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geriatric home hospitalization

Caitlin McArthur, Mehdi Rostami, Olli Saarela, Mohammad Owais Suria, Cindy Feng, Katherine Berg
ABSTRACTHospitalizations of long-term care (LTC) residents can result in adverse outcomes such as functional decline. The objective of our study was to investigate the association between demographic and health information and hospitalization rate for newly admitted LTC residents. We conducted a retrospective cohort study of all LTC homes in six provinces and one territory in Canada, using data from the Resident Assessment Instrument-Minimum Data Set (RAI-MDS) 2.0 and the Discharge Abstract Database. We included newly admitted residents with an assessment between January 1 and December 31, 2013 (n = 37,998)...
February 14, 2019: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
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
Chi-Hsien Huang, Hiroyuki Umegaki, Yuuki Watanabe, Hiroko Kamitani, Atushi Asai, Shigeru Kanda, Hideki Nomura, Masafumi Kuzuya
BACKGROUND: Although potentially inappropriate medications (PIMs) have been linked to poor health outcomes, country-specific PIM criteria have not been compared. Thus, we compared the identification of PIMs between the Screening Tool for Older Person's Appropriate Prescriptions for Japanese (STOPP-J) and the 2015 American Geriatrics Society Beers Criteria in elderly patients receiving home-based medical services. METHODS: A 5-year prospective cohort study was conducted with 196 patients receiving home-based medical services...
2019: PloS One
Günter Polt, Dietmar Weixler, Norbert Bauer
In palliative medicine planning in advance is important for critical care situations. It is highly significant to make useful and by the patient and his relatives desired decisions. These concern transport in a situation of crisis and the venue of death (either death at home or transfer to a hospital).In this study the effect of a new Emergency Information Form about the place of death was examined. The used Emergency Information Form enabled the patient to express a wish on transfer in the case of crisis in advance and communicate this wish to the Emergency system...
February 6, 2019: Wiener Medizinische Wochenschrift
Armin Arshi, Kevin Rezzadeh, Alexandra I Stavrakis, Susan V Bukata, Erik N Zeegen
OBJECTIVE: To determine relative complication rates and outcome measures in patients treated under a standardized hip fracture program (SHFP). METHODS: The American College of Surgeons National Surgical Quality Improvement Program was queried to identify patients who underwent operative fixation of femoral neck, intertrochanteric, and subtrochanteric hip fractures in 2016. Cohorts of patients who were and were not treated under a documented SHFP were identified...
January 22, 2019: Journal of Orthopaedic Trauma
Doris Y P Leung, Helen Y L Chan, Susan Z M Yau, Patrick K C Chiu, Fiona W K Tang, Joseph S K Kwan
AIM: To examine the effect of a video-supported nurse-led advance care planning to frail geriatric patients on end-of-life decision making outcomes in patients and their carers. DESIGN: This is a double-blinded randomized controlled trial with parallel arms. METHODS: The protocol was approved by the Institutional Review Board of the participating hospital on 1 August 2018. Frail elders and their carer if any are enrolled during hospitalization, and undergo randomization after discharged...
January 29, 2019: Journal of Advanced Nursing
Stefanie Thevelin, Leïla El Mounaouar, Sophie Marien, Benoit Boland, Séverine Henrard, Olivia Dalleur
BACKGROUND: Older persons are at significant risk of drug-related admissions (DRAs). We previously demonstrated that 27% of hospitalizations in geriatric patients were associated with potentially inappropriate medicines (PIMs) and/or potential prescribing omissions (PPOs) identified by the Screening Tool of Older People's Prescriptions/Screening Tool to Alert to Right Treatment (STOPP/START) criteria version 1 (v1 ). The updated STOPP/START criteria version 2 (v2 ) comprised a 31% increase in prescribing criteria...
January 29, 2019: Drugs & Aging
Chiao-Li Chan, Kathleen M Diehl, Karen E Hall, William C Palazzolo, YaoYao Pollock, Lillian C Min
BACKGROUND: Careful discharge planning for older surgical patients can reduce length of stay, readmission, and cost. We hypothesized that patients who overestimate their self-care ability before surgery are more likely to have complex postoperative discharge planning. MATERIALS AND METHODS: The Vulnerable Elders Surgical Pathways and Outcomes Assessment is a brief preoperative assessment that can identify older (age ≥70) patients with multidimensional geriatric risk, defined by all three of the following: (1) physical or cognitive impairment, (2) living alone, and (3) lack of handicap-accessible home...
March 2019: Journal of Surgical Research
A Wiegand, A Zieger, R D Staiger, A Egli, G Freystätter, H A Bischoff-Ferrari, P O Chocano-Bedoya
BACKGROUND: Depression is common among senior adults, yet understudied among trauma patients. The purpose of this study was to assess the prevalence of depressive symptoms among seniors hospitalized in acute trauma care, to compare patients with depressive symptoms vs. those without, and to evaluate whether depression symptoms affects discharge destination. METHODS: This cross-sectional and prospective analysis was conducted among community-dwelling patients ≥70 years old, hospitalized at the Senior Trauma Center of the University Hospital Zurich, Switzerland...
January 15, 2019: Journal of Affective Disorders
Christopher N Osuafor, Syazwani N M Sahimi, Sree Enduluri, Frances McCarthy
BACKGROUND AND AIMS: Elderly rehabilitation programs provide a period of rehabilitation to optimize a safe home discharge after acute hospitalization of older adults. Often, these patients may have their rehabilitation interrupted when they become unwell and subsequently require transfer back to an acute hospital setting. We will look at the incidence and outcome of this interruption. This paper aimed to determine the incidence of interrupted post-acute geriatric rehabilitation requiring acute hospital transfer and to analyze the outcome of the transfers...
January 25, 2019: Irish Journal of Medical Science
Tamami Matsuoka, Toshie Manabe, Hiroyasu Akatsu, Yoshio Hashizume, Sakon Yamamoto, Norihiro Ogawa, Takeshi Kanesaka, Chie Taniguchi, Takayuki Yamamoto, Katsuyoshi Mizukami
BACKGROUND: The symptoms of geriatric syndromes and the behavioural and psychological symptoms of dementia (BPSD), in addition to clinical conditions, are associated with hospital admission among dementia patients. However, the principal factors that necessitate hospital admission among dementia patients have not been fully elucidated. METHODS: We retrospectively reviewed the data in the medical and autopsy reports of patients who had been treated at a hospital in Toyohashi, Japan...
January 24, 2019: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Miles Berger, Deborah Oyeyemi, Mobolaji O Olurinde, Heather E Whitson, Kent J Weinhold, Marty G Woldorff, Lewis A Lipsitz, Eugene Moretti, Charles M Giattino, Kenneth C Roberts, Junhong Zhou, Thomas Bunning, Michael Ferrandino, Randall P Scheri, Mary Cooter, Cliburn Chan, Roberto Cabeza, Jeffrey N Browndyke, David M Murdoch, Michael J Devinney, Leslie M Shaw, Harvey Jay Cohen, Joseph P Mathew
BACKGROUND/OBJECTIVES: Every year, up to 40% of the more than 16 million older Americans who undergo anesthesia/surgery develop postoperative cognitive dysfunction (POCD) or delirium. Each of these distinct syndromes is associated with decreased quality of life, increased mortality, and a possible increased risk of Alzheimer's disease. One pathologic process hypothesized to underlie both delirium and POCD is neuroinflammation. The INTUIT study described here will determine the extent to which postoperative increases in cerebrospinal fluid (CSF) monocyte chemoattractant protein 1 (MCP-1) levels and monocyte numbers are associated with delirium and/or POCD and their underlying brain connectivity changes...
January 23, 2019: Journal of the American Geriatrics Society
Ariana Lott, Kenneth A Egol, Thomas Lyon, Sanjit R Konda
OBJECTIVES: To investigate the ability of a validated geriatric trauma risk prediction tool to stratify hospital quality metrics and inpatient cost for middle-aged and geriatric patients admitted from the ED for operative treatment of an ankle fracture. DESIGN: Prospective cohort study SETTING:: Single Academic Medical Center PATIENTS:: Patients aged 55 and older who sustained a rotational ankle fracture and were treated operatively during their index hospitalization INTERVENTION:: Calculation of validated trauma triage score, Score for Trauma Triage in Geriatric and Middle Aged (STTGMA), using patient's demographic, injury severity, and functional status...
January 17, 2019: Journal of Orthopaedic Trauma
Marte Sofie Wang-Hansen, Torgeir Bruun Wyller, Lara T Hvidsten, Hege Kersten
PURPOSE: The purpose of the study is to identify and explore risk factors of serious adverse drug events (SADE) and SADE-related admissions in acutely hospitalized multimorbid older adults and assess whether these could have been prevented by adherence to the prescription tools Screening Tool of Older Persons' Prescriptions (STOPP) and The Norwegian General Practice (NORGEP) criteria. METHODS: Cross-sectional study of acutely admitted patients to a medical department in a Norwegian regional hospital...
January 20, 2019: European Journal of Clinical Pharmacology
Carmen Rosenberger, Monica Rechsteiner, Rebekka Dietsche, Matthias Breidert
BACKGROUND AND AIMS: Elderly orthopaedic patients are potentially at a high nutritional risk. The reasons for this are numerous as i.e. reduced appetite, sensation of satiety after eating small amounts of food, multi-medication or immobility. This is in contrast to the increased energy and protein recommendations for geriatric orthopaedic patients. METHODS: Oral intake during hospitalization of more than 1000 geriatric orthopaedic patients aged over 80, with or without fracture, was recorded, calculated and then compared to energy and protein requirements by clinical dietitians according to international guidelines...
February 2019: Clinical Nutrition ESPEN
Mireia Massot Mesquida, Montserrat Tristany Casas, Alicia Franzi Sisó, Isabel García Muñoz, Óscar Hernández Vian, Pere Torán Monserrat
BACKGROUND: Dementia patients often show neuropsychiatric symptoms, known as behavioral and psychological symptoms of dementia (BPSD). These are a common motive for medical consultations, hospitalizations, and nursing home stays. Various studies have suggested that the high prevalence of psychotropic drug use to treat BPSD in institutionalized dementia patients may lead to impaired cognitive capacity, rigidity, somnolence, and other complications during the course of the illness. The aim of this study was to design a consensus-based intervention between care levels to optimize and potentially reduce prescription of psychotropic drugs in institutionalized patients with dementia and assess the changes occurring following its implementation...
January 8, 2019: BMC Geriatrics
Nicoleta Stoicea, Samarchitha Magal, January K Kim, Michael Bai, Barbara Rogers, Sergio Daniel Bergese
As the geriatric population in the United States continues to age, there will be an increased demand for total hip and total knee arthroplasties (THAs and TKAs). Older patients tend to have more comorbidities and poorer health, and will require post-acute care (PAC) following discharge. The most utilized PAC facilities following THA and TKA are skilled nursing facilities (SNFs), in-patient rehabilitation facilities (IRFs), and home with home health care (HHC). Coordination of care between hospitals and PACs, including the complete transfer of patient information, continues to be a challenge which impacts the quality of care provided by the PACs...
2018: Frontiers in Medicine
Sanjit R Konda, Hesham Saleh, Ariana Lott, Kenneth A Egol
Patterns of discharge location may be evident based on the "sickness" profile of the patient. This study sought to evaluate the ability of the STTGMA tool, a validated mortality risk index for middle-aged and geriatric trauma patients, to predict discharge location in a cohort of low-energy elderly hip fracture patients, with successful discharge planning measured by readmission rates. Low-energy hip fracture patients aged 55 years and older were prospectively followed throughout their hospitalization...
2018: Advances in Orthopedics
Conxita Mestres, Marta Hernandez, Anna Agustí, Laura Puerta, Blanca Llagostera, Patricia Amorós
BACKGROUND: To introduce and manage a Pharmaceutical care programs in geriatric care institutions presents difficulties such as reduced pharmacy service staff, complexity of the patients or lack of integration of the pharmacist in the health care team. This work describes the evolution of the implementations of a program of pharmaceutical care centered in drug related problems (DRP) in a group of geriatric institutions of different levels of complexity. METHODS: Setting: Long-term and subacute care hospitals (HSS) and Health care teams attending nursing homes (EARs)...
December 19, 2018: BMC Geriatrics
Horst Bickel, Ingrid Hendlmeier, Johannes Baltasar Heßler, Magdalena Nora Junge, Sarah Leonhardt-Achilles, Joshua Weber, Martina Schäufele
BACKGROUND: The care of elderly patients with comorbid dementia poses an increasing challenge in the acute inpatient setting, yet there remains a lack of representative studies on the prevalence and distribution of dementia in general hospitals. METHODS: We conducted a cross-sectional study of patients aged 65 and older in randomly selected general hospitals in southern Germany. Patients were excluded if they were in an intensive care unit or isolation unit or if they were on specialized wards for psychiatry, neurology, or geriatric medicine...
November 2, 2018: Deutsches Ärzteblatt International
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