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Journal of the American Geriatrics Society

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https://www.readbyqxmd.com/read/29044463/prehospital-delay-in-older-adults-with-acute-myocardial-infarction-the-comprehensive-evaluation-of-risk-factors-in-older-patients-with-acute-myocardial-infarction-study
#1
Gregory M Ouellet, Mary Geda, Terrence E Murphy, Sui Tsang, Mary E Tinetti, Sarwat I Chaudhry
BACKGROUND/OBJECTIVES: Timely administration of antiischemic therapies improves outcomes in individuals with acute myocardial infarction (AMI). Prior literature on delays in AMI care has largely focused on in-hospital delay ("door to balloon" time). Our objective was to identify factors associated with prehospital delay in a contemporary national cohort of older adults with AMI. DESIGN: Cross-sectional analysis of data from the ComprehenSIVe Evaluation of Risk Factors in Older Patients with Acute Myocardial Infarction (SILVER-AMI) study, an observational study of older adults hospitalized for AMI...
October 18, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29044479/the-strategies-to-reduce-injuries-and-develop-confidence-in-elders-intervention-falls-risk-factor-assessment-and-management-patient-engagement-and-nurse-co-management
#2
David B Reuben, Priscilla Gazarian, Neil Alexander, Katy Araujo, Dorothy Baker, Jonathan F Bean, Chad Boult, Peter Charpentier, Pamela Duncan, Nancy Latham, Rosanne M Leipzig, Lisa M Quintiliani, Thomas Storer, Siobhan McMahon
In response to the epidemic of falls and serious falls-related injuries in older persons, in 2014, the Patient Centered Outcomes Research Institute (PCORI) and the National Institute on Aging funded a pragmatic trial, Strategies to Reduce Injuries and Develop confidence in Elders (STRIDE) to compare the effects of a multifactorial intervention with those of an enhanced usual care intervention. The STRIDE multifactorial intervention consists of five major components that registered nurses deliver in the role of falls care managers, co-managing fall risk in partnership with patients and their primary care providers (PCPs)...
October 17, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29044477/association-between-neighborhood-cohesion-and-self-neglect-in-chinese-american-older-adults
#3
Ailian Hei, XinQi Dong
OBJECTIVES: To examine the association between neighborhood cohesion and risk of self-neglect in a community-dwelling Chinese-American older population. SETTING: Community. PARTICIPANTS: Chinese-American older adults aged 60 and older interviewed from 2011 to 2013 (N = 3,159). DESIGN: Data were drawn from the Population Study of Chinese Elderly, a cross-sectional community-engaged study in the greater Chicago area...
October 17, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29044457/secondary-prevention-medication-use-after-myocardial-infarction-in-u-s-nursing-home-residents
#4
Andrew R Zullo, Sadia Sharmin, Yoojin Lee, Lori A Daiello, Nishant R Shah, W John Boscardin, David D Dore, Sei J Lee, Michael A Steinman
BACKGROUND/OBJECTIVES: Secondary prevention medications are recommended for older adults after acute myocardial infarction (AMI), but little is known about whether nursing home (NH) residents receive these medications. The objective was to evaluate new use of secondary prevention medications after AMI in NH residents who were previously nonusers and to evaluate what factors were associated with use. DESIGN: Retrospective cohort using linked national Minimum Data Set assessments; Online Survey, Certification and Reporting records; and Medicare claims...
October 17, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29044480/can-physical-activity-prevent-falls-in-older-adults-with-poor-physical-performance
#5
EDITORIAL
James Judge
No abstract text is available yet for this article.
October 16, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29044456/the-geometry-of-patient-safety-horizontal-and-vertical-approaches-to-the-hazards-of-hospitalization
#6
EDITORIAL
Heidi L Wald
No abstract text is available yet for this article.
October 16, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29023625/readily-identifiable-risk-factors-of-nursing-home-residents-oral-hygiene-dementia-hospice-and-length-of-stay
#7
Sheryl Zimmerman, Sophie Austin, Lauren Cohen, David Reed, Patricia Poole, Kimberly Ward, Philip D Sloane
BACKGROUND/OBJECTIVES: The poor oral hygiene of nursing home (NH) residents is a matter of increasing concern, especially because of its relationship with pneumonia and other health events. Because details and related risk factors in this area are scant and providers need to be able to easily identify those residents at most risk, this study comprehensively examined the plaque, gingival, and denture status of NH residents, as well as readily available correlates of those indicators of oral hygiene, including items from the Minimum Data Set (MDS)...
October 12, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28991368/predicting-discharge-to-institutional-long-term-care-after-stroke-a-systematic-review-and-metaanalysis
#8
Jennifer K Burton, Eilidh E C Ferguson, Amanda J Barugh, Katherine E Walesby, Alasdair M J MacLullich, Susan D Shenkin, Terry J Quinn
BACKGROUND/OBJECTIVES: Stroke is a leading cause of disability worldwide, and a significant proportion of stroke survivors require long-term institutional care. Understanding who cannot be discharged home is important for health and social care planning. Our aim was to establish predictive factors for discharge to institutional care after hospitalization for stroke. DESIGN: We registered and conducted a systematic review and meta-analysis (PROSPERO: CRD42015023497) of observational studies...
October 9, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28990160/monitoring-of-potentially-inappropriate-prescriptions-in-older-inpatients-a-french-multicenter-study
#9
Irène Pandraud-Riguet, Dominique Bonnet-Zamponi, Elsa Bourcier, Marion Buyse, Sandra Laribe-Caget, Patrick Frémont, Eric Pautas, Christiane Verny, Patrick Hindlet, Christine Fernandez
OBJECTIVES: To determine whether potentially inappropriate medications (PIMs) or potentially inappropriate associations (PIAs) prescribed knowingly are associated with patient monitoring. DESIGN: Prospective observational study. SETTING: Geriatric units (n = 56) in 28 hospitals. PARTICIPANTS: Inpatients aged 75 and older (N = 1,327). MEASUREMENTS: Potentially inappropriate prescriptions (PIP) were defined as a PIM or a PIA selected by an expert board from lists of explicit criteria (Beers, Priscus, Laroche, French Health Agency) using a Delphi process...
October 9, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28990154/into-the-great-unknown-our-patients-go
#10
EDITORIAL
Elizabeth C Gundersen, Mandi M Sehgal, Joseph G Ouslander
No abstract text is available yet for this article.
October 9, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28975616/percutaneous-feeding-tubes-in-individuals-with-advanced-dementia-are-physicians-choosing-wisely
#11
Marzena Gieniusz, Liron Sinvani, Andrzej Kozikowski, Vidhi Patel, Christian Nouryan, Myia S Williams, Nina Kohn, Renee Pekmezaris, Gisele Wolf-Klein
OBJECTIVES: To evaluate physician knowledge and perceptions about the American Board of Internal Medicine/American Geriatrics Society (ABIM/AGS) Choosing Wisely recommendations regarding percutaneous endoscopic gastrostomy (PEG) in individuals with advanced dementia. DESIGN: Multicenter, mixed-mode, anonymous questionnaire. SETTING: Three tertiary and four community hospitals in New York. PARTICIPANTS: Internal medicine physicians (N = 168)...
October 4, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28975609/healthcare-associated-meningitis-or-ventriculitis-in-older-adults
#12
Chanunya Srihawan, Onaizah Habib, Lucrecia Salazar, Rodrigo Hasbun
BACKGROUND/OBJECTIVES: Healthcare-associated meningitis or ventriculitis (HCAMV) is a serious and life-threatening complication of invasive neurosurgical procedures or penetrating head trauma. Older adults are at higher risk of adverse outcomes in community-acquired meningitis but studies of HCAMV are lacking. Therefore, we perform the study to define the differences in clinical outcomes between older and younger adults with HCAMV. DESIGN: Retrospective study. SETTING: A large tertiary care hospital in Houston, Texas, from July 2003 to November 2014...
October 4, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28975608/inappropriate-prescribing-in-older-hospitalized-adults-a-comparison-of-medical-specialties
#13
Ana Carmen Dos Santos Ribeiro Simoes Juliano, Alessandra Lamas Granero Lucchetti, Jéssica Teixeira Santos da Silva, Letícia Gomes Santos, Jéssica Borges Taranto Nunes, Guilherme Cortes Fernandes, Giancarlo Lucchetti
OBJECTIVES: To evaluate the prevalence and number of potentially inappropriate medications (PIMs) in hospitalized older adults, comparing prescription patterns of medical specialties. DESIGN: Retrospective cohort study. SETTING: Tertiary general hospital. PARTICIPANTS: All older adults hospitalized from January through May 2015 (N = 1,900). MEASUREMENTS: Information on medications prescribed during the first and last days of hospitalization was collected and evaluated regarding PIMs using Beers and Screening Tool of Older People's Prescriptions (STOPP) criteria...
October 4, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28975604/association-between-race-neighborhood-and-medicaid-enrollment-and-outcomes-in-medicare-home-health-care
#14
Karen E Joynt Maddox, Lena M Chen, Rachael Zuckerman, Arnold M Epstein
BACKGROUND/OBJECTIVES: More than 3 million Medicare beneficiaries use home health care annually, yet little is known about how vulnerable beneficiaries fare in the home health setting. This is particularly important given the recent launch of Medicare's Home Health Value-Based Purchasing model. The objective of this study was to determine odds of adverse clinical outcomes associated with dual enrollment in Medicaid and Medicare as a marker of individual poverty, residence in a low-income ZIP code tabulation area (ZCTA), and black race...
October 4, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28975599/disparities-in-clinical-outcomes-in-medicare-home-health-care
#15
EDITORIAL
Chanee D Fabius
No abstract text is available yet for this article.
October 4, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28971482/effect-of-preoperative-geriatric-evaluation-on-outcomes-after-elective-surgery-a-population-based-study
#16
Daniel I McIsaac, Allen Huang, Coralie A Wong, Duminda N Wijeysundera, Gregory L Bryson, Carl van Walraven
BACKGROUND/OBJECTIVES: Randomized and nonrandomized single-center studies suggest that preoperative geriatric evaluation improves postoperative outcomes in older adults. The generalizability and population-level effect of preoperative geriatric evaluation has not been determined. Our objective was to measure the adjusted association between preoperative geriatric evaluation and postoperative outcomes. DESIGN: Multilevel multivariable regression model analysis of a population-based historical cohort...
October 3, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28960240/elder-friendly-emergency-department-development-and-validation-of-a-quality-assessment-tool
#17
Jane McCusker, T T Minh Vu, Nathalie Veillette, Sylvie Cossette, Alain Vadeboncoeur, Antonio Ciampi, Deniz Cetin-Sahin, Eric Belzile
OBJECTIVES: To develop and validate a comprehensive quality assessment tool for emergency department (ED) geriatric care. DESIGN: Four-step study: (1) Content development of tool by a multidisciplinary panel, (2) survey of ED lead physicians and nurses, (3) development of subscales using principal component analysis and clinical judgment, (4) reliability and validity assessment. SETTING: Province of Quebec, Canada. PARTICIPANTS: Lead ED nurses and physicians at 76 Quebec EDs who participated in a 2013/14 survey (66% of 116 adult nonpsychiatric EDs in the province)...
September 27, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28960237/individualized-acute-medical-care-for-cognitively-impaired-individuals-a-call-always-to-pause-before-hospitalization
#18
EDITORIAL
Clifford C Sheckter, Nicholas T Bott, Arnold Milstein, Bruce Leff
No abstract text is available yet for this article.
September 27, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28960236/national-structural-survey-of-veterans-affairs-home-based-primary-care-programs
#19
Jurgis Karuza, Suzanne M Gillespie, Tobie Olsan, Xeuya Cai, Stuti Dang, Orna Intrator, Jiejin Li, Shan Gao, Bruce Kinosian, Thomas Edes
OBJECTIVES: To describe the current structural and practice characteristics of the Department of Veterans Affairs (VA) Home-Based Primary Care (HBPC) program. DESIGN: We designed a national survey and surveyed HBPC program directors on-line using REDCap. PARTICIPANTS: We received 236 surveys from 394 identified HBPC sites (60% response rate). MEASUREMENTS: HBPC site characteristics were quantified using closed-ended formats...
September 27, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28960230/risk-of-fracture-in-women-with-sarcopenia-low-bone-mass-or-both
#20
Rebekah Harris, Yuefang Chang, Kristen Beavers, Deepika Laddu-Patel, Jennifer Bea, Karen Johnson, Meryl LeBoff, Catherine Womack, Robert Wallace, Wenjun Li, Carolyn Crandall, Jane Cauley
OBJECTIVES: To determine whether women with sarcopenia and low bone mineral density (BMD) are at greater risk of clinical fractures than those with sarcopenia or low BMD alone. DESIGN: Women's Health Initiative (WHI) Observational and Clinical trials. SETTING: Three U.S. clinical centers (Pittsburgh, PA; Birmingham, AL; Phoenix/Tucson, AZ). PARTICIPANTS: Women (mean age 63.3 ± 0.07) with BMD measurements (N = 10,937)...
September 27, 2017: Journal of the American Geriatrics Society
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