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Journal of the American Medical Directors Association

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https://www.readbyqxmd.com/read/28935515/template-for-an-antibiotic-stewardship-policy-for-post-acute-and%C3%A2-long-term-care-settings
#1
Robin L P Jump, Swati Gaur, Morgan J Katz, Christopher J Crnich, Ghinwa Dumyati, Muhammad S Ashraf, Elizabeth Frentzel, Steven J Schweon, Philip Sloane, David Nace
In response to a rising concern for multidrug resistance and Clostridium difficile infections, the Centers for Medicare and Medicaid services (CMS) will require all long-term care (LTC) facilities to establish an antibiotic stewardship program by November 2017. Thus far, limited evidence describes implementation of antibiotic stewardship in LTC facilities, mostly in academic- or hospital-affiliated settings. To support compliance with CMS requirements and aid facilities in establishing a stewardship program, the Infection Advisory Committee at AMDA-The Society for Post-Acute and Long-Term Care Medicine, has developed an antibiotic stewardship policy template tailored to the LTC setting...
September 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28927946/validity-and-responsiveness-of-the-frail-scale-in-middle-aged-women
#2
Maja Susanto, Ruth E Hubbard, Paul A Gardiner
OBJECTIVE: To assess the validity and responsiveness of the FRAIL scale in middle-aged women, who are a group at high risk of developing frailty. DESIGN: Longitudinal cohort study from 1998 to 2013. SETTING: Australia. PARTICIPANTS: 10,412 women born in 1946-1951 from the Australian Longitudinal Study on Women's Health (ALSWH). MEASUREMENTS: Frailty was measured by the 5-item FRAIL scale and assessed every 3 years from 1998 to 2013...
September 16, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28927945/consensus-approaches-to-identify-incident-dementia-in-cohort-studies-systematic-review-and-approach-in-the-successful-aging-after-elective-surgery-study
#3
REVIEW
Eyal Y Kimchi, Tammy T Hshieh, Ray Guo, Bonnie Wong, Margaret O'Connor, Edward R Marcantonio, Eran D Metzger, Jason Strauss, Steven E Arnold, Sharon K Inouye, Tamara G Fong
OBJECTIVES: To survey the current methods used to ascertain dementia and mild cognitive impairment (MCI) in longitudinal cohort studies, to categorize differences in approaches and to identify key components of expert panel methodology in current use. METHODS: We searched PubMed for the past 10 years, from March 6, 2007 to March 6, 2017 using a combination of controlled vocabulary and keyword terms to identify expert panel consensus methods used to diagnose MCI or dementia in large cohort studies written in English...
September 16, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28919281/erratum
#4
(no author information available yet)
No abstract text is available yet for this article.
September 14, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28916290/conceptualizing-a-dynamic-fall-risk-model-including-intrinsic-risks-and-exposures
#5
Jochen Klenk, Clemens Becker, Pierpaolo Palumbo, Lars Schwickert, Kilan Rapp, Jorunn L Helbostad, Chris Todd, Stephen R Lord, Ngaire Kerse
Falls are a major cause of injury and disability in older people, leading to serious health and social consequences including fractures, poor quality of life, loss of independence, and institutionalization. To design and provide adequate prevention measures, accurate understanding and identification of person's individual fall risk is important. However, to date, the performance of fall risk models is weak compared with models estimating, for example, cardiovascular risk. This deficiency may result from 2 factors...
September 12, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28899662/baseline-association-of-motoric-cognitive-risk-syndrome-with-sustained-attention-memory-and-global-cognition
#6
Fiachra J Maguire, Isabelle Killane, Andrew P Creagh, Orna Donoghue, Rose Anne Kenny, Richard B Reilly
OBJECTIVES: Slow gait has been shown to be a good predictor of declining cognitive function in healthy older adults. Motoric cognitive risk (MCR) syndrome is a new construct incorporating slow gait and subjective cognitive complaints in individuals without dementia who have preserved activities of daily living. This analysis investigated the prevalence of MCR and factors associated with MCR in a nationally representative population. In addition, cross-sectional associations between MCR and cognitive domains, an relationship yet to be fully elucidated in literature, was investigated...
September 9, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28899661/frailty-polypharmacy-and-health-outcomes-in-older-adults-the%C3%A2-frailty-and-dependence-in-albacete-study
#7
Bonaga Beatriz, Pedro M Sánchez-Jurado, Marta Martínez-Reig, Gabriel Ariza, Leocadio Rodríguez-Mañas, Danijela Gnjidic, Tránsito Salvador, Pedro Abizanda
BACKGROUND/OBJECTIVES: To investigate if polypharmacy modifies the association between frailty and health outcomes in older adults. DESIGN: Ongoing cohort study. SETTING: Albacete City, Spain. PARTICIPANTS: A total for 773 participants, 457 women (59.1%), over age 70 years from the FRADEA Study. MEASUREMENTS: Frailty phenotype, polypharmacy considered as the chronic use of 5 or more drugs, and comorbidity were collected at the baseline visit...
September 9, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28899660/effects-of-legal-access-to-cannabis-on-scheduled-ii-v-drug-prescriptions
#8
Sarah S Stith, Jacob M Vigil, Ian Marshall Adams, Anthony P Reeve
BACKGROUND: Co-prescribing of scheduled drugs is endemic in the United Sates, increasing health risks to patients and the burden on healthcare systems. PURPOSE: We conducted a pragmatic historical cohort study to measure the effect of enrollment in a state-authorized United States' Medical Cannabis Program (MCP) on scheduled II-V drug prescription patterns. PROCEDURES: Eighty-three chronic pain patients, who enrolled in the New Mexico MCP between April 1, 2010 and October 3, 2015, were compared with 42 nonenrolled patients over a 24-month period (starting 6 months before enrollment for the MCP patients) using the Prescription Monitoring Program...
September 9, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28870834/prevalence-of-preventive-cardiovascular-medication-use-in-nursing-home-residents-room-for-deprescribing-the-shelter-study
#9
Alireza Malek Makan, Hein van Hout, Graziano Onder, Harriet Finne-Soveri, Henriëtte van der Roest, Rob van Marum
INTRODUCTION: In nursing home (NH) residents with a very short life expectancy, the benefits of preventive cardiovascular medication maintenance are questionable. OBJECTIVE: To assess the prevalence of 4 classes of preventive cardiovascular medication (PCM) in NH residents, and to explore differences of prevalence across length of stay, mortality risk, cognitive impairment, functional disability, and across countries. METHODS: A 12-month prospective cohort study was conducted in 57 NHs in 8 countries (Czech Republic, England, Finland, France, Germany, Italy, The Netherlands, and Israel)...
September 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28866357/basis-for-sarcopenia-screening-with-the-sarc-calf-in-nursing-homes
#10
Felicita Urzi, Boštjan Šimunič, Elena Buzan
BACKGROUND: Sarcopenia is a major health problem of the older population. The European Working Group on Sarcopenia in Older People (EWGSOP) developed diagnostic criteria for diagnosis of sarcopenia that require assessing muscle mass and strength or physical performance. Recently, however, a rapid screening method SARC-CalF was developed. OBJECTIVE: The aim of the present study was to validate the SARC-CalF test using EWGSOP sarcopenia diagnostic criteria in a sample of nursing home residents...
August 30, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28866356/associations-of-neuropsychiatric-symptoms-and-antidepressant-prescription-with-survival-in-alzheimer-disease
#11
Christoph Mueller, Jonathan Huntley, Brendon Stubbs, Andrew Sommerlad, André F Carvalho, Gayan Perera, Robert Stewart, Nicola Veronese
OBJECTIVE: Depression is associated with increased mortality in community samples. The use of antidepressant medication may also increase mortality, however, it is still unclear whether taking antidepressants before or after a diagnosis of dementia influences survival. DESIGN: Retrospective. SETTING: A cohort with a diagnosis of Alzheimer disease (AD) from a large mental health and dementia care database in South London, linked to hospitalization and mortality data...
August 30, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28866355/use-of-the-spanish-version-of-the-rapid-geriatric-assessment-in%C3%A2-mexican-patients-in-long-term-care
#12
Jorge Alberto Mena-Madrazo, Beatriz E Mariscal-Martinez, Mariana Leon-Quintero, Stephanie M Lupercio Macias
We report our experience with the use of a Spanish version of the rapid geriatric assessment of 30 patients in 2 long-term care institutions in Mexico City by a group of healthcare students without prior experience in geriatric medicine. The Spanish version of the rapid geriatric assessment is a very easy tool to administer that can provide overall good results for identifying frailty, sarcopenia, anorexia, weight loss, and cognitive impairment.
August 30, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28866354/beyond-the-neuropsychiatric-horizon-assessing-the-risk-of-sudden-unexpected-death-in-parkinson-disease
#13
LETTER
Fulvio Alexandre Scorza, Ary Gadelha, Henrique B Ferraz, Josef Finsterer, Rodrigo A Bressan
No abstract text is available yet for this article.
August 30, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28866353/frail-questionnaire-screening-tool-and-short-term-outcomes-in-geriatric-fracture-patients
#14
Lauren Jan Gleason, Emily A Benton, M Loreto Alvarez-Nebreda, Michael J Weaver, Mitchel B Harris, Houman Javedan
OBJECTIVES: There are limited screening tools to predict adverse postoperative outcomes for the geriatric surgical fracture population. Frailty is increasingly recognized as a risk assessment to capture complexity. The goal of this study was to use a short screening tool, the FRAIL scale, to categorize the level of frailty of older adults admitted with a fracture to determine the association of each frailty category with postoperative and 30-day outcomes. DESIGN: Retrospective cohort study...
August 30, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28866352/drug-use-and-mortality-in-parkinson-disease
#15
LETTER
Agnès Sommet, Maryse Lapeyre-Mestre
No abstract text is available yet for this article.
August 30, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28847543/homocysteine-biochemistry-and-cognitive-decline-in-the-elderly
#16
LETTER
Johanna Gostner, Barbara Sperner-Unterweger, Dietmar Fuchs
No abstract text is available yet for this article.
August 25, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28843528/cognitive-frailty-far-from-clinical-and-research-adoption
#17
EDITORIAL
Marco Canevelli, Matteo Cesari
No abstract text is available yet for this article.
August 23, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28843527/factors-associated-with-the-trend-of-physical-and-chemical-restraint-use-among-long-term-care-facility-residents-in-hong-kong-data-from-an-11-year-observational-study
#18
Kuen Lam, Joseph S K Kwan, Chi Wai Kwan, Alice M L Chong, Claudia K Y Lai, Vivian W Q Lou, Angela Y M Leung, Justina Y W Liu, Xue Bai, Iris Chi
BACKGROUND: Negative effects of restraint use have been well-documented. However, the prevalence of restraints use has been high in long-term care facilities in Hong Kong compared with other countries and this goes against the basic principles of ethical and compassionate care for older people. The present study aimed to review the change in the prevalence of physical and chemical restraint use in long-term care facilities (LTCFs) over a period of 11 years in Hong Kong and to identify the major factors associated with their use...
August 23, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28843526/validation-of-the-korean-version-of-the-sarc-f-questionnaire-to-assess-sarcopenia-korean-frailty-and-aging-cohort-study
#19
Sunyoung Kim, Miji Kim, Chang Won Won
OBJECTIVES: The SARC-F is a simple sarcopenia screening tool comprising 5 assessment items: strength, assistance walking, rising from a chair, climbing stairs, and falls. The present study aimed to examine the validation of the Korean version of SARC-F for elderly individuals residing in communities. SETTING AND PARTICIPANTS: From the first year baseline data of Korean Frailty and Aging Cohort Study, a total of 1222 elderly individuals (70 years and older) who met the study's selection criteria were included in the analysis...
August 23, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28843525/important-care-and-activity-preferences-in-a-nationally-representative-sample-of-nursing-home-residents
#20
Tonya J Roberts, Andrea Gilmore-Bykovskyi, Maichou Lor, Daniel Liebzeit, Christopher J Crnich, Debra Saliba
OBJECTIVES: Person-centered care (PCC), which considers nursing home resident preferences in care delivery, has been linked to important outcomes such as improved quality of life, resident satisfaction with care, and mood and reduced behavioral symptoms for residents with dementia. Delivery of PCC fundamentally relies on knowledge of resident preferences. The Minimum Data Set (MDS) 3.0 Preference Assessment Tool (PAT) is a standardized, abbreviated assessment that facilitates systematic examination of preferences from a population of nursing home residents...
August 23, 2017: Journal of the American Medical Directors Association
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