Prevalence of Spasticity in Nursing Home Residents
To determine the prevalence, rate of underdiagnosis and undertreatment, and association with activities of daily living dependency of spasticity in a nursing home setting. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 17, 2020 Category: Health Management Authors: Chandler E. Gill, Mallory L. Hacker, Jacqueline Meystedt, Maxim Turchan, John F. Schnelle, Sandra F. Simmons, Ralf Habermann, Fenna T. Phibbs, David Charles Tags: Original Study - Brief Report Source Type: research

The Impact of Pharmacologic and Nonpharmacologic Interventions to Improve Physical Health Outcomes in People With Dementia: A Meta-Review of Meta-Analyses of Randomized Controlled Trials
We summarized and compared meta-analyses of pharmacologic and nonpharmacologic interventions targeting physical health outcomes among people with dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 17, 2020 Category: Health Management Authors: Davy Vancampfort, Marco Solmi, Joseph Firth, Mathieu Vandenbulcke, Brendon Stubbs Tags: Review Article Source Type: research

Opioid Use Disorder Among Hospitalized Older Adults: Prevalence, Characteristics, and Discharge Status
Although policy, research, and media coverage predominantly focus on opioid addiction and overdoses in younger people, older adults are also susceptible to opioid-related morbidity and mortality.1 Data suggest that all-cause opioid-related hospitalizations have increased by 34% as non –opioid-related hospitalizations have decreased by 17% among adults aged ≥65 years from 2010 to 2015.2 Yet, the contribution of opioid use disorder (OUD) to this increase and characteristics of older adults with OUD are unknown. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 17, 2020 Category: Health Management Authors: Andrew R. Zullo, Patience Moyo, Eric Jutkowitz, Wenhan Zhang, Kali S. Thomas Tags: Letter to the Editor Source Type: research

Long-Term Care Use During the Last 2  Years of Life in Sweden: Implications for Policy to Address Increased Population Aging
To map out the total use of long-term care (LTC; ie, home care or institutional care) during the last 2  years of life and to investigate to what extent gender differences in LTC use were explained by cohabitation status and age at death. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 17, 2020 Category: Health Management Authors: Bettina Meinow, Jonas W. Wastesson, Ingemar K åreholt, Susanne Kelfve Tags: Original Study Source Type: research

Dose-Response Relationships Between Body Composition Indices and All-Cause Mortality in Older Japanese Adults
We examined the dose-response relationships of body composition indices with mortality and identified the best predictor. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 13, 2020 Category: Health Management Authors: Satoshi Seino, Akihiko Kitamura, Takumi Abe, Yu Taniguchi, Yuri Yokoyama, Hidenori Amano, Mariko Nishi, Yu Nofuji, Miki Narita, Tomoko Ikeuchi, Yoshinori Fujiwara, Shoji Shinkai Tags: Original Study Source Type: research

An International Perspective on Improving Physician Care in Nursing Homes
Improving the quality of care delivered throughout the long-term care continuum is a core mission of AMDA –The Society for Post-Acute and Long-Term Care Medicine. Four articles in this month's Journal report on how different forms of “communication” impact quality, albeit from different perspectives and across multiple jurisdictions. In the first, Mulhall and colleagues1 describe a provincewide ap plication of a proven quality improvement (QI) method (audit feedback) in Ontario that links nursing home (NH) physician prescribing patterns to publicly reported outcome measures. (Source: Journal of the Americ...
Source: Journal of the American Medical Directors Association - February 13, 2020 Category: Health Management Authors: Paul R. Katz Tags: Editorial Source Type: research

Nursing Home-Associated Pneumonia, Part II: Etiology and Treatment
This is the second of 2 parts of a narrative review of nursing home-associated pneumonia (NHAP) that deals with etiology and treatment in the nursing home. In the 1980s and 1990s, the etiology of NHAP was considered to be similar to community-acquired pneumonia (CAP). This belief was reflected in CAP guidelines until 2005 when the designation healthcare-associated pneumonia or HCAP was introduced and nursing home residents were included in the HCAP category. Patients in the HCAP group were thought to be at high risk for pneumonia because of multidrug resistant organisms and required empiric broad-spectrum antibiotic therap...
Source: Journal of the American Medical Directors Association - February 12, 2020 Category: Health Management Authors: Joseph M. Mylotte Tags: Special Article Source Type: research

External Validation and Comparison of Early Readmission's Risk Scores in Older Adults: Prospective Observational Study
Unplanned readmissions in older patients are a prominent and current issue for healthcare professionals and regulators. They can indeed be very deleterious for patients, leading to an increased risk of dependence and functional or psychosocial decline,1 and for hospitals as these readmissions are costly.2 Moreover, the reduction of readmissions was introduced into guidelines by health system organizations as a quality indicator.3,4 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 6, 2020 Category: Health Management Authors: Schwab Camille, Hindlet Patrick, Duverger Clarisse, Nazoiri Charifa, Sabatier Brigitte, Fernandez Christine, Korb-Savoldelli Virginie Tags: Research Letter Source Type: research

Appropriateness of End-of-Life Care in People Dying With Dementia: Applying Quality Indicators on Linked Administrative Databases
This study aims to assess the appropriateness of end-of-life care in people who died with dementia in Belgium and to establish relative performance standards by measuring validated population-level quality indicators. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 6, 2020 Category: Health Management Authors: Robrecht De Schreye, Tinne Smets, Luc Deliens, Lieven Annemans, Birgit Gielen, Joachim Cohen Tags: Original Study Source Type: research

Determinants of Maintenance and Recovery of Function in a Representative Older Community-Resident Biracial Sample
Focus on decline in performance of activities of daily living (ADL) has not been matched by studies of recovery of function. Advised by a broad conceptual model of physical resilience, we ascertain characteristics that identify (1) maintenance, (2) decline, and (3) recovery of personal self-maintenance activities over six years in an older, community representative, African American and white sample. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 5, 2020 Category: Health Management Authors: Gerda G. Fillenbaum, Richard Sloane, Bruce M. Burchett, Katherine Hall, Carl F. Pieper, Heather E. Whitson, Cathleen S. Col ón-Emeric Tags: Original Study Source Type: research

Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment
Clinical and research interest in sarcopenia has burgeoned internationally, Asia included. The Asian Working Group for Sarcopenia (AWGS) 2014 consensus defined sarcopenia as “age-related loss of muscle mass, plus low muscle strength, and/or low physical performance” and specified cutoffs for each diagnostic component; research in Asia consequently flourished, prompting this update. AWGS 2019 retains the previous definition of sarcopenia but revises the diagnostic al gorithm, protocols, and some criteria: low muscle strength is defined as handgrip strength (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 3, 2020 Category: Health Management Authors: Liang-Kung Chen, Jean Woo, Prasert Assantachai, Tung-Wai Auyeung, Ming-Yueh Chou, Katsuya Iijima, Hak Chul Jang, Lin Kang, Miji Kim, Sunyoung Kim, Taro Kojima, Masafumi Kuzuya, Jenny S.W. Lee, Sang Yoon Lee, Wei-Ju Lee, Yunhwan Lee, Chih-Kuang Liang, Jae- Tags: Special Article Source Type: research

Impact of Prior Home Care on Length of Stay in Residential Care for Australians With Dementia
To assess the impact of home care on length-of-stay within residential care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 30, 2020 Category: Health Management Authors: Heidi J. Welberry, Henry Brodaty, Benjumin Hsu, Sebastiano Barbieri, Louisa R. Jorm Tags: Original Study Source Type: research

Response to Letters to the Editor the Imperative for Person-Centered Care: Focus on Assessing and Working With LTC Residents Rather Than Percent of People on Medication Without Data on Appropriate Use and Problems With DICE and BPSD
The response letter by Nash et  al to our recent article1 raises the concern that the palliative care “lens” was missing from the patient vignette. We would note that the case described a patient who has moderate dementia and thus, we would not consider this person to have “advanced” illness. We agree that more attention is needed to understand when the person living with dementia is approaching end of life, as this can be difficult to ascertain in the course of an illness that can last up to a decade. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 30, 2020 Category: Health Management Authors: Helen C. Kales, Laura N. Gitlin, Constantine G. Lyketsos Tags: Letter to the Editor Source Type: research

Frailty Trait Scale –Short Form: A Frailty Instrument for Clinical Practice
To develop short versions of the Frailty Trait Scale (FTS) for use in clinical settings. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 28, 2020 Category: Health Management Authors: Francisco Jose Garc ía-García, Jose Antonio Carnicero, Jose Losa-Reyna, Ana Alfaro-Acha, Carmen Castillo-Gallego, Cristina Rosado-Artalejo, Gonzalo Gutiérrrez-Ávila, Leocadio Rodriguez-Mañas Tags: Original Study Source Type: research

Specific Nutritional Biomarker Profiles in Mild Cognitive Impairment and Subjective Cognitive Decline Are Associated With Clinical Progression: The NUDAD Project
Nutritional insufficiencies have been associated with cognitive impairment. Understanding whether nutritional biomarker levels are associated with clinical progression could help to design dietary intervention trials. This longitudinal study examined a panel of nutritional biomarkers in relation to clinical progression in patients with subjective cognitive decline (SCD) or mild cognitive impairment (MCI). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 26, 2020 Category: Health Management Authors: Francisca A. de Leeuw, Wiesje M. van der Flier, Betty M. Tijms, Philip Scheltens, Vera M. Mendes, Bruno Manadas, J örgen Bierau, Nick van Wijk, Ellen G.H.M. van den Heuvel, M. Hasan Mohajeri, Charlotte E. Teunissen, Maartje I. Kester Tags: Original Study Source Type: research

Validity of Plate Diagrams for Estimation of Energy and Protein Intake of Nursing Home Residents Receiving Texture-Modified Diet: An enable Study
Nursing home (NH) residents receiving texture-modified diet (TMD) are at risk of inadequate nutritional intake and subsequent malnutrition. It is essential to monitor dietary intake to take corrective actions, if necessary. Plate diagrams (PDs) are widely used to assess dietary intake in institutions but little is known about their validity for TMD. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 26, 2020 Category: Health Management Authors: Angela Ott, Maria Voigt, Cornel Christian Sieber, Dorothee Volkert Tags: Original Study Source Type: research

Engagement of Providers and Advocates in a Rebalancing Initiative to Increase HCBS Access for Medicaid Beneficiaries
Efforts to rebalance long-term services and supports (LTSS) toward increased home- and community-based services (HCBS) will engage and affect multiple stakeholder groups, including governmental stakeholders (eg, Medicaid administrators) and diverse nongovernmental stakeholders such as service providers, advocates, and consumers. The most recent large-scale rebalancing effort was the Balancing Incentive Program, which incentivized states that were spending less than 50% of Medicaid LTSS expenditures on HCBS to rebalance their LTSS spending toward HCBS. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 26, 2020 Category: Health Management Authors: Daniel Siconolfi, Sangeeta C. Ahluwalia, Regina A. Shih, Esther M. Friedman, Debra Saliba Tags: Research Letter Source Type: research

Flexibility: Another Piece of the Puzzle for Healthy Aging?
It is well understood that “resilience,” or the ability to adapt in the face of trauma or significant sources of stress,1 is an important component of healthy aging.2 However, what about the ability to compromise or adjust to minor fluctuations in daily life? “Flexibility,” also known as “adaptability,” can be def ined as a willingness or ability to compromise or change. Research supports the importance of flexibility for school and work success,3,4 but its relevance may extend beyond these realms. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 24, 2020 Category: Health Management Authors: Tracy Chippendale Tags: Letter to the Editor Source Type: research

Clarifying the Relationship Between Benzodiazepines and Dementia
Dementia is a global health problem, with the World Health Organization estimates placing the number of afflicted persons at around 50 million worldwide.1 Without a treatment or cure, projections are that numbers will increase dramatically around the world by 2050.2 The prevalent intervention strategy has been pursuit of a drug to cure this illness or to modify the illness course. Available medications, mainly approved for use in Alzheimer's-type dementia (AD) but extended empirically to other forms, are mainly palliative with only modest benefits in a subset of patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 24, 2020 Category: Health Management Authors: Randall T. Espinoza Tags: Editorial Source Type: research

The Controversial Condition of Cognitive Frailty: What It Is, What It Should Be
In 2013, an international panel of experts was gathered by the International Academy on Nutrition and Aging (IANA) and the International Association of Gerontology and Geriatrics (IAGG) to meet in Toulouse (France). The aim of the meeting was to discuss the relationship between physical frailty and cognitive impairment. In particular, it was felt important to attempt to bridge research conducted on neuroscience and physical conditions of advanced age, 2 domains that had always tended to run in parallel. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 24, 2020 Category: Health Management Authors: Matteo Cesari, Philip D. Sloane, Sheryl Zimmerman Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 24, 2020 Category: Health Management Source Type: research

Table of Contents
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 24, 2020 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 24, 2020 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 24, 2020 Category: Health Management Source Type: research

Spending Wisely: Home Care Reassessment Intervals and Cost in Ontario.
Across the health care system, home care (HC) services are essential for helping individuals remain in the community (ie, out of institutions) as long as possible.1 Current trends affecting the HC sector include an aging population and an increasing proportion of complex and chronic care clients.2 In Ontario, Canada, Local Health Integration Networks (LHINs) assess individuals, devise care plans, and coordinate services for qualifying clients. LHINs contract with private sector organizations that provide professional and support services to HC clients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 23, 2020 Category: Health Management Authors: Heidi S. Kinsell, Jeffrey S. Harman, John P. Hirdes, Sophie E. Hogeveen, Chi-Ling J. Sinn, Jonathan Chen, Leslie Eckel, Jeffrey W. Poss Tags: Letter to the Editor Source Type: research

Efficacy and Generalizability of Falls Prevention Interventions in Nursing Homes: A Systematic Review and Meta-analysis
To determine the efficacy of fall intervention programs in nursing homes (NHs) and the generalizability of these interventions to people living with cognitive impairment and dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 22, 2020 Category: Health Management Authors: Heidi J. Gulka, Vaidehi Patel, Twinkle Arora, Caitlin McArthur, Andrea Iaboni Tags: Original Study Source Type: research

Prehospital Anticholinergic Burden Is Associated With Delirium but Not With Mortality in a Population of Acutely Ill Medical Patients
Anticholinergic drugs have several side effects, and they have been associated with adverse outcomes, particularly in older patients. The aim of this study was to analyze anticholinergic burden and its relationship to delirium and mortality in older acutely ill medical patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 22, 2020 Category: Health Management Authors: Joana Rigor, In ês Rueff Rato, Paula Marques Ferreira, Rita Pereira, Catarina Ribeiro, Diogo Teixeira, Pedro Mesquita Oliveira, Ana Mafalda Silva, Sofia Pereira, Ingride Costa, Paula Ferreira, Manuela Sequeira, Matilde Monteiro-Soares, Daniela Martins-Me Tags: Original Study Source Type: research

German Version of SARC-F: Translation, Adaption, and Validation
Translation, adaptation, and validation of the German version of the SARC-F for community-dwelling older adults in Germany. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 20, 2020 Category: Health Management Authors: Michael Drey, Uta Ferrari, Marina Schraml, Wolfgang Kemmler, Daniel Schoene, Anna Franke, Ellen Freiberger, Robert Kob, Cornel Sieber Tags: Original Study Source Type: research

Enhancing Quality Care in Ontario Long-Term Care Homes Through Audit and Feedback for Physicians
The province of Ontario in Canada is an example of a jurisdiction that is using a specific quality improvement mechanism, known as “audit and feedback,” to help clinicians enhance the care they provide to long-term care (LTC) home residents. This program, launched in 2015, is unique in that the reports are provided across an entire jurisdiction. These reports were co-designed with clinicians, including medical directors, sc ientists, and other stakeholders, and are updated regularly to maintain their relevance to medical practice in LTC. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 19, 2020 Category: Health Management Authors: Cara L. Mulhall, Jonathan M.C. Lam, Patrick S. Rich, L. Gail Dobell, Anna Greenberg Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

Association Between Level of Arousal and 30-Day Survival in Acutely Ill Older Adults
To investigate the association between impaired arousal on admission and 30-day mortality in acutely ill older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 19, 2020 Category: Health Management Authors: Flavia Barreto Garcez, Wilson Jacob-Filho, Thiago Junqueira Avelino-Silva Tags: Original Study Source Type: research

Effect of a Simple Exercise Program on Hospitalization-Associated Disability in Older Patients: A Randomized Controlled Trial
Hospitalization-associated disability [HAD, ie, the loss of ability to perform ≥1 basic activities of daily living (ADLs) independently at discharge] is a frequent condition among older patients. The present study assessed whether a simple inpatient exercise program decreases HAD incidence in acutely hospitalized very old patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 19, 2020 Category: Health Management Authors: Javier Ortiz-Alonso, Natalia Bustamante-Ara, Pedro L. Valenzuela, Maite Vid án-Astiz, Gabriel Rodríguez-Romo, Jennifer Mayordomo-Cava, Marianna Javier-González, Mercedes Hidalgo-Gamarra, Myriel Lopéz-Tatis, María Isabel Valades-Malagón, Alejandro Sa Tags: Original Study Source Type: research

Nursing Home Clinicians' Decision to Prescribe Antibiotics for a Suspected Urinary Tract Infection: Findings From a Discrete Choice Experiment
To determine which nursing home (NH) resident characteristics were most important to clinicians' decision to prescribe antibiotics for a suspected urinary tract infection (UTI), including both evidence-based and non-evidence-based characteristics. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 19, 2020 Category: Health Management Authors: Christine E. Kistler, Anna S. Beeber, Sheryl Zimmerman, Kimberly Ward, Claire E. Farel, Keith Chrzan, Christopher J. Wretman, Marcella H. Boynton, Michael Pignone, Philip D. Sloane Tags: Original Study Source Type: research

Mindful Self-Compassion Training for Nursing Assistants in Long-Term Care: Challenges and Future Directions
Certified nursing assistants (CNAs) play a critical role in the care of more than 1.4 million nursing home (NH) residents, and demand for their services is projected to grow.1 Yet the CNA workforce has long been in crisis. Challenging work-related factors —including low wages, heavy workloads, and inadequate training—contribute to CNA burnout, high job turnover rates, and compromised resident care.1 In addition, more than 90% of CNAs are women, and approximately half identify as racial and ethnic minorities and are from low-income households. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 16, 2020 Category: Health Management Authors: Christine R. Lathren, Philip D. Sloane, Sheryl Zimmerman, Karen Bluth, Johanna Silbersack, Christopher J. Wretman Tags: Letter to the Editor Source Type: research

Problems with DICE and BPSD
I have read with a great interest the article by Kales et  al.1 I agree that the Centers for Medicare and Medicaid Services (CMS) program concentrating on discontinuation of one type of medication in dementia care, which can lead to medication substitution and which does not include an effort to increase nonpharmacologic strategies for treatment of behav ioral symptoms of dementia, is not going to improve dementia care. In addition, the CMS program did not take into account that antipsychotics may be used in treatment of patients with dementia appropriately if the indication was augmentation of an antidepressant ...
Source: Journal of the American Medical Directors Association - January 16, 2020 Category: Health Management Authors: Ladislav Volicer Tags: Letter to the Editor Source Type: research

Association Between Ideal Cardiovascular Health Score and Relative Handgrip Strength of Community-Dwelling Older Adults in Colombia
In response to the increasing burden of mortality and morbidity, including cardiovascular events and geriatric syndromes, the American Heart Association established the 2020 Strategic Impact Goals to promote ideal cardiovascular health (CVH) and to determine the metrics needed to monitor it across populations.1,2 Ideal CVH is described as attaining the ideal criteria for 4 health behaviors [nonsmoking, physical activity at target levels, body mass index (BMI) (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 15, 2020 Category: Health Management Authors: Robinson Ram írez-Vélez, Miguel Ángel Pérez-Sousa, Carlos A. Cano-Gutierrez, Mikel Izquierdo, Antonio García-Hermoso, María Correa-Rodríguez Tags: Research Letter Source Type: research

Adverse Outcomes of Polypharmacy in Older People: Systematic Review of Reviews
Polypharmacy is widespread among older people, but the adverse outcomes associated with it are unclear. We aim to synthesize current evidence on the adverse health, social, medicines management, and health care utilization outcomes of polypharmacy in older people. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Laurie E. Davies, Gemma Spiers, Andrew Kingston, Adam Todd, Joy Adamson, Barbara Hanratty Tags: Review Article Source Type: research

Peak Expiratory Flow and the Risk of Injurious Falls in Older Adults: The Role of Physical and Cognitive Deficits
Previous studies showed that peak expiratory flow (PEF) is associated with health-related outcomes in advanced age, but the extent to which it may be related to falls risk remains unclear. We aimed to detect the association between PEF and injurious falls in older adults and to explore the role of cognitive and physical deficits in this association. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Caterina Trevisan, Debora Rizzuto, Stina Ek, Stefania Maggi, Giuseppe Sergi, Laura Fratiglioni, Anna-Karin Welmer Tags: Original Study Source Type: research

A Systematic Review of Nursing Home Palliative Care Interventions: Characteristics and Outcomes
Despite recommendations to integrate palliative care into nursing home care, little is known about the most effective ways to meet this goal. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Joan G. Carpenter, Karissa Lam, Ashley Z. Ritter, Mary Ersek Tags: Review Article Source Type: research

Association Between Bisphosphonates and Hospitalized Clostridioides difficile Infection Among Frail Older Adults
Clostridioides difficile infection is a major source of morbidity and mortality among frail older adults, especially those in nursing homes (NHs). Safety reports have signaled that bisphosphonate use may be a contributing cause. We therefore evaluated the risk of C difficile hospitalization associated with oral bisphosphonate use in the NH. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Kevin W. McConeghy, Andrew R. Zullo, Christine W. Lary, Tingting Zhang, Yoojin Lee, Lori. Daiello, Douglas P. Kiel, Sarah Berry Tags: Original Study - Brief Report Source Type: research

Impact of Overweight and Obesity on Functional and Clinical Outcomes of Early Parkinson's Disease
To determine whether being overweight or obese contributes to disease progression and functional status in Parkinson's disease (PD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Ryul Kim, Jin-Sun Jun Tags: Original Study - Brief Report Source Type: research

Safety and Effectiveness of Direct Oral Anticoagulants vs Warfarin in People With Atrial Fibrillation and Dementia
To determine risks of embolic events, bleeding, and mortality with direct oral anticoagulants (DOACs) vs warfarin in people with atrial fibrillation (AF) and dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Laura Fanning, Wallis C.Y. Lau, Pajaree Mongkhon, Kenneth K.C. Man, J. Simon Bell, Jenni Ilom äki, Pēteris Dārziņš, Kui Kai Lau, Li Wei, Ian C.K. Wong Tags: Original Study Source Type: research

Effectiveness of a Diet and Resistance Exercise Intervention on Muscle Health in Older Adults: ProMuscle in Practice
Clinical studies show that resistance exercise and a protein-rich diet can counteract the age-related decline of muscle mass, strength, and physical performance. The aim of the ProMuscle in Practice study was to test effectiveness of a resistance exercise and dietary protein intervention for older adults implemented in a real-life setting. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Ellen J.I. van Dongen, Annemien Haveman-Nies, Esm ée L. Doets, Berber G. Dorhout, Lisette C.P.G.M. de Groot Tags: Original Study Source Type: research

Associations Between Somatic Multimorbidity Patterns and Depression in a Longitudinal Cohort of Middle-Aged and Older Chinese
Depressive symptoms are commonly seen among patients with multiple chronic somatic conditions, or somatic multimorbidity (SMM); however, little is known about the relationships between depressive symptoms and different SMM combinations. Our study aimed to delineate the patterns of SMM and their longitudinal associations with depressive symptoms among a nationally representative sample of middle-aged and older Chinese adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Shan-Shan Yao, Gui-Ying Cao, Ling Han, Zi-Ting Huang, Zi-Shuo Chen, He-Xuan Su, Yonghua Hu, Beibei Xu Tags: Original Study Source Type: research

Landscape of Sarcopenia Research (1989 ‒2018): A Bibliometric Analysis
Despite the approximately 30-year history of sarcopenia research,1 a detailed quantitative analysis of the existing research has not been undertaken to elucidate the body of evidence on sarcopenia. To depict the sarcopenia research landscape, we performed a bibliometric analysis of the published literature on sarcopenia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Ming Yang, Lingling Tan, Weimin Li Tags: Letter to the Editor Source Type: research

Orthostatic Drop in Diastolic but Not Systolic Blood Pressure Is Associated With Fear of Falling in Older Fallers
Orthostatic hypotension (OH) is very common in older persons and associated with several adverse outcomes,1 such as cardiovascular morbidity and mortality.2,3 Because OH can cause symptoms of dizziness and instability, it can also lead to falls and bone fractures,4 which consequently can contribute to physical impairment and decreased quality of life. It is estimated that up to 10% of falls occur secondary to abnormal blood pressure responses such as OH.4 However, it is not completely clear whether older fallers with OH differ from older fallers without OH in terms of their physical performance and fear of falling. (Source...
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Lisanne Tap, Nicole D.A. Boy é, Klaas A. Hartholt, Nathalie van der Velde, Tischa J.M. van der Cammen, Francesco U.S. Mattace-Raso Tags: Research Letter Source Type: research

Morbidity Measures Predicting Mortality in Inpatients: A Systematic Review
The objective of this systematic review was to compare the capacity of morbidity measures in predicting mortality among inpatients admitted to internal medicine, geriatric, or all hospital wards. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Cheng Hwee Soh, Syed Wajih Ul Hassan, Julian Sacre, Andrea B. Maier Tags: Review Article Source Type: research

Association Between Acetylcholinesterase Inhibitors and Osteoporotic Fractures in Older Persons With Alzheimer's Disease
To identify the association between the use of acetylcholinesterase inhibitors (AChEIs) and risk of osteoporotic fractures in older persons with Alzheimer's disease (AD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Dae Yeon Won, Seong Jun Byun, Jin Sook Jeong, Ju-Young Shin Tags: Original Study Source Type: research

The Role of C-Reactive Protein in the Pain and Cognition Relationship
Chronic pain is frequently reported by older adults and is associated with systemic inflammation.1 Cross-sectional and longitudinal studies show that chronic pain —especially severe pain—is associated with worse cognitive function in older adults.2,3 A weak association between elevated levels of peripheral C-reactive protein (CRP) and cognitive decline has been shown in the general population.4 Animal studies suggest that inflammation is one of the mechan isms through which pain influences cognitive impairment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 12, 2020 Category: Health Management Authors: Guusje van der Leeuw, Karen L. Siedlecki, Annette H. Blankenstein, Henri ëtte E. van der Horst, Joe Verghese Tags: Research Letter Source Type: research

Changes in US Nursing Home Infection Prevention and Control Programs From 2014 to 2018
Burgeoning rates of antibiotic resistance have resulted in a shift in national focus to improve infection prevention and control programs in US nursing homes (NHs). We sought to evaluate the changes in nursing home infection prevention and control programs over time. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - December 28, 2019 Category: Health Management Authors: Mansi Agarwal, Andrew W. Dick, Mark Sorbero, Lona Mody, Patricia W. Stone Tags: Original Study Source Type: research

Diagnosis, Treatment, and Prevention of Urinary Tract Infections in Post-Acute and Long-Term Care Settings: A Consensus Statement From AMDA's Infection Advisory Subcommittee
The diagnosis and management of urinary tract infections (UTIs) among residents of post-acute and long-term care (PALTC) settings remains challenging. Nonspecific symptoms, complex medical conditions, insufficient awareness of diagnostic criteria, and unnecessary urine studies all contribute to the inappropriate diagnosis and treatment of UTIs in PALTC residents. In 2017, the Infection Advisory Subcommittee at AMDA —The Society for Post-Acute and Long-Term Care Medicine convened a workgroup comprised of experts in geriatrics and infectious diseases to review recent literature regarding UTIs in the PALTC population. (...
Source: Journal of the American Medical Directors Association - December 28, 2019 Category: Health Management Authors: Muhammad S. Ashraf, Swati Gaur, Oluma Y. Bushen, Teena Chopra, Philip Chung, Kalin Clifford, Elizabeth Hames, Cees M.P.M. Hertogh, Amar Krishna, Dheeraj Mahajan, David R. Mehr, Vycki Nalls, Theresa Ann Rowe, Steven J. Schweon, Philip D. Sloane, Kavita K. Tags: Special Article Source Type: research