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Journal of the American Geriatrics Society

Gianluca Testa, Alice Ceccofiglio, Chiara Mussi, Giuseppe Bellelli, Franco Nicosia, Mario Bo, Daniela Riccio, Francesco Curcio, Anna Maria Martone, Gabriele Noro, Francesco Landi, Andrea Ungar, Pasquale Abete
OBJECTIVES: To determine whether hypotensive drugs may play a pivotal role in inducing orthostatic hypotension (OH)-related syncope. DESIGN: Prospective, observational, multicenter study. SETTING: Acute care wards, syncope units, and centers for the diagnosis of dementia. PARTICIPANTS: Individuals aged 65 and older with a diagnosis of dementia and 1 or more episodes of transient loss of consciousness of a suspected syncopal nature or unexplained falls during the previous 3 months MEASUREMENTS: Blood pressure was measured in the supine position and in the orthostatic position after 1 and 3 minutes...
June 13, 2018: Journal of the American Geriatrics Society
Emma G Lewis, Greta Wood, Kate Howorth, Bhavini Shah, Louise Mulligan, John Kissima, Catherine Dotchin, William Gray, Sarah Urasa, Richard Walker
OBJECTIVES: To investigate the prevalence of frailty using a Comprehensive Geriatric Assessment (CGA) in older community-dwelling adults living in rural northern Tanzania. DESIGN: Cross-sectional survey. SETTING: Five randomly selected villages in Hai District, Kilimanjaro region, Tanzania. PARTICIPANTS: All adults aged 60 and older living in the selected villages were eligible to participate, including older adults with cognitive impairment provided a close relative was able to assent on their behalf...
June 13, 2018: Journal of the American Geriatrics Society
Guusje van der Leeuw, Suzanne G Leveille, Zhiyong Dong, Ling Shi, Daniel Habtemariam, William Milberg, Jeffrey M Hausdorff, Laura Grande, Peggy Gagnon, Robert R McLean, Jonathan F Bean
OBJECTIVES: To examine the cross-sectional relationship between chronic pain and complex attention in a population of community-living older adults. DESIGN: Prospective cross-sectional cohort study. SETTING: Population-based Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly of Boston Study II. PARTICIPANTS: Individuals aged 71 to 101 (N=354). MEASUREMENTS: Chronic pain was measured using the pain severity and interference subscales of the Brief Pain Inventory...
June 6, 2018: Journal of the American Geriatrics Society
Tomoyuki Ohara, Takanori Honda, Jun Hata, Daigo Yoshida, Naoko Mukai, Yoichiro Hirakawa, Mao Shibata, Hiro Kishimoto, Takanari Kitazono, Shigenobu Kanba, Toshiharu Ninomiya
OBJECTIVES: To investigate the association between daily sleep duration and risk of dementia and death in a Japanese elderly population. DESIGN: Prospective cohort study. SETTING: The Hisayama Study, Japan. PARTICIPANTS: Community-dwelling Japanese individuals aged 60 and older without dementia. MEASUREMENTS: Self-reported daily sleep duration was grouped into 5 categories (<5.0, 5.0-6.9, 7...
June 6, 2018: Journal of the American Geriatrics Society
Ahmet Turan Isik, Pinar Soysal, Brendon Stubbs, Marco Solmi, Cristina Basso, Stefania Maggi, Patricia Schofield, Nicola Veronese, Christoph Mueller
OBJECTIVES: To evaluate the cardiovascular (CV) effects of acetylcholinesterase inhibitors (AChEIs) in individuals with dementia DESIGN: Systematic review and meta-analysis. SETTING: Two authors independently searched major electronic databases from inception until June 17, 2017, for longitudinal (without a control group) and cohort (with a control group) studies reporting CV outcomes in relation to AChEIs. Randomized controlled trials were excluded because they included relatively healthy subjects...
May 30, 2018: Journal of the American Geriatrics Society
Rubina Malik, Erica F Weiss, Reena Gottesman, Jessica Zwerling, Joe Verghese
OBJECTIVES: To describe the psychometric properties of the Picture-based Memory Impairment Screen (PMIS) in a multidisciplinary memory disorder center serving an ethnically and educationally diverse community. DESIGN: Cross-sectional cohort study. SETTING: Montefiore Center for Aging Brain (CAB) PARTICIPANTS: Individuals with cognitive complaints (N=405; average age 76±10, 66% female). MEASUREMENTS: A geriatrician or neurologist administered the PMIS, and a neuropsychologist administered the Blessed Information, Memory, and Concentration (BIMC) test and determined whether participants had dementia, mild cognitive impairment (MCI), or subjective cognitive complaints (SCC)...
May 29, 2018: Journal of the American Geriatrics Society
Chiara Mazzarelli, Aisling Considine, Kate Childs, Ivana Carey, Matteo Angelo Manini, Abid Suddle, Geoffrey Dusheiko, Kosh Agarwal, Mary D Cannon
OBJECTIVES: To evaluate the efficacy and tolerability of direct-acting antiviral (DAA) therapy in individuals aged 65 and older. DESIGN: Retrospective review between June 2014 and January 2017. SETTING: Viral hepatitis outpatient clinic. PARTICIPANTS: Individuals aged 65 and older treated with DAA therapy for hepatitis C virus (HCV) during the study period (N=113) divided into 2 cohorts: aged 65 to 74 (n=88) and aged 75 and older (n=25)...
May 25, 2018: Journal of the American Geriatrics Society
Kosaku Komiya, Yuko Usagawa, Jun-Ichi Kadota, Naoki Ikegami
OBJECTIVES: To identify trends in percutaneous endoscopic gastrostomy (PEG) tube placement and intravenous hyperalimentation (IVH) in nonhospital settings (as a potential alternative to tube feeding for nutrition) and to summarize published reports concerning the decision-making process for PEG placement. DESIGN: National survey and systematic review. SETTING: Japan. PARTICIPANTS: All Japanese people. MEASUREMENTS: Data on numbers of individuals with a PEG tube and IVH were obtained from the website of the Japanese Ministry of Health, Labour, and Welfare and published reports concerning the decision-making process for PEG placement in Japan were summarized...
May 25, 2018: Journal of the American Geriatrics Society
Annie N Simpson, Kit N Simpson, Judy R Dubno
OBJECTIVES: To measure 18-month healthcare cost difference attributable to hearing loss (HL) in older adults. DESIGN: Matched cohort. SETTING: Retrospective analysis of administrative healthcare bills of insured older Americans. PARTICIPANTS: Older U.S. adults with health insurance in 3 cohorts matched based on HL diagnosis using propensity score methods (N=904,750). MEASUREMENTS: Comparison groups were defined as those with and without HL diagnosis using International Classification of Diseases, Ninth Revision, diagnosis codes from billing records...
May 24, 2018: Journal of the American Geriatrics Society
Terry Fulmer, Marcus Escobedo, Amy Berman, Mary Jane Koren, Sandra Hernández, Angela Hult
OBJECTIVES: To evaluate physicians' views on advance care planning, goals of care, and end-of-life conversations. DESIGN: Random sample telephone survey. SETTING: United States. PARTICIPANTS: Physicians (primary care specialists; pulmonology, cardiology, oncology subspecialists) actively practicing medicine and regularly seeing patients aged 65 and older (N=736; 81% male, 75% white, 66% aged ≥50. MEASUREMENTS: A 37-item telephone survey constructed by a professional polling group with national expert oversight measured attitudes and perceptions of barriers and facilitators to advance care planning...
May 23, 2018: Journal of the American Geriatrics Society
Kathrin Boerner, Kyungmin Kim, Yijung Kim, Christoph Rott, Daniela S Jopp
OBJECTIVES: To explore how centenarians think about and plan for the end of life (EOL) and to what extent their primary contacts (proxy informants) are aware of these thoughts. DESIGN: Population-based study with semistructured in-person interviews. SETTING: Defined geographical region approximately 60 km around Heidelberg, Germany. PARTICIPANTS: Subsample drawn from the larger study of centenarians (N = 78) with data on centenarians' EOL thoughts from the centenarian and the proxy informant...
May 22, 2018: Journal of the American Geriatrics Society
Da-Hye Son, Ji-Won Yoo, Mi-Ra Cho, Yong-Jae Lee
OBJECTIVES: To investigate the relationship between handgrip strength and pulmonary function. DESIGN: Cross-sectional study of a representative sample of older Korean women. SETTING: The Korean National Health and Nutrition Examination Survey. PARTICIPANTS: Community-dwelling women aged 65 and older without chronic diseases or pulmonary disease (N=605). MEASUREMENTS: Handgrip strength was measured using a digital hand dynamometer, and pulmonary function was tested according to guidelines of the American Thoracic Society/European Respiratory Society using a spirometry system...
May 21, 2018: Journal of the American Geriatrics Society
Brienne Miner, Thomas M Gill, H Klar Yaggi, Nancy S Redeker, Peter H Van Ness, Ling Han, Carlos A Vaz Fragoso
OBJECTIVE: To evaluate the epidemiology of insomnia, including demographic and clinical correlates, in older adults. DESIGN: Cross-sectional. SETTING: Community. PARTICIPANTS: Yale Precipitating Events Project participants (N=379; mean age 84.3; 67.8% female; 11.9% African American). MEASUREMENTS: Insomnia Severity Index (ISI), with scores of 8 and higher indicating insomnia, which was further stratified according to ISI score as mild (8-14), moderate (15-21), or severe (22-28)...
May 21, 2018: Journal of the American Geriatrics Society
William C Cushman, Karen C Johnson
No abstract text is available yet for this article.
May 20, 2018: Journal of the American Geriatrics Society
Javier Oltra-Cucarella, Miriam Sánchez-SanSegundo, Darren M Lipnicki, Perminder S Sachdev, John D Crawford, José A Pérez-Vicente, Luis Cabello-Rodríguez, Rosario Ferrer-Cascales
OBJECTIVES: To investigate the implications of obtaining one or more low scores on a battery of cognitive tests on diagnosing mild cognitive impairment (MCI). DESIGN: Observational longitudinal study. SETTING: Alzheimer's Disease Neuroimaging Initiative. PARTICIPANTS: Normal controls (NC, n = 280) and participants with MCI (n = 415) according to Petersen criteria were reclassified using the Jak/Bondi criteria and number of impaired tests (NIT) criteria...
May 10, 2018: Journal of the American Geriatrics Society
Tiffany J Braley, Galit Levi Dunietz, Ronald D Chervin, Lynda D Lisabeth, Lesli E Skolarus, James F Burke
OBJECTIVES: To estimate the proportion of older Americans at risk for obstructive sleep apnea (OSA) who receive OSA evaluations, diagnosis, and treatment. DESIGN: Cross sectional study. SETTING: National Health and Aging Trends Study (NHATS), Round 3 survey. PARTICIPANTS: Community-dwelling Medicare beneficiaries age 65 and older (N=1,052). MEASUREMENTS: NHATS participants were asked specific questions about sleep disturbances, including items that resembled critical elements of a validated instrument used to assess OSA risk (the STOP-Bang questionnaire)...
May 9, 2018: Journal of the American Geriatrics Society
Stewart Manley
No abstract text is available yet for this article.
May 9, 2018: Journal of the American Geriatrics Society
Rebecca L Sudore, Isabel Arellano Cuervo, Lina Tieu, David Guzman, Lauren M Kaplan, Margot Kushel
Older homeless-experienced adults have low engagement in advance care planning (ACP) despite high morbidity and mortality. We conducted a cross-sectional analysis of a cohort of 350 homeless-experienced adults aged 50 and older in Oakland, California. We assessed the prevalence of potential surrogate decision-makers, ACP contemplation, discussions, and ACP documentation (surrogate designation, advance directives). We used multivariable logistic regression to examine factors associated with ACP discussions and documentation...
May 9, 2018: Journal of the American Geriatrics Society
Biao Wang, Tammy Hylwka, Marek Smieja, Michael Surrette, Dawn M E Bowdish, Mark Loeb
OBJECTIVES: To assess the feasibility of conducting a large clinical trial to evaluate the effectiveness of probiotics to reduce influenza and other respiratory virus infections in residents of long-term and chronic care facilities (LTCFs). DESIGN: Randomized, double-blind, placebo-controlled pilot trial. SETTING: Fourteen nursing homes in Hamilton and surrounding region, Ontario, Canada. PARTICIPANTS: Nursing home residents aged 65 and older (N=209)...
May 9, 2018: Journal of the American Geriatrics Society
Xintong Zuo, Alison Luciano, Carl F Pieper, James R Bain, Virginia B Kraus, William E Kraus, Miriam C Morey, Harvey J Cohen
OBJECTIVES: To determine whether combinations of inflammatory markers are related to physical function. DESIGN AND SUBJECTS: secondary analysis of baseline of three observational studies of community-dwelling older adults MEASUREMENTS: The baseline data from 3 cohorts of older adults with different health and disease status were employed. Twenty markers of inflammation and metabolism were individually assessed for correlation with usual gait speed and were separated into robust and impairment quartiles...
May 8, 2018: Journal of the American Geriatrics Society
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