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Journal of the American Medical Directors Association

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https://www.readbyqxmd.com/read/30448339/the-incidence-of-recorded-delirium-episodes-before-and-after-dementia-diagnosis-differences-between-dementia-with-lewy-bodies-and-alzheimer-s-disease
#1
James M FitzGerald, Gayan Perera, Alexandra Chang-Tave, Annabel Price, Anto P Rajkumar, Manorama Bhattarai, John T O'Brien, Clive Ballard, Dag Aarsland, Robert Stewart, Christoph Mueller
OBJECTIVES: To describe the incidence of delirium recording before and after a diagnosis of dementia is established in patients with dementia with Lewy bodies (DLB) and compare findings to a matched cohort of patients with Alzheimer's disease (AD). DESIGN: Retrospective cohort study. SETTING AND PARTICIPANTS: A cohort of patients with dementia from a large mental health and dementia care database in South London, linked to hospitalization and mortality data...
November 15, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30448338/measurement-properties-of-the-barthel-index-in-geriatric-rehabilitation
#2
Hylco Bouwstra, Ewout B Smit, Elizabeth M Wattel, Johannes C van der Wouden, Cees M P M Hertogh, Berend Terluin, Caroline B Terwee
OBJECTIVE: The Barthel index (BI) is a widely used observer-based instrument to measure physical function. Our objective is to assess the structural validity, reliability, and interpretability of the BI in the geriatric rehabilitation setting. DESIGN: Two studies were performed. First, a prospective cohort study was performed in which the attending nurses completed the BI at admittance and discharge (n = 207). At discharge, patients rated their change in physical function on a 5-point Likert rating scale...
November 15, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30448158/patient-characteristics-as-indicator-for-care-dependence-after-hip-fracture-a-retrospective-cohort-study-using-health-insurance-claims-data-from-germany
#3
Claudia Schulz, Gisela Büchele, Martin Rehm, Dietrich Rothenbacher, Patrick Roigk, Kilian Rapp, Christian Günster, Hans-Helmut König, Katrin Reber
OBJECTIVES: Hip fractures are common consequences of falls in older adults and, among other negative health outcomes, often lead to care dependence in the long term. Until 2016, the German long-term care insurance classified care recipients according to a standardized classification system consisting of 3 care levels. It was based on required assistance in performing activities of daily living and assessed by a qualified physician or nurse. Thus, care level reflects the degree of care dependence...
November 14, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30448157/bingo-candies-in-long-term-care-a-quality-improvement-project
#4
LETTER
Quratulain Syed, Sara Sharif, Claire Frohardt
No abstract text is available yet for this article.
November 14, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30448156/examining-black-white-disparities-among-medicare-beneficiaries-in-assisted-living-settings-in-2014
#5
Chanee D Fabius, Kali S Thomas
OBJECTIVE: Assisted living (AL) provides housing and personal care to residents who need assistance with daily activities. Few studies have examined black-white disparities in larger (25 + beds) ALs; therefore, little is known about black residents, their prior residential settings, and how they compare to whites in AL. We examined racial differences among a national cohort of AL residents and how the racial variation among AL Medicare Fee-For-Service (FFS) beneficiaries compared to differences among community-dwelling and nursing home cohorts...
November 14, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30446475/feasibility-and-acceptability-of-a-peer-mentoring-program-for-older-adults-following-hospitalization-for-hip-fracture
#6
LETTER
Mark D Neuman, Lakisha J Gaskins, Brittany Montgomery, Diane A Menio, Judith Long, Lee A Fleisher, Lauren Beaupre, Jaimo Ahn
No abstract text is available yet for this article.
November 13, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30424982/healthcare-costs-of-frailty-implications-for-long-term-care
#7
LETTER
Aarón Salinas-Rodríguez, Betty Manrique-Espinoza, Ileana Heredia-Pi, Ana Rivera-Almaraz, José Alberto Ávila-Funes
No abstract text is available yet for this article.
November 10, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30424981/preventing-alzheimer-s-disease-why-not-targeting-the-muscle-first
#8
LETTER
Pedro L Valenzuela, Javier S Morales, Carmen Fiuza-Luces, Pedro de la Villa, Alejandro Santos-Lozano, Alejandro Lucia
No abstract text is available yet for this article.
November 10, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30424980/three-nurse-administered-protocols-reduce-nutritional-decline-and-frailty-in-older-gastrointestinal-surgery-patients-a-cluster-randomized-trial
#9
Cheryl Chia-Hui Chen, Yi-Ting Yang, I-Rue Lai, Been-Ren Lin, Ching-Yao Yang, John Huang, Yu-Wen Tien, Chiung-Nien Chen, Ming-Tsan Lin, Jin-Tung Liang, Hsiu-Ching Li, Guan-Hua Huang, Sharon K Inouye
OBJECTIVE: To evaluate the effects of the modified Hospital Elder Life Program (mHELP) comprising 3 nurse-administered protocols in older patients undergoing gastrointestinal (GI) surgery. DESIGN: Cluster randomized trial. SETTING: Two 36-bed GI wards at a university-affiliated medical center in Taiwan. PARTICIPANTS: Older patients (≥65 years, N = 377) were recruited if they were scheduled for elective GI surgery with an expected length of hospital stay >6 days...
November 10, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30415892/understanding-the-feasibility-and-validity-of-muscle-strength-measurements-in-aging-adults
#10
LETTER
Ryan P McGrath
No abstract text is available yet for this article.
November 8, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30414822/effects-of-resistance-training-on-functional-strength-and-muscle-mass-in-70-year-old-individuals-with-pre-sarcopenia-a-randomized-controlled-trial
#11
Sanna Vikberg, Niklas Sörlén, Lisa Brandén, Jonas Johansson, Anna Nordström, Andreas Hult, Peter Nordström
OBJECTIVE: Sarcopenia has been defined as age-related loss of muscle mass and function. The aim of this randomized controlled trial was to examine the effects of a 10-week instructor-led resistance training program on functional strength and body composition in men and women aged 70 years with pre-sarcopenia. DESIGN, SETTING, AND PARTICIPANTS: Participants were randomized to either 10 weeks of a physical training regimen including optional nutritional supplementation (n = 36) or to a control group (n = 34) (ClinicalTrials...
November 7, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30415893/reply-to-the-letter-to-editor
#12
LETTER
Yunpeng Zhang, Ming Yuan, Mengqi Gong, Guangping Li, Gary Tse, Tong Liu
No abstract text is available yet for this article.
November 5, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30409494/prevalence-and-associated-factors-of-sarcopenia-in-nursing-home-residents-a-systematic-review-and-meta-analysis
#13
REVIEW
Yanjiao Shen, Jing Chen, Xiaoyan Chen, LiSha Hou, Xiufang Lin, Ming Yang
OBJECTIVE: To review the prevalence and associated factors of sarcopenia in nursing homes. DESIGN: A systematic review and meta-analysis of published studies in MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials. SETTING: Nursing homes. PARTICIPANTS: Older adults aged ≥60 years. MEASUREMENTS: Sarcopenia was defined according to various validated diagnostic criteria, such as the European Working Group on Sarcopenia in Older People (EWGSOP) criteria and skeletal muscle index (SMI)...
November 5, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30409493/aggressive-behaviors-among-nursing-home-residents-association-with-dementia-and-behavioral-health-disorders
#14
Xi Cen, Yue Li, Michael Hasselberg, Thomas Caprio, Yeates Conwell, Helena Temkin-Greener
OBJECTIVES: We measured the prevalence and severity of aggressive behaviors (ABs) among nursing home (NH) residents and examined whether individuals with behavioral health disorders were more likely to exhibit aggressive behaviors than others. SETTING AND PARTICIPANTS: The analytical sample included 3,270,713 first Minimum Data Set (MDS) assessments for residents in 15,706 NHs in 2015. MEASURES: Individuals were identified as having (1) behavioral health disorders only (hierarchically categorized as schizophrenia/psychosis, bipolar disorder, personality disorder, substance abuse, depression/anxiety); (2) dementia only; (3) behavioral health disorders and dementia; or (4) neither...
November 5, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30409492/depression-is-associated-with-sarcopenia-due-to-low-muscle-strength-results-from-the-elsa-brasil-study
#15
Claudia Szlejf, Claudia K Suemoto, Andre R Brunoni, Maria Carmen Viana, Arlinda B Moreno, Sheila M A Matos, Paulo A Lotufo, Isabela M Benseñor
OBJECTIVES: To investigate the association of sarcopenia and its defining components with depression in Brazilian middle-aged and older adults. DESIGN: Cross-sectional study. SETTING AND PARTICIPANTS: This analysis included 5927 participants from the ELSA-Brasil Study second data collection, aged 55 years and older, with complete data for exposure, outcome, and covariates. MEASURES: Muscle mass was evaluated by bioelectrical impedance analysis and muscle strength by hand-grip strength...
November 5, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30409491/association-between-the-discrepancy-in-self-reported-and-performance-based-physical-functioning-levels-and-risk-of-future-falls-among-community-dwelling-older-adults-the-locomotive-syndrome-and-health-outcomes-in-aizu-cohort-study-lohas
#16
Tsukasa Kamitani, Yosuke Yamamoto, Shingo Fukuma, Tatsuyoshi Ikenoe, Miho Kimachi, Sayaka Shimizu, Shungo Yamamoto, Koji Otani, Miho Sekiguchi, Yoshihiro Onishi, Misa Takegami, Rei Ono, Shin Yamazaki, Shinichi Konno, Shinichi Kikuchi, Shunichi Fukuhara
OBJECTIVES: A discrepancy in self-reported and performance-based physical functioning levels is often observed among older adults. We investigated the association of discrepancy in self-reported and performance-based physical functioning levels with risk of future falls among community-dwelling older adults. DESIGN: Prospective cohort study. SETTING: Two communities in Fukushima Prefecture, Japan. PARTICIPANTS: 1379 older adults who took part in the yearly health checkup in both 2009 and 2010...
November 5, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30414821/using-a-decision-support-algorithm-for-referrals-to-post-acute-care
#17
Kathryn H Bowles, Sarah J Ratcliffe, John H Holmes, Sue Keim, Sheryl Potashnik, Emilia Flores, Diane Humbrecht, Christina R Whitehouse, Mary D Naylor
OBJECTIVES: Although hospital clinicians strive to effectively refer patients who require post-acute care (PAC), their discharge planning processes often vary greatly, and typically are not evidence-based. DESIGN: Quasi-experimental study employing pre-/postdesign. Aimed at improving patient-centered discharge processes, we examined the effects of the Discharge Referral Expert System for Care Transitions (DIRECT) algorithm that provides clinical decision support (CDS) regarding which patients to refer to PAC and to what level of care (home care or facility)...
November 3, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30401610/effect-of-monthly-vitamin-d-on-chronic-pain-among-community-dwelling-seniors-a-randomized-double-blind-controlled-trial
#18
Mathias Schlögl, Patricia Chocano-Bedoya, Bess Dawson-Hughes, Endel J Orav, Gregor Freystaetter, Robert Theiler, Reto W Kressig, Andreas Egli, Heike A Bischoff-Ferrari
OBJECTIVE: With advancing age, the prevalence of vitamin D deficiency and musculoskeletal pain increases. However, published data on the effectiveness of vitamin D supplementation in reducing chronic pain are inconclusive. The purpose of this study was to test the effect of 3 different monthly doses of vitamin D on chronic pain in seniors 70 years and older with a prior fall event. DESIGN: 1-year, double-blind randomized clinical trial. SETTING: The trial was conducted in Zurich, Switzerland...
November 3, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30401609/neighborhood-walkability-of-retirement-homes-a-cross-sectional-cohort-study
#19
LETTER
Hana Brath, Sanghun J Kim, Rachel D Savage, Susan E Bronskill, Paula A Rochon, Nathan M Stall
No abstract text is available yet for this article.
November 3, 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/30401608/effect-of-vitamin-d-supplementation-on-depressive-symptoms-in-patients-with-knee-osteoarthritis
#20
Shuang Zheng, Liudan Tu, Flavia Cicuttini, Weiyu Han, Zhaohua Zhu, Benny Antony, Anita Wluka, Tania Winzenberg, Tao Meng, Dawn Aitken, Leigh Blizzard, Graeme Jones, Changhai Ding
OBJECTIVES: To determine the effect of vitamin D supplementation and maintaining sufficient serum vitamin D on depressive symptoms in patients with knee osteoarthritis (OA) and vitamin D deficiency. DESIGN: A prespecified secondary analysis of a multicentre, randomized, double-blind, placebo-controlled trial. Participants were randomly assigned to receive oral vitamin D3 (50,000 IU, n = 209) or placebo (n = 204) monthly for 24 months. In addition, participants who completed the trial were classified into 2 groups according to their serum 25(OH)D levels at month 3 and 24 as follows: not consistently sufficient (serum 25(OH)D ≤ 50 nmol/L at month 3 and/or 24), and consistently sufficient (serum 25(OH)D > 50 nmol/L at both month 3 and 24)...
November 3, 2018: Journal of the American Medical Directors Association
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