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Nursing home predictors

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https://www.readbyqxmd.com/read/28610846/-frequent-attenders-in-primary-health-care-centres-and-frequent-attenders-in-emergency-departments
#1
Cesáreo Fernández Alonso, Juan Mariano Aguilar Mulet, Rodolfo Romero Pareja, Arístides Rivas García, Manuel Enrique Fuentes Ferrer, Juan Jorge González Armengol
OBJECTIVE: To identify predictors of frequent attenders (HF) in Primary Health Care (PHC) centres in a sample of frequent attenders (HF) in Emergency Departments (ED). DESIGN: This was an observational, retrospective, multicentre cohort study. PARTICIPANTS: The HF patients were selected from patients seen in the ED between January 1 and December 31, 2013. Setting Patients were recruited from 17 public hospitals of the Community of Madrid, Spain...
June 10, 2017: Atencion Primaria
https://www.readbyqxmd.com/read/28600579/road-crashes-in-older-persons-and-the-use-of-comorbidity-polypharmacy-score-in-an-asian-population
#2
Mui Teng Chua, Keshav Bhandari, Victor Yk Ong, Win Sen Kuan
INTRODUCTION: Age-related physiological changes predispose older road users to higher mortality from traffic crashes. We aimed to describe the injury epidemiology of these patients, and explore the association between the comorbidity polypharmacy score (CPS) and outcomes. MATERIALS AND METHODS: This retrospective study utilised data from the Trauma Registry in the National University Hospital, Singapore, between January 2011 and December 2014. Patients involved in traffic crashes aged 45 years and above with injury severity scores (ISS) of 9 and higher were included...
May 2017: Annals of the Academy of Medicine, Singapore
https://www.readbyqxmd.com/read/28595018/predictors-of-physical-activity-levels-in-community-dwelling-older-adults-a-multivariate-approach-based-on-a-socio-ecological-framework
#3
Koren L Fisher, Elizabeth L Harrison, Brenda G Bruner, Joshua A Lawson, Bruce A Reeder, Nigel L Ashworth, M Suzanne Sheppard, Karen E Chad
OBJECTIVES: To explore cross-sectional relationships between self-reported physical activity (PA) and personal, social and environmental factors in community-dwelling adults aged 50 years and older. METHODS: Accounting for clustering by neighborhood, generalized estimating equations were used to examine associations between selected correlates and the Physical Activity Scale for the Elderly (PASE) score while adjusting for confounders. RESULTS: Data for 601 participants were analyzed: 79% female, 37% married, mean age 76...
May 22, 2017: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/28588424/the-use-of-life-stories-and-its-influence-on-persons-with-dementia-their-relatives-and-staff-a-systematic-mixed-studies-review
#4
Vigdis Abrahamsen Grøndahl, Mona Persenius, Carina Bååth, Ann Karin Helgesen
BACKGROUND: Dementia is an important predictor of nursing home admissions. Due to progressive dementia symptoms, over time it becomes difficult for persons with dementia to communicate their wishes and participate in decisions concerning their everyday lives. Their well-being, sense of dignity, integrity and personhood are at risk. The persons' life stories have been highlighted as particularly important in dementia care and are referred to as seeing the person beyond the dementia. The aim of this study was to explore and describe the use of life stories and its influence on persons with dementia living in nursing homes, their relatives and staff...
2017: BMC Nursing
https://www.readbyqxmd.com/read/28587716/-predictive-factors-of-functional-decline-at-hospital-discharge-in-elderly-patients-hospitalised-due-to-acute-illness
#5
Patricia Ysabel Condorhuamán-Alvarado, Rocío Menéndez-Colino, Coro Mauleón-Ladrero, Jesús Díez-Sebastián, Teresa Alarcón, Juan Ignacio González-Montalvo
OBJECTIVE: To compare baseline characteristics and those found during hospitalisation as predictors of functional decline at discharge (FDd) in elderly patients hospitalised due to acute illness. MATERIAL AND METHOD: A review was made of the computerized records of patients admitted to a Geriatric Acute Unit of a tertiary hospital over a 10 year period. A record was made of demographic, clinical, functional and health-care variables. Functional decline at discharge (FDd) was defined by the difference between the previous Barthel Index (pBI) and the discharge Barthel Index (dBI)...
June 3, 2017: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/28583738/predictors-of-mortality-in-nursing-home-residents-with-pneumonia-a-multicenter-study
#6
Marco Falcone, Alessandro Russo, Flaminia Gentiloni Silverj, Daniela Marzorati, Renzo Bagarolo, Massimo Monti, Rosella Velleca, Roberto D'Angelo, Antonino Frustaglia, Ginetto Carlo Zuccarelli, Roberto Prina, Marco Vignati, Maria Grazia Marnati, Mario Venditti, Marco Tinelli
OBJECTIVES: To evaluate predictors of mortality in patients residing in nursing-homes (NHs) or long-term care facilities (LTCFs) with diagnosis of NH-acquired pneumonia (NHAP). METHODS: We conducted an observational, prospective study (December 2013-December 2015) of patients residing in 9 NHs/LTCFs of Central and Northern Italy with diagnosis of NHAP. Data on demographics, comorbidities, microbiology, and therapies were entered in an electronic database. To identify risk factors associated with 30-day mortality, we performed univariable and multivariable analyses, and predictors were internally validated using a bootstrap resampling procedure...
June 2, 2017: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/28561895/knowledge-and-self-care-behaviors-among-patients-with-heart-failure-in-jordan
#7
Loai I Tawalbeh, Mohammad Al Qadire, Muayyad M Ahmad, Sami Aloush, Yasmeen Abu Sumaqa, Marawa Halabi
Knowledge is known to affect self-care behaviors. However, little is known about the factors that influence self-care behaviors among patients with heart failure in Jordan. A cross-sectional descriptive-correlational design was used to describe the associations between knowledge, sociodemographics, and self-care behaviors. In a convenience sample of 226 patients with heart failure, the Dutch Heart Failure Scale and Self-Care of Heart Failure Index (SCHFI) version 6.2 were used to measure knowledge and self-care behaviors, respectively...
May 31, 2017: Research in Nursing & Health
https://www.readbyqxmd.com/read/28545361/applying-melanopic-lux-to-measure-biological-light-effects-on-melatonin-suppression-and-subjective-sleepiness
#8
Claudia Nowozin, Amely Wahnschaffe, Andrea Rodenbeck, Jan de Zeeuw, Sven Hädel, Ruslan Kozakov, Heinz Schöpp, Mirjam Münch, Dieter Kunz
In the beginning of this century a novel photopigment, melanopsin, was discovered in a sub-class of retinal ganglion cells and its action spectrum was described. Shortly after, it became clear that melanopsin is one major contributor to non-visual eye-mediated effects of light on e.g. the circadian, neuroendocrine and neurobehavioral systems. First applied studies pointed out that these non-visual effects of light are relevant for wellbeing, performance and general health. A standardized measurement quantity for these non-visual effects does not exist, but would ease application...
May 22, 2017: Current Alzheimer Research
https://www.readbyqxmd.com/read/28524384/patient-reported-dietetic-care-post-hospital-for-free-living-patients-a-canadian-malnutrition-task-force-study
#9
H Keller, H Payette, M Laporte, P Bernier, J Allard, D Duerksen, L Gramlich, K Jeejeebhoy
BACKGROUND: Transitions out of hospital can influence recovery. Ideally, malnourished patients should be followed by someone with nutrition expertise, specifically a dietitian, post discharge from hospital. Predictors of dietetic care post discharge are currently unknown. The present study aimed to determine the patient factors independently associated with 30-days post hospital discharge dietetic care for free-living patients who transitioned to the community. METHODOLOGY: Nine hundred and twenty-two medical or surgical adult patients were recruited in 16 acute care hospitals in eight Canadian provinces on admission...
May 19, 2017: Journal of Human Nutrition and Dietetics: the Official Journal of the British Dietetic Association
https://www.readbyqxmd.com/read/28467148/outcomes-of-cardiac-arrest-in-residential-care-homes-for-the-elderly-in-hong-kong
#10
Kit Ling Fan, Ling Pong Leung
OBJECTIVE: Studies done in the 1990's suggested nursing home residents with cardiac arrest had minimal chance of survival and resuscitation was not recommended. More recent studies showed opposing results. In Hong Kong, the proportion of elderly living in the residential care homes for the elderly is increasing. There is no study of out-of-hospital cardiac arrest outcomes in this population. This study aimed at evaluating the prognosis of out-of-hospital cardiac arrest occurring in the residential care homes for the elderly...
May 3, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28452909/exploring-the-predictive-ability-of-dysfunctional-high-density-lipoprotein-for-adverse-outcomes-in-emergency-department-patients-with-sepsis-a-preliminary-investigation
#11
Faheem W Guirgis, Sunita Dodani, Lyle Moldawer, Christiaan Leeuwenburgh, Jennifer Bowman, Colleen Kalynych, Alan E Jones, Srinivasa T Reddy, Frederick A Moore
BACKGROUND: High Density Lipoprotein (HDL) can be readily oxidized in inflammatory conditions and exhibit pro-inflammatory and dysfunctional (Dys-HDL) characteristics. We hypothesize that Dys-HDL may predict adverse outcomes and correlate with inflammatory cytokines in sepsis. METHODS: Emergency department (ED) patients with sepsis were enrolled. Blood was drawn at enrollment and after 48 hours. Dys-HDL, expressed as HDL inflammatory index (HII), and cytokines were measured...
April 27, 2017: Shock
https://www.readbyqxmd.com/read/28450217/hospice-enrollment-after-referral-to-community-based-specialist-palliative-care-impact-of-telephonic-outreach
#12
Alexa Riggs, Brenda Breuer, Lara Dhingra, Jack Chen, Russell K Portenoy, Helena Knotkova
CONTEXT: In the U.S., palliative care programs improve access to hospice through enhanced communication and efficiencies in hospice eligibility review and enrollment. For community-based programs, this task may begin with telephone contact. OBJECTIVES: To evaluate the incidence and predictors of hospice enrollment following telephonic outreach by a nurse after referral to a community-based, specialist palliative care program. METHODS: During 2012-2014, 299 consecutive patients who were referred to a palliative care program and subsequently enrolled in hospice provided electronic health record data for a retrospective cohort study...
April 24, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28448222/patient-experience-and-process-measures-of-quality-of-care-at-home-health-agencies-factors-associated-with-high-performance
#13
Laura M Smith, Wayne L Anderson, Lisa M Lines, Cristalle Pronier, Vanessa Thornburg, Janelle P Butler, Lori Teichman, Debra Dean-Whittaker, Elizabeth Goldstein
We examined the effects of provider characteristics on home health agency performance on patient experience of care (Home Health CAHPS) and process (OASIS) measures. Descriptive, multivariate, and factor analyses were used. While agencies score high on both domains, factor analyses showed that the underlying items represent separate constructs. Freestanding and Visiting Nurse Association agencies, higher number of home health aides per 100 episodes, and urban location were statistically significant predictors of lower performance...
January 2017: Home Health Care Services Quarterly
https://www.readbyqxmd.com/read/28447870/does-specialized-inpatient-rehabilitation-affect-whether-or-not-people-with-traumatic-spinal-cord-injury-return-home
#14
Christiana L Cheng, Tova Plashkes, Tian Shen, Nader Fallah, Suzanne Humphreys, Colleen O'Connell, A Gary Linassi, Chester Ho, Christine Short, Karen Ethans, Rebecca Charbonneau, Jérôme Paquet, Vanessa K Noonan
Return to living at home is an important patient-reported outcome following traumatic spinal cord injury (tSCI). Specialized inpatient rehabilitation assists such patients in maximizing function and independence. Our project aim was to describe those patients receiving specialized rehabilitation after tSCI in Canada, and to determine if such rehabilitation improved the likelihood of returning home. This cohort study utilized data from the Rick Hansen Spinal Cord Injury Registry (RHSCIR) to identify patients with tSCI discharged from 1 of 18 participating acute specialized spine facilities between 2011 and 2015 to either 1 of 13 participating specialized rehabilitation facilities, or to another discharge destination...
May 24, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28422867/a-simple-scoring-algorithm-predicting-extended-spectrum-%C3%AE-lactamase-producers-in-adults-with-community-onset-monomicrobial-enterobacteriaceae-bacteremia-matters-of-frequent-emergency-department-users
#15
Chung-Hsun Lee, Feng-Yuan Chu, Chih-Chia Hsieh, Ming-Yuan Hong, Chih-Hsien Chi, Wen-Chien Ko, Ching-Chi Lee
The incidence of community-onset bacteremia caused by extended-spectrum-β-lactamase (ESBL) producers is increasing. The adverse effects of ESBL production on patient outcome have been recognized and this antimicrobial resistance has significant implications in the delay of appropriate therapy. However, a simple scoring algorithm that can easily, inexpensively, and accurately be applied to clinical settings was lacking. Thus, we established a predictive scoring algorithm for identifying patients at the risk of ESBL-producer infections among patients with community-onset monomicrobial Enterobacteriaceae bacteremia (CoMEB)...
April 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28415885/fatigue-and-pain-limit-independent-mobility-and-physiotherapy-after-hip-fracture-surgery
#16
Kristine H Münter, Christopher G Clemmesen, Nicolai B Foss, Henrik Palm, Morten T Kristensen
PURPOSE: The patient's ability to complete their planned physiotherapy session after hip fracture surgery has been proposed as an independent predictor for achieving basic mobility independency upon hospital discharge. However, knowledge of factors limiting mobility is sparse. We therefore examined patient reported factors limiting ability to complete planned physiotherapy sessions as well as limitations for not achieving independency in basic mobility early after hip fracture surgery...
April 17, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28407806/development-and-validation-of-classifiers-and-variable-subsets-for-predicting-nursing-home-admission
#17
Mikko Nuutinen, Riikka-Leena Leskelä, Ella Suojalehto, Anniina Tirronen, Vesa Komssi
BACKGROUND: In previous years a substantial number of studies have identified statistically important predictors of nursing home admission (NHA). However, as far as we know, the analyses have been done at the population-level. No prior research has analysed the prediction accuracy of a NHA model for individuals. METHODS: This study is an analysis of 3056 longer-term home care customers in the city of Tampere, Finland. Data were collected from the records of social and health service usage and RAI-HC (Resident Assessment Instrument - Home Care) assessment system during January 2011 and September 2015...
April 13, 2017: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/28407296/time-to-and-predictors-of-dual-incontinence-in-older-nursing-home-admissions
#18
Donna Z Bliss, Olga V Gurvich, Lynn E Eberly, Susan Harms
AIMS: There are few studies of nursing home residents that have investigated the development of dual incontinence, perhaps the most severe type of incontinence as both urinary and fecal incontinence occur. To determine the time to and predictors of dual incontinence in older nursing home residents. METHODS: Using a cohort design, records of older nursing home admissions who were continent or had only urinary or only fecal incontinence (n = 39,181) were followed forward for report of dual incontinence...
April 13, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28400222/self-reported-health-and-safety-awareness-improves-prediction%C3%A2-of-level-of-care-needs-in-veterans-discharged-from-a-postacute-unit
#19
Julija Stelmokas, Linas A Bieliauskas, Katherine A Kitchen Andren, Robert Hogikyan, Neil B Alexander
OBJECTIVES: To evaluate the differential value of a self-reported health and safety awareness measure relative to other medical, psychosocial, and cognitive factors in predicting level of care (LOC) needs after hospital discharge. DESIGN: Retrospective medical record review. SETTING: Community living center postacute care (CLC-PAC) unit at a Veterans Affairs hospital. PARTICIPANTS: A total of 175 veterans admitted to the Veterans Affairs hospital or directly to the CLC-PAC from home...
April 9, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28389108/physical-and-occupational-therapy-from-the-acute-to-community-setting-following-stroke-predictors-of-use-continuity-of-care-and-timeliness-of-care
#20
Janet K Freburger, Dongmei Li, Anna Johnson, Erin Fraher
OBJECTIVE: To identify predictors of therapist use (any use, continuity of care, and timing of care) in the acute care hospital and community (home or outpatient) for patients discharged home following stroke. DESIGN: Retrospective cohort analysis of Medicare claims (2010-2013) linked to hospital-level and county-level data. SETTING: Acute care hospital and community. PARTICIPANTS: Patients who survived the first 30 days at home after being discharged from an acute care hospital following stroke (N=23,413)...
April 4, 2017: Archives of Physical Medicine and Rehabilitation
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