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Journal of the American Medical Directors Association

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https://www.readbyqxmd.com/read/29146224/joint-trajectories-of-cognition-and-frailty-and-associated-burden-of-patient-reported-outcomes
#1
Zuyun Liu, Ling Han, Evelyne A Gahbauer, Heather G Allore, Thomas M Gill
OBJECTIVES: To evaluate joint trajectories of cognition and frailty and their association with the cumulative burden of patient-reported outcomes, including hospitalization, nursing home admission, and disability. DESIGN: Longitudinal study of 754 community-living persons aged 70 or older. PARTICIPANTS: 690 participants who had a baseline and at least one follow-up assessment of cognition and frailty between 1998 and 2009. MEASUREMENTS: Cognition was assessed using the Mini-Mental State Examination (MMSE)...
November 14, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29146223/delivering-person-centered-care-important-preferences-for-recipients-of-long-term-services-and-supports
#2
Katherine M Abbott, Rachel Klumpp, Kendall A Leser, Jane K Straker, Gerald C Gannod, Kimberly Van Haitsma
OBJECTIVES: Although assessing individual consumer preferences are an important first step in providing person-centered care, the purpose of this study was to identify the top 10 shared preferences that are important to a majority of consumers receiving long-term services and supports. DESIGN: A cross-sectional survey design was used. SETTING AND PARTICIPANTS: Preference assessment interviews were conducted with 255 nursing home (NH) residents and 528 older adults receiving home and community-based services (HCBS)...
November 14, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29146222/nursing-staff-distress-associated-with-neuropsychiatric-symptoms-in-young-onset-dementia-and-late-onset-dementia
#3
Jeannette C L van Duinen-van den IJssel, Ans J M J Mulders, Martin Smalbrugge, Sandra A Zwijsen, Britt Appelhof, Syste U Zuidema, Marjolein E de Vugt, Frans R J Verhey, Christian Bakker, Raymond T C M Koopmans
OBJECTIVE: The aims of this study were (1) to investigate the relationship between different neuropsychiatric symptoms (NPS) and the level of distress experienced by nurses caring for residents with young-onset dementia (YOD) and (2) to compare these findings with those for nurses caring for residents with late-onset dementia (LOD). DESIGN/SETTING: This is a retrospective study conducted in Dutch long-term care facilities. Data were used from the Behavior and Evolution of Young-ONset Dementia studies (BEYOND) Parts I and II and the WAAL Behavior in Dementia-II (Waalbed-II) study...
November 14, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29133018/the-pathophysiology-of-frailty-why-sex-is-so-important
#4
EDITORIAL
Emily H Gordon, Ruth E Hubbard
No abstract text is available yet for this article.
November 10, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29129497/frailty-and-clinical-outcomes-in-advanced-heart-failure-patients-undergoing-left-ventricular-assist-device-implantation-a-systematic-review-and-meta-analysis
#5
Gary Tse, Mengqi Gong, Sunny Hei Wong, William K K Wu, George Bazoukis, Konstantinos Lampropoulos, Wing Tak Wong, Yunlong Xia, Martin C S Wong, Tong Liu, Jean Woo
BACKGROUND: Frailty has been identified as a risk factor for adverse clinical outcomes after cardiac intervention or surgery. However, whether it increases the risk of adverse outcomes in patients undergoing left ventricular assist device (LVAD) therapy has been controversial. Therefore, we conducted a systematic review and meta-analysis of the frailty measures and clinical outcomes of length of stay and mortality in this setting. METHODS: PubMed and Embase were searched until September 11, 2017, for studies evaluating the association between frailty and clinical outcomes in advanced heart failure patients undergoing LVAD implantation...
November 9, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29128438/renin-angiotensin-system-blockers-and-statins-are-associated-with-lower-in-hospital-mortality-in-very-elderly-hypertensives
#6
Francesco Spannella, Federico Giulietti, Paolo Balietti, Guido Cocci, Laura Landi, Francesca Elena Lombardi, Elisabetta Borioni, Beatrice Bernardi, Giulia Rosettani, Valentina Bordoni, Riccardo Sarzani
OBJECTIVES: Cardiovascular diseases are mainly related to hypertension and dyslipidemia and increase with aging because of the larger time span for these risk factors to damage arterial blood vessels. The impact of cardiovascular drug therapy on outcomes in the very elderly hospitalized is still not well established. The aim of our study was to evaluate the associations between cardiovascular therapy and in-hospital mortality in very elderly hypertensives. DESIGN: Prospective observational study...
November 8, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29126858/age-sex-and-dose-effects-of-nonbenzodiazepine-hypnotics-on-hip-fracture-in-nursing-home-residents
#7
David D Dore, Andrew R Zullo, Vincent Mor, Yoojin Lee, Sarah D Berry
OBJECTIVE: The Food and Drug Administration recommends a reduced dose of nonbenzodiazepine hypnotics in women, yet little is known about the age-, sex-, and dose-specific effects of these drugs on risk of hip fracture, especially among nursing home (NH) residents. We estimated the age-, sex-, and dose-specific effects of nonbenzodiazepine hypnotics on the rate of hip fracture among NH residents. DESIGN AND SETTING: Case-crossover study in US NHs. PARTICIPANTS: A total of 691 women and 179 men with hip fracture sampled from all US long-stay NH residents...
November 7, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29108891/is-fear-of-falling-associated-with-decline-in-global-cognitive-functioning-in-older-adults-findings-from-the-irish-longitudinal-study-on-ageing
#8
Geeske Peeters, Siobhan Leahy, Sean Kennelly, Rose Anne Kenny
BACKGROUND: Fear of falling (FoF) is present in 20% to 85% of older adults and may be an early marker of decline in global cognitive functioning (GCF). We tested the hypothesis that FoF is associated with lower levels of GCF (cross-sectional) and greater decline in GCF (prospective) in adults aged 50 and older. DESIGN: Observational cohort study. SETTING: The Irish Longitudinal Study on Ageing, a population-based study. PARTICIPANTS: Data were from 4931 participants (mean age 62...
November 3, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29108890/determining-the-optimum-physician-to-resident-ratio-in-the-nursing-home
#9
LETTER
Paul R Katz, Laurel A Pfeil, Jonathan Evans, Mary Evans, Heather Sobel
No abstract text is available yet for this article.
November 3, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29108889/recall-tests-may-be-effective-to-detect-mild-cognitive-impairment-a-response-to-tsoi-and-colleagues
#10
LETTER
Simon D Smith, Patrick Henn, Colm O' Tuathaigh
No abstract text is available yet for this article.
November 3, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29108888/the-effect-of-a-2-year-intervention-consisting-of-diet-physical-exercise-cognitive-training-and-monitoring-of-vascular-risk-on-chronic-morbidity-the-finger-randomized-controlled-trial
#11
Alessandra Marengoni, Debora Rizzuto, Laura Fratiglioni, Riitta Antikainen, Tiina Laatikainen, Jenni Lehtisalo, Markku Peltonen, Hilkka Soininen, Timo Strandberg, Jaakko Tuomilehto, Miia Kivipelto, Tiia Ngandu
OBJECTIVE: To verify whether a multidomain intervention lowers the risk of developing new chronic diseases in older adults. METHODS: Multicenter, double-blind randomized controlled trial started in October 2009, with 2-year follow-up. A total of 1260 people aged 60 to 77 years were enrolled in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER). Participants were randomly assigned in a 1:1 ratio to a 2-year multidomain intervention (n = 631) (nutritional guidance, exercise, cognitive training, and management of metabolic and vascular risk factors) or a control group (n = 629) (general health advice)...
November 3, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29108887/proposed-polst-replacement-creates-more-problems-than-it-solves
#12
LETTER
Susan E Hickman, Alvin H Moss, Karl E Steinberg, Charles P Sabatino, Amy Vandenbroucke
No abstract text is available yet for this article.
November 3, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29108886/trajectories-over-the-first-year-of-long-term-care-nursing-home-residence
#13
Shuang Li, Addie Middleton, Kenneth J Ottenbacher, James S Goodwin
OBJECTIVES: To describe the trajectories in the first year after individuals are admitted to long-term care nursing homes. DESIGN: Retrospective cohort study. SETTING: US long-term care facilities. PARTICIPANTS: Medicare fee-for-service beneficiaries newly admitted to long-term care nursing homes from July 1, 2012, to December 31, 2013 (N=535,202). MEASUREMENTS: Demographic characteristics were from Medicare data...
November 3, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29108885/management-of-dyspnea-and-anxiety-in-chronic-obstructive-pulmonary-disease-a-critical-review
#14
REVIEW
Abebaw Mengistu Yohannes, Maira Junkes-Cunha, Jacky Smith, Jorgen Vestbo
BACKGROUND: Anxiety and dyspnea, 2 major symptoms in patients with chronic obstructive pulmonary disease (COPD), are associated with high morbidity and mortality. Thus, critically evaluating and synthesizing the existing literature employing pulmonary rehabilitation (PR) and other behavioral therapies in the treatment of anxiety and dyspnea in patients with COPD may help clinicians determine the most efficacious potential treatments. We aim to examine the efficacy of PR and behavioral therapy [eg, cognitive behavioral therapy (CBT) and counseling] and other adjunct modalities used in patients with COPD...
November 3, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29079033/frailty-and-mortality-outcomes-after-percutaneous-coronary-intervention-a-systematic-review-and-meta-analysis
#15
Gary Tse, Mengqi Gong, Julia Nunez, Juan Sanchis, Guangping Li, Sadeq Ali-Hasan-Al-Saegh, Wing Tak Wong, Sunny Hei Wong, William K K Wu, George Bazoukis, Gan-Xin Yan, Konstantinos Lampropoulos, Adrian M Baranchuk, Lap Ah Tse, Yunlong Xia, Tong Liu, Jean Woo
BACKGROUND: Frailty has been identified as a risk factor for mortality. However, whether frailty increases mortality risk in patients undergoing percutaneous coronary intervention (PCI) has been controversial. Therefore, we conducted a systematic review and meta-analysis of the frailty measures and mortality outcomes in this setting. METHODS: PubMed and EMBASE were searched until July 23, 2017 for studies evaluating the association between frailty measures and mortality in individuals who have undergone PCI...
October 24, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29079032/association-between-accumulation-of-advanced-glycation-end-products-and-hearing-impairment-in-community-dwelling-older-people-a-cross-sectional-sukagawa-study
#16
Kakuya Niihata, Sei Takahashi, Noriaki Kurita, Nobuyuki Yajima, Kenji Omae, Shingo Fukuma, Takayuki Okano, Yukio Nomoto, Koichi Omori, Shunichi Fukuhara
OBJECTIVES: The experimental studies suggested the hypothesis that the accumulation of advanced glycation end-products (AGEs) could induce hearing impairment. The purpose of this study is to examine the hypothesis among elderly people using an epidemiologic approach. DESIGN: Cross-sectional study. SETTING: Sukagawa City, Fukushima, Japan. PARTICIPANTS: A total of 270 residents aged 75 years or over without dementia, who participated in a health check-up conducted in 2015...
October 24, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29079031/neuropsychiatric-symptoms-in-people-with-korsakoff-syndrome-and-other-alcohol-related-cognitive-disorders-living-in-specialized-long-term-care-facilities-prevalence-severity-and-associated-caregiver-distress
#17
Ineke J Gerridzen, Cees M P M Hertogh, Marja F Depla, Ruth B Veenhuizen, Els M L Verschuur, Karlijn J Joling
OBJECTIVES: Caring for people with Korsakoff syndrome (KS) residing in specialized long-term care facilities (LTCFs) can be distressing because of challenging neuropsychiatric symptoms (NPS). However, good-quality studies on NPS in this under-researched population are lacking. This study examined the prevalence and severity of NPS in people with KS living in specialized LTCFs and the associated caregiver distress. DESIGN: Cross-sectional, observational study. Data were obtained using structured interviews with care staff, elderly care physicians, and residents...
October 24, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29079030/a-3-item-sarc-f
#18
Jean Woo, Ruby Yu, Jason Leung
OBJECTIVES: To examine individual items of the SARC-F in predicting adverse outcomes. DESIGN: Prospective cohort study. SETTING: Community-dwelling older people in Hong Kong SAR China. PARTICIPANTS: A total of 4000 men and women aged 65 years and over, stratified in 3 age groups (65-69, 70-74, 75+ years of age). MEASUREMENTS: Information was collected by questionnaire, on sociodemographic details, lifestyle habits, cognitive function using the Mini-Mental State Examination, depression using the Geriatric Depression Scale, SARC-F, and physical limitation in daily activities...
October 24, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29079029/relationship-between-sarcopenia-and-frailty-in-the-toledo-study-of-healthy-aging-a-population-based-cross-sectional-study
#19
B Davies, F García, I Ara, F Rodríguez Artalejo, L Rodriguez-Mañas, S Walter
INTRODUCTION: Frailty and sarcopenia are correlates of musculoskeletal aging that represent a state of vulnerability increasing the risk of negative health outcomes. Standardized definitions are lacking for both, and sometimes both concepts are used interchangeably. However, no large study has assessed the coexistence of these 2 entities in a cohort of older community-dwelling people. METHODS: Data were taken from the Toledo Study of Healthy Aging (TSHA), a study of community-dwelling elderly (≥65 years)...
October 24, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29042266/development-and-validation-of-the-symptom-assessment-to-improve-symptom-control-for-institutionalized-elderly-scale
#20
Maaike L De Roo, Marc F Tanghe, Nele J Van Den Noortgate, Ruth D Piers
OBJECTIVES: To validate a newly developed multiple symptom self-assessment tool in nursing homes. DESIGN: Thirty prevalent symptoms identified in the literature were classified by a 2-round Delphi procedure to a top 10 of the most relevant, burdensome symptoms. Because no existing symptom scale fully covered this top 10, we developed a new scale, consisting of a horizontal numerical scale for the top 10 symptoms, with the possibility to add and rate 3 other symptoms...
October 14, 2017: Journal of the American Medical Directors Association
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