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Journal of the American Medical Directors Association

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https://read.qxmd.com/read/30777631/cost-benefit-of-high-dose-vs-standard-dose-influenza-vaccine-in-a-long-term-care-population-during-an-a-h1n1-predominant-influenza-season
#1
Theresa I Shireman, Jessica Ogarek, Pedro Gozalo, Tingting Zhang, Vincent Mor, H Edward Davidson, Lisa Han, Monica Taljaard, Stefan Gravenstein
OBJECTIVES: Influenza is a leading cause of avoidable admissions for nursing home (NH) residents. We previously evaluated the effectiveness of a high-dose trivalent influenza vaccine (HD) compared to a standard-dose influenza vaccine (SD) through a cluster-randomized trial of NH residents. Fewer residents from facilities randomized to HD were hospitalized. In this article, we extend our analyses to consider direct medical care costs relative to vaccine costs for HD ($31.82/dose) as compared to SD ($12...
February 15, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30772171/trajectories-of-accumulation-of-health-deficits-in-older-adults-are-there-variations-according-to-health-domains
#2
Esther García-Esquinas, Rosario Ortolá, Matthew Prina, Denes Stefler, Fernando Rodríguez-Artalejo, Roberto Pastor-Barriuso
OBJECTIVES: To analyze sex- and education-specific trajectories of health deficits accumulation (DA) throughout old age and to examine whether these trajectories differ according to health domains. DESIGN: Population-based prospective cohort study. SETTING: and participants: In Spain, 3228 community-dwelling individuals aged 60 years or older were followed up for 10 years. MEASURES: At baseline and 3 follow-up visits, a DA index (0 to 100% deficit) was calculated based on the number and severity of 52 health deficits across the domains of physical and cognitive function, self-rated health and vitality, mental health, and morbidity...
February 13, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30772170/predictive-capacity-of-frailty-phenotype-toward-patterns-of-disability-identified-using-latent-class-analysis
#3
Luisa Costanzo, Matteo Cesari, Luigi Ferrucci, Stefania Bandinelli, Raffaele Antonelli Incalzi, Claudio Pedone
OBJECTIVES: Frailty phenotype (FP) has low sensitivity toward the identification of older people who will lose 1 or more activities of daily living. Nevertheless, the definition of disability in terms of activities of daily living may not resemble the pattern of functional impairment occurring during aging. The aim of this study was to examine the discriminative capacity of the FP toward the identification of patterns of disabilities in an extended list of tasks, identified among community-dwelling older people...
February 13, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30772169/successful-aging-and-mortality-risk-the-korean-longitudinal-study-of-aging-2006-2014
#4
Hye-Jin Kim, Jin-Young Min, Kyoung-Bok Min
OBJECTIVES: The aim of this study is to examine the association of successful aging with mortality and further find gender differences in the effect of components of successful aging on mortality risks. DESIGN: Retrospective cohort study. SETTING AND PARTICIPANTS: A total of 3848 adults aged 65 and older from the Korean Longitudinal Study of Aging (2006-2014) data. MEASURES: Successful aging was defined as success in the following 7 components: absence of major disease, no depression, no freedom from disability, high cognitive and physical function, active social engagement, and satisfaction with life...
February 13, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30745176/food-consumption-and-frailty-syndrome-results-from-the-hellenic-longitudinal-investigation-of-aging-and-diet-study
#5
LETTER
Eva Ntanasi, Nikolaos Scarmeas, Eirini Mamalaki, Mary-Helen Kosmidis, Costas A Anastasiou, Efthimios Dardiotis, Giorgos Hadjigeorgiou, Maria Megalou, Panagiota Voskou, Paraskevi Sakka, Mary Yannakoulia
No abstract text is available yet for this article.
February 7, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30745175/caregiver-assessment-is-critical-to-home-based-medical-care-quality
#6
LETTER
Terry Hill
No abstract text is available yet for this article.
February 7, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30745174/association-between-clinician-specialization-in-nursing-home-care-and-nursing-home-clinical-quality-scores
#7
Kira L Ryskina, Christine Lam, Hye-Young Jung
IMPORTANCE: While the number of prescribing clinicians (physicians and nurse practitioners) who provide any nursing home care remained stable over the past decade, the number of clinicians who focus their practice exclusively on nursing home care has increased by over 30%. OBJECTIVES: To measure the association between regional trends in clinician specialization in nursing home care and nursing home quality. DESIGN: Retrospective cross-sectional study...
February 7, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30738826/discontinuation-of-antihypertensive-medication-cognitive-complaints-and-incident-dementia
#8
Jan Willem van Dalen, Eric P Moll van Charante, William A van Gool, Edo Richard
OBJECTIVES: To evaluate whether discontinuation of antihypertensive medication in community-dwelling older people is associated with a reduction in memory complaints and/or incident dementia. DESIGN: Prospective observational cohort study within the Prevention of Dementia by Intensive Vascular Care (preDIVA) trial. SETTING AND PARTICIPANTS: Community-dwelling participants (aged 70-78 years at baseline) who underwent 2-yearly assessments during 6-8 years of follow-up...
February 6, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30738825/erratum
#9
(no author information available yet)
No abstract text is available yet for this article.
February 6, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30738824/functional-recovery-within-a-formal-home-care-program
#10
John N Morris, Katherine Berg, Elizabeth P Howard, Palmi V Jonsson, Meredith Craig
OBJECTIVE: To identify home care clients with substantial functional deficits who had capacity to improve and, thus, for whom recovery goals should be articulated. DESIGN: Retrospective longitudinal analysis of an international home care database. SETTING AND PARTICIPANTS: 523,907 persons receiving home care, having 2 assessments, on average, 8 months apart. MEASURES: Recovery algorithm variables included counts of dependencies of activities of daily living (ADL) and instrumental ADL (IADL) tasks, hospitalization in the last 30 days, functional decline in the last 90 days, and self-belief in one's capacity to improve...
February 6, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30738823/can-physical-activity-offset-the-detrimental-consequences-of-sedentary-time-on-frailty-a-moderation-analysis-in-749-older-adults-measured-with-accelerometers
#11
Asier Mañas, Borja Del Pozo-Cruz, Irene Rodríguez-Gómez, José Losa-Reyna, Leocadio Rodríguez-Mañas, Francisco J García-García, Ignacio Ara
OBJECTIVES: To determine whether or not and to what extent the association between sedentary time and frailty was moderated by moderate-to-vigorous physical activity in older adults. DESIGN: Cross-sectional. SETTING: Community-dwelling individuals. PARTICIPANTS: 749 (403 females and 346 males) white older adults. MEASUREMENTS: Sedentary time and moderate-to-vigorous physical activity were measured with accelerometers...
February 6, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30738822/erratum
#12
(no author information available yet)
No abstract text is available yet for this article.
February 6, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30738821/interdisciplinary-teams-and-home-based-medical-care-secondary-analysis-of-a-national-survey
#13
Kathryn Huber, Kanan Patel, Sarah Garrigues, Bruce Leff, Christine Ritchie
OBJECTIVES: The objective of this study was to describe the use of interdisciplinary teams (IDTs) in home-based medical care practices. DESIGN: We performed a secondary data analysis using results from the 2013 National Home-Based Primary Care and Palliative Care Network survey of home-based medical care (HBMC) practices. SETTING AND PARTICIPANTS: Two hundred forty-six unique HBMC practices were included in this study. METHODS: Descriptive statistics and frequency distributions were generated on the sample characteristics, practice IDT configurations, and routine use of IDT meetings...
February 6, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30737167/definition-of-respiratory-sarcopenia-with-peak-expiratory-flow-rate
#14
Takeshi Kera, Hisashi Kawai, Hirohiko Hirano, Motonaga Kojima, Yutaka Watanabe, Keiko Motokawa, Yoshinori Fujiwara, Kazushige Ihara, Hunkyung Kim, Shuichi Obuchi
OBJECTIVES: Respiratory muscle strength decreases with advancing age, and respiratory muscle dysfunction may indicate respiratory sarcopenia. However, there is no consensus regarding the definition of respiratory sarcopenia. We aimed to create a definition of respiratory sarcopenia based on the peak expiratory flow rate (PEFR). DESIGN: Cross-sectional study. SETTING AND PARTICIPANTS: Community-based study including 681 community-dwelling older people...
February 5, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30737166/translating-frailty-research-into-clinical-practice-insights-from-the-successful-aging-and-frailty-evaluation-clinic
#15
Megan Huisingh-Scheetz, Michelle Martinchek, Yolanda Becker, Mark K Ferguson, Katherine Thompson
Aging researchers have been studying frailty for decades. Experts agree that frailty is a medical syndrome marked by reduced physiologic function, which increases the risk of vulnerability and short-term mortality, particularly in the face of a stressor. Frailty has been shown to predict poor outcomes including falls, disability, major morbidity following surgery, and mortality among older adults. Despite hundreds of papers identifying frailty as a useful marker of risk, its translation into clinical practice has lagged...
February 5, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30723057/risk-factors-for-poor-functional-recovery-mortality-recurrent-fractures-and-falls-among-patients-participating-in-a-fracture-liaison-service-program
#16
Chia-Ter Chao, Rong-Sen Yang, Wei-Jia Huang, Keh-Sung Tsai, Ding-Cheng Derrick Chan
OBJECTIVE: A fracture liaison service (FLS) for patients with fractures is a promising approach for improving outcomes, but barriers to the successful implementation of an FLS remain. The factors influencing the outcomes of patients already receiving FLS care are unclear. DESIGN: A prospective multicenter cohort study. SETTINGS AND PARTICIPANTS: Patients with incident hip and clinical vertebral fractures treated at 2 institutions between January 2014 and June 2016 were prospectively enrolled...
February 2, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30718152/the-role-of-dietary-patterns-in-the-contribution-of-cardiorespiratory-fitness-in-community-dwelling-older-chinese-adults-in-hong-kong
#17
Ruth Chan, Forrest Yau, Blanche Yu, Jean Woo
OBJECTIVE: We examined the influence of various dietary patterns on cardiorespiratory fitness (CRF) expressed as peak oxygen uptake (VO2 peak), taking into account demographics and lifestyle risk factors. DESIGN: Prospective cohort study. PARTICIPANTS AND METHODS: We conducted multivariate linear regression analyses using available data from a cohort of community-dwelling older Chinese adults (752 men, 483 women) in Hong Kong. Baseline interviewer-administered questionnaires covered dietary intake estimation and dietary pattern generation from the food frequency questionnaire, demographic and lifestyle factors, self-reported medical history, as well as frailty status...
February 1, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30718151/families-experiences-with-end-of-life-care-in-nursing-homes-and-associations-with-dying-peacefully-with-dementia
#18
Sascha R Bolt, Laura Verbeek, Judith M M Meijers, Jenny T van der Steen
OBJECTIVES: To examine family caregivers' experiences with end-of-life care for nursing home residents with dementia and associations with the residents dying peacefully. DESIGN: A secondary data analysis of family caregiver data collected in the observational Dutch End of Life in Dementia (DEOLD) study between 2007 and 2010. SETTING AND PARTICIPANTS: Data were collected at 34 Dutch nursing homes (2799 beds) representing the nation. We included 252 reports from bereaved family members of nursing home residents with dementia...
February 1, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30711462/workplace-interventions-and-vaccination-related-attitudes-associated-with-influenza-vaccination-coverage-among-healthcare-personnel-working-in-long-term-care-facilities-2015%C3%A2-2016-influenza-season
#19
Xin Yue, Carla Black, Sarah Ball, Sara Donahue, Marie A de Perio, A Scott Laney, Stacie Greby
OBJECTIVES: Influenza vaccination of healthcare personnel working in long-term care (LTC) facilities can reduce influenza-related morbidity and mortality among healthcare personnel and among resident populations who are at increased risk for complications from influenza and who may respond poorly to vaccination. The objective of this study was to investigate workplace interventions and healthcare personnel vaccination-related attitudes associated with higher influenza vaccination coverage among healthcare personnel working in LTC facilities...
January 30, 2019: Journal of the American Medical Directors Association
https://read.qxmd.com/read/30711461/physical-performance-predictor-measures-in-older-adults-with-falls-related-emergency-department-visits
#20
Yong-Hao Pua, David B Matchar
OBJECTIVES: Identifying strong predictors for falls and mobility limitations in older adults with a falls-related emergency department visit is crucial. This study aimed to compare, in this clinical population, the incremental predictive value of the Short Physical Performance Battery (SPPB) component tests for incident falls, injurious falls, and mobility limitations. DESIGN AND MEASURES: Prospective cohort study. SETTING AND PARTICIPANTS: A total of 323 community-dwelling older adults with a falls-related emergency department visit participated...
January 30, 2019: Journal of the American Medical Directors Association
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