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Journal of the American Medical Directors Association

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https://www.readbyqxmd.com/read/28431914/pain-trajectories-of-nursing-home-residents-nearing-death
#1
Genevieve N Thompson, Malcolm Doupe, R Colin Reid, Jennifer Baumbusch, Carole A Estabrooks
BACKGROUND/OBJECTIVES: Although examining point in time prevalence of pain among nursing home (NH) residents has value, there is a lack of evidence describing the actual changes (ie, trajectories) in pain that take place during their last 6 months of life. The main objective of this study is to describe the major pain trajectories experienced by NH residents during their last 6 months of life. DESIGN: Secondary analysis of Resident Assessment Instrument-Minimum Data Set (MDS) 2...
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431913/use-of-medications-of-questionable-benefit-during-the-last-year-of-life-of-older-adults-with-dementia
#2
Lucas Morin, Davide L Vetrano, Giulia Grande, Laura Fratiglioni, Johan Fastbom, Kristina Johnell
OBJECTIVES: To investigate the prevalence and factors associated with the use of medications of questionable benefit throughout the final year of life of older adults who died with dementia. DESIGN: Register-based, longitudinal cohort study. SETTING: Entire Sweden. PARTICIPANTS: All older adults (≥75 years) who died with dementia between 2007 and 2013 (n = 120,067). MEASUREMENTS: Exposure to medications of questionable benefit was calculated for each of the last 12 months before death, based on longitudinal data from the Swedish Prescribed Drug Register...
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431912/osteosarcopenic-obesity-prevalence-and-relation-with-frailty-and-physical-performance-in-middle-aged-and-older-women
#3
Claudia Szlejf, Lorena Parra-Rodríguez, Oscar Rosas-Carrasco
OBJECTIVES: The aims of this study were to determine the prevalence of osteosarcopenic obesity (OSO) and to investigate its association with frailty and physical performance in Mexican community-dwelling middle-aged and older women. DESIGN: Cross-sectional analysis of a prospective cohort. SETTING: The FraDySMex study, a 2-round evaluation of community-dwelling adults from 2 municipalities in Mexico City. PARTICIPANTS: Participants were 434 women aged 50 years or older, living in the designated area in Mexico City...
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431911/sensor-augmented-insulin-pump-therapy-in-older-adults-impact-on-self-rated-health-and-glycemic-control
#4
LETTER
Miguel Germán Borda, Daniela Patino-Hernandez, Elly Morros-González, Mario Ulises Pérez-Zepeda, Diego Chavarro-Carvajal, Carlos Cano-Gutiérrez, Lisseth Marín, Ana María Gómez
No abstract text is available yet for this article.
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431910/trends-in-geriatrics-related-translational-research-and-funding-in-the-big-4-medical-journals
#5
LETTER
Alan S H Ch'ng, Kenneth T W Yong, David W H Ng, Louise Heyzer, Wee Shiong Lim
No abstract text is available yet for this article.
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431909/antipsychotics-and-the-risk-of-cerebrovascular-accident-a%C3%A2-systematic-review-and-meta-analysis-of-observational-studies
#6
Wan-Ting Hsu, Amin Esmaily-Fard, Chih-Cheng Lai, Darshan Zala, Sie-Huei Lee, Shy-Shin Chang, Chien-Chang Lee
BACKGROUND: Studies investigating the association between antipsychotic use and the risk of cerebrovascular accident (CVA) showed inconsistent results. AIM: Conduct a systematic review and meta-analysis to evaluate whether use of antipsychotics is associated with increased risk of CVA. METHODS: Major electronic databases were searched from 1970 to October 2016 for observational studies investigating the risk of CVA among users of antipsychotics...
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28431908/implementation-of-a-person-centered-medical-care-model-in-a-skilled-nursing-facility-a-pilot-evaluation
#7
Kathleen Abrahamson, Jaclyn Myers, Arif Nazir
OBJECTIVES: The objective of this study was to evaluate the feasibility and impact of implementing a person-centered medical care model for post-acute care residents within a skilled nursing facility (SNF). DESIGN: A mixed-method (qualitative and quantitative) pilot evaluation. SETTING: An 89-bed SNF located within a large midwestern city. PARTICIPANTS: Forty SNF post-acute patients admitted to the facility during a 6-month period were enrolled in the pilot evaluation...
April 18, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28412167/mortality-in-nursing-homes-following-emergency-evacuation-a%C3%A2-systematic-review
#8
REVIEW
Melissa Willoughby, Chebiwot Kipsaina, Noha Ferrah, Soren Blau, Lyndal Bugeja, David Ranson, Joseph Elias Ibrahim
OBJECTIVES: To determine the risk associated with mortality among nursing home residents within 6 months following an evacuation because of man-made or natural disasters. DESIGN: A systematic review conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Statement. SETTING: All peer-reviewed studies published in English, French, German, or Spanish between January 1, 2000 and December 31, 2015, examining mortality within 6 months of disaster evacuation from a nursing home...
April 12, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28412166/palliative-care-development-in-european-care-homes-and-nursing-homes-application-of-a-typology-of-implementation
#9
Katherine Froggatt, Sheila Payne, Hazel Morbey, Michaela Edwards, Harriet Finne-Soveri, Giovanni Gambassi, H Roeline Pasman, Katarzyna Szczerbińska, Lieve Van den Block
BACKGROUND: The provision of institutional long-term care for older people varies across Europe reflecting different models of health care delivery. Care for dying residents requires integration of palliative care into current care work, but little is known internationally of the different ways in which palliative care is being implemented in the care home setting. OBJECTIVES: To identify and classify, using a new typology, the variety of different strategic, operational, and organizational activities related to palliative care implementation in care homes across Europe...
April 12, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28412165/effects-of-a-community-based-program-for-oral-health-and-nutrition-on-cost-effectiveness-by-preventing-disability-in-japanese-frail-elderly-a-quasi-experimental-study-using-propensity-score-matching
#10
Yasutake Tomata, Takashi Watanabe, Kemmyo Sugiyama, Shu Zhang, Yumi Sugawara, Ichiro Tsuji
OBJECTIVE: In the Japanese Long-Term Care Insurance (LTCI) system, a community-based program for oral health and nutrition (OHN program) has been implemented with the aim of reducing incident disability and care costs. However, the effectiveness of this program has not been confirmed epidemiologically. The purpose of the present study was to test the hypothesis that the OHN program does reduce incident disability and care costs. DESIGN: A prospective study with a 28-month follow-up period was conducted using data from administrative databases at Tagajo City, Japan...
April 12, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28412164/diagnosis-and-management-of-oropharyngeal-dysphagia-among-older-persons-state-of-the-art
#11
REVIEW
Omar Ortega, Alberto Martín, Pere Clavé
Oropharyngeal dysphagia (OD) is a condition recognized by the World Health Organization and defined as the difficulty or inability to move a bolus safely and effectively from the oral cavity to the esophagus, and can include aspirations, choking, and residue. OD is pandemic among different phenotypes of older people, affecting between 27% and 91% of the population 70 years or older. Although OD can be diagnosed by well-defined clinical methods and complementary explorations, in the clinical setting OD is seldom systematically screened and treated, and awareness among the medical/geriatric community is scarce...
April 12, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28411094/association-of-social-frailty-with-both-cognitive-and-physical-deficits-among-older-people
#12
Kota Tsutsumimoto, Takehiko Doi, Hyuma Makizako, Ryo Hotta, Sho Nakakubo, Keitaro Makino, Takao Suzuki, Hiroyuki Shimada
OBJECTIVES: Our objective was to investigate the association between social frailty and cognitive and physical function among older adults. DESIGN: This was a cross-sectional study. SETTING: We examined community-dwelling adults in Japan. PARTICIPANTS: Participants comprised 4425 older Japanese people from the National Center for Geriatrics and Gerontology-Study of Geriatric Syndromes. MEASUREMENTS: Social frailty was defined by using responses to 5 questions (going out less frequently, rarely visiting friends, feeling unhelpful to friends or family, living alone, and not talking with someone every day)...
April 11, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28411093/association-between-diet-inflammatory-index-and-osteoporotic-hip-fracture-in-elderly-chinese-population
#13
Zhe-Qing Zhang, Wen-Ting Cao, Nitin Shivappa, James R Hebert, Bao-Lin Li, Juan He, Xin-Yi Tang, Ya-Yong Liang, Yu-Ming Chen
BACKGROUND: Chronic inflammation provides the substrate for various mechanisms involved in osteoporotic fracture. The Dietary Inflammatory Index (DII) could shed light on the effect of the inflammatory potential of the diet on osteoporotic hip fracture. OBJECTIVE: This study tested the hypothesis that higher DII scores are associated with greater hip fracture risk in an elderly Chinese population. METHODS: A 1:1 age- (±3 years), sex- and region-matched case-control study of 1050 pairs (female/male: 781/269) of elderly (age range = 52-83 years) Chinese was conducted in Guangdong, China (2009-2015)...
April 11, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28411092/self-assessed-kyphosis-and-chewing-disorders-predict-disability-and-mortality-in-community-dwelling-older-adults
#14
Mika Okura, Mihoko Ogita, Miki Yamamoto, Toshimi Nakai, Tomoko Numata, Hidenori Arai
OBJECTIVE: It is clear that each trend of kyphosis with increased age and the ability to eat firm foods with the back teeth (chewing ability) has a strong influence on both the physical and mental condition of older people. Thus, this study aimed to examine whether the combination of kyphosis and chewing disorders was associated with mortality or the need for care under the new long-term care insurance (LTCI) service requirement, over 3 years in community-dwelling older Japanese adults...
April 11, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28396180/polypharmacy-is-associated-with-higher-frailty-risk-in-older-people-an-8-year-longitudinal-cohort-study
#15
Nicola Veronese, Brendon Stubbs, Marianna Noale, Marco Solmi, Alberto Pilotto, Alberto Vaona, Jacopo Demurtas, Christoph Mueller, Jonathan Huntley, Gaetano Crepaldi, Stefania Maggi
OBJECTIVE: To investigate whether polypharmacy is associated with a higher incidence of frailty in a large cohort of North Americans during 8 years of follow-up. DESIGN: Longitudinal study, follow-up of 8 years. PARTICIPANTS: A total of 4402 individuals at high risk or having knee osteoarthritis free from frailty at baseline. MEASUREMENTS: Details regarding medication prescription were captured and categorized as 0-3, 4-6, and ≥7...
April 7, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28396179/effects-of-cognitive-leisure-activity-on-cognition-in-mild-cognitive-impairment-results-of-a-randomized-controlled-trial
#16
Takehiko Doi, Joe Verghese, Hyuma Makizako, Kota Tsutsumimoto, Ryo Hotta, Sho Nakakubo, Takao Suzuki, Hiroyuki Shimada
OBJECTIVE: To test the hypothesis that a long-term, structured cognitive leisure activity program is more effective than a health education program at reducing the risk of further cognitive decline in older adults with mild cognitive impairment syndrome (MCI), a high risk for dementia. DESIGN: A 3-arm, single-blind randomized controlled trial. SETTING: Community. PARTICIPANTS: A total of 201 Japanese adults with MCI (mean age: 76...
April 7, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28377156/protein-supplementation-augments-muscle-fiber-hypertrophy-but-does-not-modulate-satellite-cell-content-during-prolonged-resistance-type-exercise-training-in-frail-elderly
#17
Marlou L Dirks, Michael Tieland, Lex B Verdijk, Mario Losen, Rachel Nilwik, Marco Mensink, Lisette C P G M de Groot, Luc J C van Loon
OBJECTIVE: Protein supplementation increases gains in lean body mass following prolonged resistance-type exercise training in frail older adults. We assessed whether the greater increase in lean body mass can be attributed to muscle fiber type specific hypertrophy with concomitant changes in satellite cell (SC) content. DESIGN: A total of 34 frail elderly individuals (77 ± 1 years, n = 12 male adults) participated in this randomized, double-blind, placebo-controlled trial with 2 arms in parallel...
April 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28377155/level-of-need-divertibility-and-outcomes-of-newly-admitted-nursing-home-residents
#18
Peter Tanuseputro, Amy Hsu, Kerry Kuluski, Mathieu Chalifoux, Melissa Donskov, Sarah Beach, Peter Walker
OBJECTIVES: To describe the level of need and divertibility of newly admitted nursing home residents, describe the factors that drive need, and describe the outcomes of residents across different levels of need. DESIGN: Retrospective cohort study. SETTING: A total of 640 publicly funded nursing homes (also known as long-term care facilities) in Ontario, Canada. PARTICIPANTS: All newly admitted residents between January 1, 2010 and March 1, 2012...
April 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28377154/the-influence-of-activity-based-funding-on-treatment-intensity-and-length-of-stay-of-geriatric-rehabilitation-patients
#19
Hylco Bouwstra, Lizette M Wattel, Aafke J de Groot, Martin Smalbrugge, Cees M Hertogh
AIM: Little is known about the impact of activity-based funding (ABF) to increase treatment intensity and decrease length of stay (LOS) of inpatient geriatric patients. In January 2014, ABF was implemented in The Netherlands with the aim to increase treatment intensity and shorten LOS in geriatric rehabilitation (GR). OBJECTIVES: To describe the influence of ABF on treatment intensity and LOS of inpatient GR patients before and after ABF was implemented. DESIGN: Population-based, retrospective cohort study...
April 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28363443/atrophy-of-swallowing-muscles-is-associated-with-severity-of-dysphagia-and-age-in-patients-with-acute-stroke
#20
Peter B Sporns, Paul Muhle, Uta Hanning, Sonja Suntrup-Krueger, Wolfram Schwindt, Julian Eversmann, Tobias Warnecke, Rainer Wirth, Sebastian Zimmer, Rainer Dziewas
IMPORTANCE: Sarcopenia has been identified as an independent risk factor for dysphagia. Dysphagia is one of the most important and prognostically relevant complications of acute stroke. The role of muscle atrophy as a contributing factor for the occurrence of poststroke dysphagia is yet unclear. OBJECTIVE: To assess whether there is a correlation between age and muscle volume and whether muscle volume is related to dysphagia in acute stroke patients. DESIGN, SETTING, AND PARTICIPANTS: This retrospective, single-center study included 73 patients with acute ischemic or hemorrhagic stroke who underwent computed tomography angiography on admission and an objective dysphagia assessment by Fiberoptic Endoscopic Evaluation of Swallowing within 72 hours from admission...
March 28, 2017: Journal of the American Medical Directors Association
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