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Journal of the American Geriatrics Society

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https://www.readbyqxmd.com/read/29473949/design-and-validation-of-a-radio-frequency-identification-based-device-for-routinely-assessing-gait-speed-in-a-geriatrics-clinic
#1
Lisa C Barry, Laura Hatchman, Zhaoyan Fan, Jack M Guralnik, Robert X Gao, George A Kuchel
OBJECTIVES: To evaluate the feasibility, acceptability, and validity of a radio-frequency identification (RFID)-based system to measure gait speed in a clinical setting as a first step to using unobtrusive gait speed assessment in routine clinical care. DESIGN: Feasibility study comparing gait speed assessed using an RFID-based system with gait speed assessed using handheld stopwatch, the criterion standard. SETTING: Outpatient geriatrics clinic at a Connecticut-based academic medical center...
February 23, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29473945/home-based-primary-care-beyond-extension-of-the-independence-at-home-demonstration
#2
James Rotenberg, Bruce Kinosian, Peter Boling, George Taler
The Independence at Home (IAH) Demonstration Year 2 results confirmed that the first-year savings were 10 times as great as those of the pioneer accountable care organizations during their initial 2 years. We update projected savings from nationwide conversion of the IAH demonstration, incorporating Year 2 results and improving attribution of IAH-qualified (IAH-Q) Medicare beneficiaries to home-based primary care (HBPC) practices. Applying IAH qualifying criteria to beneficiaries in the Medicare 5% claims file, the effect of expanding HBPC to the 2...
February 23, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29473943/confusion-and-bacteriuria-in-long-term-care-facility-residents
#3
James R Johnson
No abstract text is available yet for this article.
February 23, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29473942/graphical-instructions-for-administration-and-scoring-the-mini-cog-results-of-a-randomized-clinical-trial
#4
Edlira Tam, Benjamin T Gandesbery, Laura Young, Soo Borson, Eiran Z Gorodeski
OBJECTIVES: To develop a novel set of graphical Mini-Cog instructions designed to aid clinicians previously untrained on the Mini-Cog in accurate administration and scoring and to determine whether use of these graphical instructions improved the speed and accuracy of deployment of this tool. DESIGN: Randomized clinical trial. SETTING: Testing was conducted in a simulated environment with a mock patient. PARTICIPANTS: Registered nurses working in inpatient or outpatient settings at a large academic medical center who had no prior exposure to or training with the Mini-Cog (N=92)...
February 23, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29473941/targeted-geriatric-assessment-for-fast-paced-healthcare-settings-development-validity-and-reliability
#5
Márlon J R Aliberti, Daniel Apolinario, Claudia K Suemoto, Juliana A Melo, Sileno Q Fortes-Filho, Marcos D Saraiva, Carolina B Trindade, Kenneth E Covinsky, Wilson Jacob-Filho
OBJECTIVES: To develop and examine the validity and reliability of a targeted geriatric assessment (TaGA) for busy healthcare settings. DESIGN: The TaGA was developed through the consensus of experts (Delphi technique), and we investigated its construct validity and reliability in a cross-sectional study. SETTING: Geriatric day hospital specializing in acute care in Brazil. PARTICIPANTS: Older adults (N = 534) aged 79...
February 23, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29473940/delirium-a-framework-to-improve-acute-care-for-older-persons
#6
Sharon K Inouye
This article is based on the M. Powell Lawton Award Lecture that I delivered at the 2016 Gerontological Society of America Annual Meeting. I provide an overview of my journey in geriatric medicine and delirium research. I created new measures, including the Confusion Assessment Method, for identification of delirium; conceptualized a multifactorial risk model; and developed and tested intervention strategies for delirium prevention. The Hospital Elder Life Program arose from this work. In addition, like Dr...
February 23, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29468640/prevalence-and-preventability-of-drug-related-hospital-readmissions-a-systematic-review
#7
REVIEW
Najla El Morabet, Elien B Uitvlugt, Bart J F van den Bemt, Patricia M L A van den Bemt, Marjo J A Janssen, Fatma Karapinar-Çarkit
OBJECTIVES: To summarize the evidence on the prevalence and preventability of drug-related hospital readmissions. DESIGN: A systematic review was performed of studies that examined drug-related hospital readmissions. PubMed, EMBASE, and the Cochrane Library were searched from inception through August 2016. Reference lists and a citation analysis on Web of Science and Scopus were also consulted. Two reviewers extracted study data with dual assessment of risk of bias...
February 22, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29461631/a-gift-from-mary
#8
Dalane W Kitzman
No abstract text is available yet for this article.
February 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29461630/factors-affecting-discharge-to-home-of-geriatric-intermediate-care-facility-residents-in-japan
#9
Kojiro Morita, Sachiko Ono, Miho Ishimaru, Hiroki Matsui, Takashi Naruse, Hideo Yasunaga
OBJECTIVES: To investigate factors associated with lower likelihood of discharge to home from geriatric intermediate care facilities in Japan. DESIGN: Retrospective cohort study. SETTING: We used data from the nationwide long-term care (LTC) insurance claims database (April 2012-March 2014). PARTICIPANTS: Study participants were 342,758 individuals newly admitted to 3,459 geriatric intermediate care facilities during the study period...
February 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29461624/the-walking-corpse-syndrome-geriatrics-and-the-electronic-health-record
#10
John R Burton
No abstract text is available yet for this article.
February 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29461621/core-outcome-set-for-trials-aimed-at-improving-the-appropriateness-of-polypharmacy-in-older-people-in-primary-care
#11
Audrey Rankin, Cathal A Cadogan, Cristín Ryan, Barbara Clyne, Susan M Smith, Carmel M Hughes
OBJECTIVES: To develop a core outcome set (COS) for use in effectiveness trials of interventions aiming to improve the appropriateness of polypharmacy in older people in primary care. DESIGN: Standard COS development methodology was followed, comprising identification of outcomes of studies from an update of a Cochrane systematic review and previously collected qualitative data and an online Delphi consensus exercise involving three rounds. PARTICIPANTS: An international panel of 160 stakeholders comprising 120 healthcare experts and a public participant panel of 40 older people...
February 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29461620/developing-a-core-outcome-set-for-trials-to-improve-medication-use-guidelines-or-guidance
#12
EDITORIAL
Zachary A Marcum, Michael A Steinman
No abstract text is available yet for this article.
February 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29460284/dementia-and-risk-of-30-day-readmission-in-older-adults-after-discharge-from-acute-care-hospitals
#13
Nobuo Sakata, Yasuyuki Okumura, Kiyohide Fushimi, Miharu Nakanishi, Asao Ogawa
OBJECTIVES: To assess the association between dementia and risk of hospital readmission and to evaluate whether the effect of dementia on hospital readmission varies according to primary diagnosis. DESIGN: Retrospective cohort study. SETTING: Nationwide discharge database of acute care hospitals in Japan. PARTICIPANTS: Individuals aged 65 and older diagnosed with one of the 30 most common diagnoses and discharged from 987 hospitals between April 2014 and September 2015 (N = 1,834,378)...
February 20, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29446066/resource-use-during-the-last-6-months-of-life-of-individuals-dying-with-and-of-alzheimer-s-disease
#14
Kristof Faes, Joachim Cohen, Lieven Annemans
OBJECTIVES: To compare resource use during the last 6 months of life of individuals diagnosed with Alzheimer's disease (AD) but for whom AD was not formally identified as the underlying cause of death (dying with AD) with that of those who had AD as underlying cause of death (dying of AD). DESIGN: Full-population retrospective analysis. SETTING: Belgium. PARTICIPANTS: All Belgian decedents in 2012. MEASUREMENTS: We linked participants' healthcare, population, and death certificate data...
February 15, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29441517/association-between-knee-pain-impaired-function-and-development-of-depressive-symptoms
#15
Keiko Sugai, Fujimi Takeda-Imai, Takehiro Michikawa, Takahiro Nakamura, Toru Takebayashi, Yuji Nishiwaki
OBJECTIVES: To examine the association between knee pain and function and depressive symptoms in older Japanese adults. DESIGN: Community-based prospective cohort study. SETTING: Kurabuchi Town, Gumma Prefecture, Japan. PARTICIPANTS: Individuals aged 65 and older (N = 573; n = 260 men, n = 313 women) without depressive symptoms participated in baseline examinations in 2005 and 2006; 95.6% participated in follow-up interviews (2007-08)...
February 14, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29437223/-things-ain-t-changed-much-since-momma-marched
#16
Paul Rousseau
No abstract text is available yet for this article.
February 13, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29437221/the-complexity-of-determining-whether-a-nursing-home-transfer-is-avoidable-at-time-of-transfer
#17
Kathleen T Unroe, Jennifer L Carnahan, Susan E Hickman, Greg A Sachs, Zachary Hass, Greg Arling
OBJECTIVES: To describe the relationship between nursing facility resident risk conditions and signs and symptoms at time of acute transfer and diagnosis of conditions associated with potentially avoidable acute transfers (pneumonia, urinary tract infection, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD) or asthma, dehydration, pressure sores). DESIGN: As part of a demonstration project to reduce potentially avoidable hospital transfers, Optimizing Patient Transfers, Impacting Medical Quality, Improving Symptoms: Transforming Institutional Care (OPTIMISTIC) project clinical staff collected data on residents who transferred to the emergency department (ED) or hospital...
February 13, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29437206/the-burden-of-chikungunya-virus-infection-the-need-for-systematic-and-geriatric-specific-epidemiological-monitoring
#18
LETTER
Pierre-Olivier Lang, Richard Aspinall
No abstract text is available yet for this article.
February 13, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29437205/effect-of-chikungunya-virus-infection-on-individuals-and-the-healthcare-system
#19
LETTER
Lidvine Godaert, Moustapha Dramé, Jean-Luc Fanon, Fabrice Simon
No abstract text is available yet for this article.
February 13, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29435978/how-geriatrics-saved-this-family-caregiver
#20
Nancy E Lundebjerg
No abstract text is available yet for this article.
February 13, 2018: Journal of the American Geriatrics Society
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