitalized-older-adults
#4
Lisa X Deng, Kanan Patel, Christine Miaskowski, Ingrid Maravilla, Sarah Schear, Sarah Garrigues, Nicole Thompson, Andrew D Auerbach, Christine S Ritchie
OBJECTIVES: To investigate the prevalence, characteristics, and management of pain in older hospitalized medical patients. DESIGN: Medical record aggregate review. SETTING: Tertiary care hospital. PARTICIPANTS: Individuals aged 65 and older admitted to the medicine service between November 28, 2014, and May 28, 2015. MEASUREMENTS: Demographic characteristics, comorbidity burden, pain characteristics, and analgesics during index hospitalization were assessed in individuals with moderate to severe pain (≥4 on 0-10 Numeric Pain Rating Scale)...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30095169/effect-of-medicare-part-d-on-ethnoracial-disparities-in-antidementia-medication-use
#5
Kimberly E Lind, Kerry Hildreth, Richard Lindrooth, Elaine Morrato, Lori A Crane, Marcelo Coca Perraillon
OBJECTIVES: To examine ethnoracial disparities in antidementia medication use, accounting for implementation of Part D, and to evaluate the role of prescription drug coverage as a cause of antidementia medication disparities. DESIGN: Rotating panel of Medicare beneficiaries who participated in the Medicare Current Beneficiary Survey from 2003 to 2013. SETTING: Nationally representative sample of Medicare fee-for-service (FFS) beneficiaries with dementia...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30095159/rational-suicide-in-older-adults-not-an-ageist-concept-by-default
#6
Christine W Hartmann
No abstract text is available yet for this article.
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094831/association-between-proton-pump-inhibitor-use-and-alzheimer-s-disease-in-older-adults
#7
Kuan-Fu Liao, Hsun-Yang Chuang, Shih-Wei Lai
No abstract text is available yet for this article.
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094830/higher-quality-lower-cost-with-an-innovative-geriatrics-consultation-service
#8
Juliana M Bernstein, Peter Graven, Kathleen Drago, Konrad Dobbertin, Elizabeth Eckstrom
OBJECTIVES: To design a value-driven, interprofessional inpatient geriatric consultation program coordinated with systems-level changes and studied outcomes and costs. DESIGN: Propensity-matched case-control study of older adults hospitalized at an academic medical center (AMC) who did or did not receive geriatric consultation. SETTING: Single tertiary-care AMC in Portland, Oregon. PARTICIPANTS: Adults aged 70 and older who received an inpatient geriatric consultation (n=464) and propensity-matched controls admitted before development of the consultation program (n=2,381)...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094828/burden-of-invasive-methicillin-resistant-staphylococcus-aureus-infections-in-nursing-home-residents
#9
Cheri Grigg, Danielle Palms, Nimalie D Stone, Nicole Gualandi, Wendy Bamberg, Ghinwa Dumyati, Lee H Harrison, Ruth Lynfield, Joelle Nadle, Susan Petit, Susan Ray, William Schaffner, John Townes, Isaac See
OBJECTIVES: To describe the epidemiology and incidence of invasive methicillin-resistant Staphylococcus aureus (MRSA) infections in nursing home (NH) residents, which has previously not been well characterized. DESIGN: Retrospective analysis of public health surveillance data. SETTING: Healthcare facilities in 33 U.S. counties. PARTICIPANTS: Residents of the surveillance area. MEASUREMENTS: Counts of NH-onset and hospital-onset (HO) invasive MRSA infections (cultured from sterile body sites) identified from the Centers for Disease Control and Prevention Emerging Infections Program (EIP) population-based surveillance from 2009 to 2013 were compared...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094827/reply-to-association-between-proton-pump-inhibitors-and-alzheimer-s-disease-in-older-adults
#10
LETTER
Felicia C Goldstein
No abstract text is available yet for this article.
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094820/replacement-of-urinary-catheter-for-urinary-tract-infections-a-prospective-observational-study
#11
Babich Tanya, Zusman Oren, Elbaz Michal, Ben-Zvi Haim, Paul Mical, Leibovici Leonard, Avni Tomer
OBJECTIVES: To assess whether catheter replacement is associated with better clinical outcomes in individuals with long-term urinary catheters. DESIGN: Prospective, noninterventional study. PARTICIPANTS: Individuals (mean age 79.2±11.5) who had had an indwelling urinary catheter for longer than 7 days and a symptomatic urinary tract infection (UTI) (N=315). MEASUREMENTS: The exposure assessed was replacement of the indwelling urinary catheter within 6 hours...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094818/degree-of-implementation-of-the-interventions-to-reduce-acute-care-transfers-interact-quality-improvement-program-associated-with-number-of-hospitalizations
#12
Peter J Huckfeldt, Robert L Kane, Zhiyou Yang, Gabriella Engstrom, Ruth Tappen, Carolina Rojido, David Newman, Bernardo Reyes, Joseph G Ouslander
OBJECTIVES: To determine whether degree of implementation of the Interventions to Reduce Acute Care Transfers (INTERACT) program is associated with number of hospitalizations and emergency department (ED) visits of skilled nursing facility (SNF) residents. DESIGN: Secondary analysis from a randomized controlled trial. SETTING: SNFs from across the United States (N=264). PARTICIPANTS: Two hundred of the SNFs from the randomized trial that provided baseline and intervention data on INTERACT use...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094817/a-composite-measure-of-caregiver-burden-in-dementia-the-dementia-burden-scale-caregiver
#13
John D Peipert, Lee A Jennings, Ron D Hays, Neil S Wenger, Emmett Keeler, David B Reuben
OBJECTIVES: To better capture the scope of caregiver burden by creating a composite of 3 existing measures that assess different health domains. DESIGN: Prospective follow-up study. SETTING: University-based dementia care management program. PARTICIPANTS: Caregivers of persons with dementia (PWD) (N=1,091). MEASUREMENTS: The composite measure (the Dementia Burden Scale-Caregiver (DBS-CG)) was based on the Modified Caregiver Strain Index, Neuropsychiatric Inventory Questionnaire Distress Scale, and Patient Health Questionnaire (PHQ-9)...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094814/association-between-frailty-and-elder-abuse-in-community-dwelling-older-adults-in-mexico-city
#14
Sara Torres-Castro, Claudia Szlejf, Lorena Parra-Rodríguez, Oscar Rosas-Carrasco
OBJECTIVES: To investigate the association between frailty and elder abuse in community-dwelling older adults. DESIGN: Secondary cross-sectional analysis of a prospective cohort. SETTING: The Frailty, Dynapenia and Sarcopenia in Mexican Adults study, a cohort of community-dwelling adults from 2 municipalities in Mexico City. PARTICIPANTS: Community-dwelling adults aged 60 and older (N=487, mean age 73.2 ± 8.0, 80% female)...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094810/a-randomized-clinical-trial-of-wheeled-mobility-for-pressure-injury-prevention-and-better-function
#15
David M Brienza, Patricia E Karg, Marnie Bertolet, Mark Schmeler, Prerna Poojary-Mazzotta, Helen Vlachos, Debora Wilkinson
OBJECTIVES: To evaluate the effectiveness of wheelchair assessment and configuration on pressure injury incidence, mobility, and functioning in a wheelchair. DESIGN: Randomized controlled trial with participants individually randomized into intervention and control groups. SETTING: Nursing home. PARTICIPANTS: Nursing home residents aged 60 and older who used wheelchairs and were at risk for pressure injuries (N=258)...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094809/improving-the-ed-to-home-transition-the-community-paramedic-delivered-care-transitions-intervention-preliminary-findings
#16
Manish N Shah, Matthew M Hollander, Courtney Mc Jones, Thomas V Caprio, Yeates Conwell, Jeremy T Cushman, Eva H DuGoff, Amy J H Kind, Michael Lohmeier, Ranran Mi, Eric A Coleman
OBJECTIVES: To describe a novel model of care that uses community-based paramedics to deliver a modified version of the evidence-based hospital-to-home Care Transitions Intervention (CTI) to a new context: the emergency department (ED)-to-home transition. DESIGN: Single-blind randomized controlled trial. SETTING: Three EDs in 2 cities. PARTICIPANTS: Through June 2017, 422 individuals discharged home from the EDs who provided consent and were randomized to receive the modified CTI...
August 10, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094829/comment-on-use-of-antiepileptic-drugs-and-dementia-risk
#17
Rani A Sarkis, Kimford J Meador
No abstract text is available yet for this article.
August 9, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094824/burden-of-depressive-symptoms-over-2-decades-and-risk-of-nursing-home-placement-in-older-women
#18
Amy L Byers, Li-Yung Lui, Eric Vittinghoff, Kenneth E Covinsky, Kristine E Ensrud, Brent Taylor, Kristine Yaffe
OBJECTIVES: To determine the association between cumulative burden of depressive symptoms and risk of nursing home (NH) placement over 2 decades. DESIGN: Prospective cohort study with data linked to Medicare claims files. SETTING: Clinic sites in Baltimore, Maryland; Minneapolis, Minnesota; and the Monongahela Valley near Pittsburgh, Pennsylvania. PARTICIPANTS: Initially community-dwelling women aged 65 and older (N=3,646)...
August 9, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094823/long-term-nursing-home-entry-a-prognostic-model-for-older-adults-with-a-family-or-unpaid-caregiver
#19
Jennifer L Wolff, John Mulcahy, David L Roth, Irena S Cenzer, Judith D Kasper, Jin Huang, Kenneth E Covinsky
OBJECTIVES: To comprehensively examine factors associated with long-term nursing home (NH) entry from 6 domains of older adult and family caregiver risk from nationally representative surveys and develop a prognostic model and a simple scoring system for use in risk stratification. DESIGN: Retrospective observational study. SETTING: National Long-Term Care Surveys 1999 and 2004 and National Health and Aging Trends Study 2011 and linked caregiver surveys...
August 9, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/30094822/reply-to-use-of-antiepileptic-drugs-and-dementia-risk-an-analysis-of-finnish-health-register-and-german-health-insurance-data
#20
Heidi Taipale, Willy Gomm, Karl Broich, Wolfgang Maier, Anna-Maija Tolppanen, Sirpa Hartikainen, Britta Haenisch
No abstract text is available yet for this article.
August 9, 2018: Journal of the American Geriatrics Society
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