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Ten Things Every Geriatrician Should Know About House Calls
Home ‐based primary care (HBPC) is experiencing a reemergence to meet the needs of homebound older adults. This brief review based on existing literature and expert opinion discusses 10 key facts about HBPC that every geriatrician should know: (1) the team‐based nature of HBPC is key to its success; (2) preparations and after‐hour access for house calls are required; (3) home safety for the clinician and patient must be considered; (4) being homebound is an independent mortality risk factor with a high symptom burden; (5) home care medicine presents unique benefits and challenges; (6) a syste ms‐based approach to c...
Source: Journal of the American Geriatrics Society - November 28, 2018 Category: Geriatrics Authors: Mia Yang, Jantira Thomas, Rachel Zimmer, Maryjo Cleveland, Jennifer L. Hayashi, Jessica L. Colburn Tags: Education and Training Source Type: research

Trends in Hospital Deaths in Denmark from 1980 to 2014, at Ages 50 and Older
ConclusionResults provide evidence that Danes 50 years and older are increasingly dying outside the hospital context. We find three age ‐specific patterns in the proportion of hospital deaths. Changes in healthcare and social systems implemented in Denmark during the observation period may underlie the broader reduction in hospital deaths in the country. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 28, 2018 Category: Geriatrics Authors: Angela Carollo, Nuria Calduch Verdiell, Jo Mhairi Hale, Karen Andersen ‐Ranberg, Rune Lindahl‐Jacobsen, Anna Oksuzyan Tags: Clinical Investigation Source Type: research

Paint by Numbers
Journal of the American Geriatrics Society, EarlyView. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 27, 2018 Category: Geriatrics Authors: William B. Applegate, Bharathi Upadhya, K. Patrick Ober Tags: Editorial Source Type: research

Hospital at Home ‐Plus: A Platform of Facility‐Based Care
CONCLUSIONProviding a broader range of facility ‐based care in the home has significant advantages for patients and increases the scalability of HaH. Developing a spectrum of services was possible by leveraging a robust, 24‐hour HaH team. Community‐ and home‐based care could become a greater part of the U.S. healthcare system if a platfor m of HaH services along with advances in technology and payment models were developed. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 27, 2018 Category: Geriatrics Authors: Linda V. DeCherrie, Ania Wajnberg, Tacara Soones, Christian Escobar, Elisse Catalan, Sara Lubetsky, Bruce Leff, Alex Federman, Albert Siu Tags: Models of Geriatric Care, Quality Improvement, and Program Dissemination Source Type: research

Risk of Mortality in Individuals with Hip Fracture and Traumatic Brain Injury
ConclusionTBI was associated with greater risk of mortality in individuals with hip fracture. Practitioners should consider evaluating for presence of TBI in this vulnerable population. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 24, 2018 Category: Geriatrics Authors: Jennifer S. Albrecht, Gulam Al Kibria, Ann Gruber ‐Baldini, Jay Magaziner Tags: Brief Report Source Type: research

Effect of Age on Opioid Prescribing, Overdose, and Mortality in Massachusetts, 2011 to 2015
ConclusionOlder adults are more likely to be exposed to PIP, which increases their risk of adverse events. Strategies to reduce exposure to PIP and to improve outcomes in those already exposed will be instrumental to addressing the opioid crisis in older adults. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 24, 2018 Category: Geriatrics Authors: Adam J. Rose, Ryan McBain, Megan S. Schuler, Marc R. LaRochelle, David A. Ganz, Vikram Kilambi, Bradley D. Stein, Dana Bernson, Kenneth Kwan Ho Chui, Thomas Land, Alexander Y. Walley, Thomas J. Stopka Tags: Brief Report Source Type: research

Multimorbidity and Mental Health ‐Related Quality of Life and Risk of Completed Suicide
ConclusionMultimorbidity is associated with substantially higher suicide mortality risk and worse mental HRQOL across all available scales, even when indexed to physical functioning. These results highlight the substantial mental health burden imposed by multimorbidity at all ages and sexes. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 24, 2018 Category: Geriatrics Authors: Melissa Y. Wei, Kenneth J. Mukamal Tags: Clinical Investigation Source Type: research

Assessing Risk for Adverse Outcomes in Older Adults: The Need to Include Both Physical Frailty and Cognition
CONCLUSIONPhysical frailty and CIND are independent predictors of incident disability and death. Because together physical frailty and CIND identify vulnerable older adults better, optimal risk assessment should supplement measures of physical frailty with measures of cognitive function. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 23, 2018 Category: Geriatrics Authors: M árlon J. R. Aliberti, Irena S. Cenzer, Alexander K. Smith, Sei J. Lee, Kristine Yaffe, Kenneth E. Covinsky Tags: Clinical Investigation Source Type: research

Nonspecific Symptoms Lack Diagnostic Accuracy for Infection in Older Patients in the Emergency Department
CONCLUSIONSThe presence of either altered mental status or malaise/lethargy does not substantially increase the probability of bacterial infection in older adults in the ED and should not be used alone to indicate infection in this population. Fever of 38 °C or higher is associated with increased probability of infection. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 22, 2018 Category: Geriatrics Authors: Jeffrey M. Caterino, David M. Kline, Robert Leininger, Lauren T. Southerland, Christopher R. Carpenter, Christopher W. Baugh, Daniel J. Pallin, Katherine M. Hunold, Kurt B. Stevenson Tags: Clinical Investigation Source Type: research

Functional Trajectories of Persons with Cardiovascular Disease in Late Life
ConclusionAlthough function declines in late life for independently functioning persons with CVD, some individuals remain stable, and others decline gradually or rapidly. Persons with CVD were more likely to experience rapid functional decline than those without, suggesting that CVD increases the risk of rapid functional decline. Risk factors predicted functional trajectory group membership, not just overall decline. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 21, 2018 Category: Geriatrics Authors: Tamra Keeney, Annie B. Fox, Diane U. Jette, Alan Jette Tags: Clinical Investigation Source Type: research

Preventing Postoperative Delirium After Major Noncardiac Thoracic Surgery —A Randomized Clinical Trial
ConclusionLow ‐dose postoperative haloperidol did not reduce delirium in individuals undergoing thoracic surgery but may be efficacious in those undergoing esophagectomy. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 21, 2018 Category: Geriatrics Authors: Babar A. Khan, Anthony J. Perkins, Noll L. Campbell, Sujuan Gao, Sikandar H. Khan, Sophia Wang, Mikita Fuchita, Daniel J. Weber, Ben L. Zarzaur, Malaz A. Boustani, Kenneth Kesler Tags: Clinical Investigation Source Type: research

Independent Association Between Cardio ‐Ankle Vascular Index and Sarcopenia in Older U.K. Adults
ConclusionIndices of sarcopenia are independently associated with a higher CAVI, with greater correlation in women than men. The CAVI can be used to assess overall vascular compliance and may be a useful operator ‐independent tool that can be used to measure sarcopenia and its cardiovascular implications in older adults. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 21, 2018 Category: Geriatrics Authors: Frances A. Kirkham, Eva Bunting, Francesco Fantin, Mauro Zamboni, Chakravarthi Rajkumar Tags: Clinical Investigation Source Type: research

Association Between Functional Performance and Alzheimer's Disease Biomarkers in Individuals Without Dementia
ConclusionThe findings of this cross ‐sectional study supplement limited available information that supports an association between functional performance and AD neuroimaging biomarkers very early in the dementia pathophysiology. The associations should be validated in longitudinal studies. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 21, 2018 Category: Geriatrics Authors: Maria Vassilaki, Jeremiah A. Aakre, Walter K. Kremers, Michelle M. Mielke, Yonas E. Geda, Mary M. Machulda, David S. Knopman, Preciosa M. Coloma, Barbara Schauble, Prashanthi Vemuri, Val J. Lowe, Clifford R. Jack, Ronald C. Petersen, Rosebud Tags: Clinical Investigation Source Type: research

Functional Decline in Alzheimer's Disease: A Continuum
Journal of the American Geriatrics Society, EarlyView. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 21, 2018 Category: Geriatrics Authors: Timo Grimmer, Abigail Licata Tags: Editorial Source Type: research

Erratum
Journal of the American Geriatrics Society, EarlyView. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - November 20, 2018 Category: Geriatrics Tags: Erratum Source Type: research