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Nursing home predictors

Alexandra S Creighton, Tanya E Davison, David W Kissane
OBJECTIVE: To synthesize and summarize the studies examining the correlates and predictors of anxiety in older adults living in residential aged care. METHODS: Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, five electronic databases were searched using key terms and subject headings, as well as reference lists of relevant papers. The search was limited to peer-reviewed literature published in English. Eligible studies examined the association between at least one correlate/factor and anxiety disorders or symptoms in aged care residents aged 50+ years...
October 17, 2016: International Journal of Geriatric Psychiatry
Sami Ridwan, Horst Urbach, Susanne Greschus, Johanna von Hagen, Jonas Esche, Azize Boström
BACKGROUND: Given the young age of onset and the high probability of long-term disability after SAH, the financial impact is expected to be substantial. Primary objective was to highlight subsequent treatment costs after the acute in-hospital stay including rehabilitation and home care in comparison to ischemic stroke. METHODS: The study included 101 patients with aneurysmal SAH treated July 2007 through April 2009. In-hospital expenses were calculated using the German Diagnose Related Groups DRG...
October 12, 2016: World Neurosurgery
J T Schousboe, M L Paudel, B C Taylor, A M Kats, B A Virnig, B E Dowd, L Langsetmo, K E Ensrud
: Older women with pre-fracture slow walk speed, high body mass index, and/or a high level of multimorbidity have significantly higher health care costs after hip fracture compared to those without those characteristics. Studies to investigate if targeted health care interventions for these individuals can reduce hip fracture costs are warranted. INTRODUCTION: The aim of this study is to estimate the associations of individual pre-fracture characteristics with total health care costs after hip fracture, using Study of Osteoporotic Fractures (SOF) cohort data linked to Medicare claims...
October 14, 2016: Osteoporosis International
Melanie Streicher, Michael Themessl-Huber, Karin Schindler, Cornel Christian Sieber, Michael Hiesmayr, Dorothee Volkert
OBJECTIVES: Malnutrition in older persons is associated with an increased risk of mortality. Useful strategies to counteract malnutrition are nutritional interventions, such as fortified diets, oral nutritional supplements (ONS), tube feeding, and parenteral nutrition. Presently, it is not known if these strategies can reduce mortality risk of nursing home (NH) residents who are malnourished or at risk of malnutrition. Thus, the aim of this study was to investigate if nutritional intake and interventions are associated with mortality in this specific population...
October 11, 2016: Journal of the American Medical Directors Association
Alina Lelic, Chris P Verschoor, Vivian W C Lau, Robin Parsons, Carole Evelegh, Dawn M Bowdish, Jonathan L Bramson, Mark B Loeb
BACKGROUND:  Little is known about the immunogenicity of live-attenuated Oka/Merck varicella zoster vaccine (VZV) vaccine in frail nursing homes residents nor about immune phenotypes associated with a response. METHODS:  A cohort of 190 frail nursing home residents between the ages of 80 and 102 years and a cohort of 50 community dwelling seniors, ages 60 to 75 years, a comparison group, were vaccinated with the VZV vaccine. IFN-γ ELISpot assay was measured prior to and six-weeks following vaccination...
October 5, 2016: Journal of Infectious Diseases
Tinna Elfstrand Corlin, Petri J Kajonius, Ali Kazemi
AIM AND OBJECTIVE: In this study, we explore how personal and situational factors relate to the provision of person-centred care (PCC) in nursing homes. Specifically, we focus on the relationship between the care staff's personality traits and provision of PCC and to what extent perceptions of the working environment influences this relationship. BACKGROUND: The ultimate goal of elderly care is to meet the older person's needs and individual preferences (PCC). Interpersonal aspects of care and the quality of relationship between the care staff and the older person are therefore central in PCC...
October 3, 2016: International Journal of Older People Nursing
Melanie Streicher, Michael Themessl-Huber, Karin Schindler, Cornel Christian Sieber, Michael Hiesmayr, Dorothee Volkert
BACKGROUND & AIMS: Oral nutritional supplements (ONS) can be helpful for nursing home (NH) residents to prevent or treat malnutrition. Presently little is known about the use of ONS in NHs and the factors associated with its use. Thus, the aim of this analysis was to describe the use of ONS in NHs participating in the nutritionDay project and to determine characteristics of NH residents receiving ONS. METHODS: Data from nutritionDay (nD), a cross-sectional multicenter study with standardized questionnaires on resident and NH level were analyzed...
September 17, 2016: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
J Joseph Gholson, Andrew J Pugely, Nicholas A Bedard, Kyle R Duchman, Christopher A Anthony, John J Callaghan
BACKGROUND: Postoperative discharge to a skilled nursing facility after total joint arthroplasty (TJA) is associated with increased costs, complications, and readmission. The purpose of this study was to identify the risk factors for discharge to a location other than home to build a calculator to predict discharge disposition after TJA. METHODS: The American College of Surgeons National Surgical Quality Improvement Program database was queried from 2011 to 2013 to identify patients who underwent primary total hip or total knee arthroplasty...
August 25, 2016: Journal of Arthroplasty
Ali Abbas Ozdemir, Korhan Kapucu
PURPOSE: This cross-sectional study aimed to examine the association between the presence of simple renal cyst and glomerular filtration rate (GFR) in a group of elderly patients. METHODS: This study included 207 elderly subjects residing in a nursing home. All subjects underwent ultrasonography examination as well as serum urea and creatinine measurements. Creatinine clearance was calculated according to Cockroft-Gault formula. In addition, demographic data were recorded...
September 9, 2016: International Urology and Nephrology
Lynn D Hiller, Robert F Shaw, Peter J Fabri
BACKGROUND: Previous studies have demonstrated an association between malnutrition and poor outcomes. The primary objective of this study was to explore the difference in the composite end point of readmission rate or mortality rate between hospitalized veterans with and without malnutrition. MATERIALS AND METHODS: This was a retrospective chart review comparing veterans with malnutrition based on a modified version of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition consensus characteristics that used 5 of the 6 clinical characteristics to a matched control group of nonmalnourished veterans based on age, admitting service, and date of admission who were admitted between August 1, 2012, and December 1, 2014...
September 8, 2016: JPEN. Journal of Parenteral and Enteral Nutrition
Stephen K Liu, Justin Montgomery, Yu Yan, John N Mecchella, Stephen J Bartels, Rebecca Masutani, John A Batsis
OBJECTIVES: To evaluate whether the Hospital Admission Risk Profile (HARP) score is associated with skilled nursing or acute rehabilitation facility discharge after an acute hospitalization. DESIGN: Retrospective cohort study. SETTING: Inpatient unit of a rural academic medical center. PARTICIPANTS: Hospitalized individuals aged 70 and older from October 1, 2013 to June 1, 2014. MEASUREMENTS: Participant age at the time of admission, modified Folstein Mini-Mental State Examination score, and self-reported instrumental activities of daily living 2 weeks before admission were used to calculate HARP score...
September 7, 2016: Journal of the American Geriatrics Society
Scott C Williams, David J Morton, Barbara I Braun, Beth Ann Longo, David W Baker
OBJECTIVES: Compare quality ratings of accredited and nonaccredited nursing homes using the publicly available Centers for Medicare and Medicaid Services (CMS) Nursing Home Compare data set. METHODS: This cross-sectional study compared the performance of 711 Joint Commission-accredited (TJC-accredited) nursing homes (81 of which also had Post-Acute Care Certification) to 14,926 non-Joint Commission-accredited (non-TJC-accredited) facilities using the Nursing Home Compare data set (as downloaded on April 2015)...
September 2, 2016: Journal of the American Medical Directors Association
Caroline Bähler, Andri Signorell, Oliver Reich
BACKGROUND: Many efforts are undertaken in Switzerland to enable older and/or chronically ill patients to stay home longer at the end-of-life. One of the consequences might be an increased need for hospitalisations at the end-of-life, which goes along with burdensome transitions for patients and higher health care costs for the society. AIM: We aimed to examine the health care utilisation in the last six months of life, including transitions between health care settings, in a Swiss adult population...
2016: PloS One
Donna Z Bliss, Olga V Gurvich, Michelle A Mathiason, Lynn E Eberly, Kay Savik, Susan Harms, Christine Mueller, Jean F Wyman, Beth Virnig
Racial/ethnic disparities in preventing health problems have been reported in nursing homes. Incontinence is common among nursing home residents and can result in inflammatory-type skin damage, referred to as incontinence-associated skin damage (IASD). Little is known about the prevention of IASD and whether there are racial/ethnic disparities in its prevention. This study assessed the proportion of older nursing home residents receiving IASD prevention after developing incontinence after admission (n = 10,713) and whether there were racial/ethnic disparities in IASD prevention...
September 1, 2016: Western Journal of Nursing Research
Carina Wattmo, Elisabet Londos, Lennart Minthon
BACKGROUND: The survival time in nursing homes (NHs) in Alzheimer's disease (AD) might be affected by sociodemographic/clinical characteristics, rate of disease progression, and use of specific medications and community-based services. Whether different aspects of cholinesterase inhibitor (ChEI) therapy modify time spent in NHs is unclear. Therefore, we examined the relationship between these potential predictors and survival time in NHs. METHODS: This prospective, multicenter study of ChEI treatment in clinical practice included 220 deceased patients clinically diagnosed with mild-to-moderate AD who were admitted to NHs during the study...
2016: BMC Neurology
Alvisa Palese, Carolina Del Favero, Ranieri Antonio Zuttion, Barbara Ferrario, Sandra Ponta, Luca Grassetti, Elisa Ambrosi
OBJECTIVES: It has been amply reported that nursing home (NH) residents are largely inactive, a condition that may further increase functional decline, behavioral disorders, and risk of death. To date, studies have mainly focused on individual characteristics that may decrease residents' involvement in activities. Therefore, the aim of this study is to describe the prevalence of inactive NH residents in an Italian context, identifying predictors of inactivity at the individual and NH levels...
August 26, 2016: Journal of the American Medical Directors Association
Santosh B Murthy, Aditi Shastri, Alexander E Merkler, Daniel F Hanley, Wendy C Ziai, Matthew E Fink, Costantino Iadecola, Hooman Kamel, Babak B Navi
BACKGROUND: Single-center studies suggest that patients with cancer have similar outcomes after intracerebral hemorrhage (ICH) compared to patients without cancer. However, these studies were limited by small sample sizes and high rates of intratumoral hemorrhage. Our hypothesis was that systemic cancer patients without brain involvement fare worse after ICH than patients without cancer. METHODS: We identified all patients diagnosed with spontaneous ICH from 2002 to 2011 in the Nationwide Inpatient Sample...
August 25, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
Margaret J Penning, Denise S Cloutier, Kim Nuernberger, Stuart W S MacDonald, Deanne Taylor
OBJECTIVES: Drawing on a structural life course perspective (LCP), we examined the most common trajectories experienced by older long-term care (LTC; home and community-based care, assisted living, and nursing home care) recipients. The overall sequencing of care transitions was considered along with the role of social structural location, social and economic resources, and health factors in influencing them. METHOD: Latent class and latent transition analyses were conducted using administrative data obtained over a 4-year period for clients aged 65 and older (n = 2,951) admitted into publicly funded LTC in 1 Canadian health region...
August 24, 2016: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
Maria Paola Scapinello, Andrea Posocco, Irene De Ronch, Francesco Castrogiovanni, Gianluca Lollo, Guglielmo Sergi, Iginio Tomaselli, Loris Tonon, Marco Solmi, Stefano Traversa, Vincenzo Zambianco, Nicola Veronese
BACKGROUND: Out of hours (OOH) doctors could manage many cases limiting the inappropriate accesses to ED. However the possible determinants of referral to ED by OOH doctors are poorly studied. We aimed to characterize patients referred from the OOH to ED service in order to explore the gate-keeping role of OOH service for hospital emergency care and to facilitate future research in improving its cost-effectiveness. METHODS: A retrospective study was made through data collection of 5217 contacts in a local OOH service in the North-East of Italy (from 10/01/2012 to 03/31/2013)...
September 2016: Health Policy
M Gosch, Y Hoffmann-Weltin, T Roth, M Blauth, J A Nicholas, C Kammerlander
BACKGROUND: Fragility fractures are a major health care problem worldwide. Both hip and non-hip fractures are associated with excess mortality in the years following the fracture. Residents of long-term nursing homes represent a special high-risk group for poor outcomes. Orthogeriatric co-management models of care have shown in multiple studies to have medical as well as economic advantages, but their impact on this high-risk group has not been well studied. OBJECTIVE: We studied the outcome of long-term care residents with hip and non-hip fractures admitted to a geriatric fracture center...
October 2016: Archives of Orthopaedic and Trauma Surgery
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