Copper for the Prevention of Outbreaks of Health Care –Associated Infections in a Long-term Care Facility for Older Adults
We aimed to study the efficacy of copper as an antimicrobial agent by comparing incidence rates during outbreaks in areas equipped vs not equipped with copper surfaces in a long-term facility for dependent older adults (nursing home). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 3, 2019 Category: Health Management Authors: Sarah Zerbib, Lydie Vallet, Ana ëlle Muggeo, Christophe de Champs, Annick Lefebvre, Damien Jolly, Lukshe Kanagaratnam Tags: Original Study Source Type: research

Scalability of an IT Intervention to Prevent Pressure Ulcers in Nursing Homes
Pressure ulcers pose an important quality-of-care challenge in nursing homes, with serious consequences for residents' health. We assessed the scalability of the On-Time Pressure Ulcer Prevention (On-Time) intervention strategy, developed by the Agency for Healthcare Research& Quality, in nursing homes nationwide. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 3, 2019 Category: Health Management Authors: Clare Davidson, Sai Loganathan, Lauren Bishop, Laurie Imhof, Linda Bergofsky, William Spector, R. Tamara Konetzka Tags: Original Study Source Type: research

Frailty and Somatic Comorbidity in Older Patients With Medically Unexplained Symptoms
To examine the level of frailty and somatic comorbidity in older patients with medically unexplained symptoms (MUS) and compare this to patients with medically explained symptoms (MES). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 3, 2019 Category: Health Management Authors: Matheus H.L. Arts, Carolien E.M. Benraad, Denise Hanssen, Peter Hilderink, Linda de Jonge, Paul Naarding, Peter Lucassen, Richard C. Oude Voshaar Tags: Original Study Source Type: research

Frailty Should Not Be a Justification for Not Prescribing Anticoagulation in Older Patients With Atrial Fibrillation
We have read with great interest the article by Alagiakrishnan et  al1 and we fully agree with their conclusion advising physicians to be aware of the association of atrial fibrillation (AF) with numerous geriatric syndromes.1 AF is the most common cardiac rhythm disorder in older adults. In subjects aged>75  years, AF has been associated with a worse prognosis compared to younger patients, with higher mortality and greater adverse cardiac events rate.2 Frailty is a biological state of increased vulnerability to health stressors that is also closely related to the ageing process. (Source: Journal of the Americ...
Source: Journal of the American Medical Directors Association - April 3, 2019 Category: Health Management Authors: Francesc Formiga, Alejandra Gull ón, Carmen Suárez-Fernández Tags: Letter to the Editor Source Type: research

Predicting First-Time Injurious Falls in Older Men and Women Living in the Community: Development of the First Injurious Fall Screening Tool
The aim of this study was to create a screening tool to predict first-time injurious falls in community-living older men and women. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 3, 2019 Category: Health Management Authors: Stina Ek, Debora Rizzuto, Amaia Calder ón-Larrañaga, Erika Franzén, Weili Xu, Anna-Karin Welmer Tags: Original Study Source Type: research

Risk of Readmission After Discharge From Skilled Nursing Facilities Following Heart Failure Hospitalization: A Retrospective Cohort Study
Discharge to skilled nursing facilities (SNFs) is common in patients with heart failure (HF). It is unknown whether the transition from SNF to home is risky for these patients. Our objective was to study outcomes for the 30  days after discharge from SNF to home among Medicare patients hospitalized with HF who had subsequent SNF stays of 30 days or less. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2019 Category: Health Management Authors: Himali Weerahandi, Li Li, Haikun Bao, Jeph Herrin, Kumar Dharmarajan, Joseph S. Ross, Kunhee Lucy Kim, Simon Jones, Leora I. Horwitz Tags: Post-acute Care and Rehabilitation Source Type: research

The Relationship Between Quality of Care, Physical Therapy, and Occupational Therapy Staffing Levels in Nursing Homes in 4  Years' Follow-up
To understand physical therapy (PT) and occupational therapy (OT) staffing levels in nursing homes and to examine their relationship with quality of care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2019 Category: Health Management Authors: Ian Livingstone, Jennifer Hefele, Pamela Nadash, Dan Barch, Natalie Leland Tags: Post-acute Care and Rehabilitation Source Type: research

Geriatric Rehabilitation —State of the Art and Future Priorities
The worldwide ageing revolution has put rehabilitation for older patients high on the agenda of both health care policy and research. Two major policies in many developing countries, ageing in place and reducing hospital stay, which particularly impact frail older persons, have stimulated the search for appropriate and cost-effective use of rehabilitation resources. This will require identifying patients who are most likely to benefit from geriatric rehabilitation, and selecting the most appropriate rehabilitation or post-acute setting for each patient. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2019 Category: Health Management Authors: Wilco P. Achterberg, Ian D. Cameron, J ürgen M. Bauer, Jos M. Schols Tags: Post-acute Care and Rehabilitation Source Type: research

Post-acute Care: Current State and Future Directions
We are witnessing rapid changes in the US health system in response to the growing elder population. Value-based care, population health, regulatory reform for skilled nursing facilities, and the growth of community-based options like hospital at home and home-based primary care are being emphasized across the country. Other countries too are facing an expanding older adult population in need of innovative solutions, including subacute services for optimal health. AMDA is positioned to lead as we grapple with the challenges of an aging population. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2019 Category: Health Management Authors: Heidi K. White Tags: Post-acute Care and Rehabilitation Source Type: research

The Changing Landscape of Post-acute and Rehabilitative Care
Virtually every society worldwide is seeing a growth in the number and proportion of older persons in its population. As growth occurs, medical care resources must be increasingly dedicated to prevention, detection, and management of chronic diseases such as congestive heart failure, and to problems of aging such as frailty and multimorbidity. As part of this process, after-hospital care has become an increasingly important component of health care systems and health care costs. At least 5 key forces have been at play: (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2019 Category: Health Management Authors: Philip D. Sloane, Paul R. Katz, Sheryl Zimmerman Tags: Post-acute Care and Rehabilitation Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2019 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 - April 1, 2019 Category: Health Management Source Type: research

General Information
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2019 Category: Health Management Source Type: research

Directions & Connections
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 1, 2019 Category: Health Management Source Type: research

Association of Race and Poverty With Mortality Among Nursing Home Residents on Maintenance Dialysis
We examined whether race/ethnicity, ZIP code –level, and individual-level indicators of poverty relate to mortality of NH residents on dialysis. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 28, 2019 Category: Health Management Authors: Robert Nee, John S. Thurlow, Keith C. Norris, Christina Yuan, Maura A. Watson, Lawrence Y. Agodoa, Kevin C. Abbott Tags: Original Study Source Type: research

Increasing Prevalence of Orthostatic Hypotension as a Cause of Syncope With Advancing Age and Multimorbidity
During recent years, syncope studies have included an increasing  number of older subjects with multimorbidity.1–4 Moreover, increasing awareness of pathophysiology today allows a more accurate differential diagnosis of this condition.5 Yet how syncope etiology changes with advancing age and increasing multimorbidity is still unclear. The present paper thus ai med at comparing and discussing the results of 3 multicentre studies, and analysing how syncope etiology changes with age and the presence of chronic conditions, with a specific focus on dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 26, 2019 Category: Health Management Authors: Alice Ceccofiglio, Chiara Mussi, Martina Rafanelli, Giulia Rivasi, Mario Bo, Enrico Mossello, Anna Maria Martone, Pasquale Abete, Andrea Ungar Tags: Editorial Source Type: research

Evaluating the Influence of Social Factors on Aged Residential Care Admission in a National Home Care Assessment Database of Older Adults
Evaluate the influence of social factors on admission to aged residential care (ARC) facilities using a national comprehensive geriatric assessment database in New Zealand. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 26, 2019 Category: Health Management Authors: Hamish Jamieson, Rebecca Abey-Nesbit, Ulrich Bergler, Sally Keeling, Philip J. Schluter, Richard Scrase, Cameron Lacey Tags: Original Study Source Type: research

Symptom Clusters of Neuropsychiatric Symptoms in Mild Cognitive Impairment and Their Comparative Risks of Dementia: A Cohort Study of 8530 Older Persons
This study sought to provide confirmatory evidence on the comparative risk of dementia across the various NPS in MCI. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 26, 2019 Category: Health Management Authors: Tau Ming Liew Tags: Original Study - Brief Report Source Type: research

Medicaid Long-term Care Policies and Rates of Nursing Home Successful Discharge to Community
This study explores the relationship of state Medicaid long-term care policies and successful discharge. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 25, 2019 Category: Health Management Authors: Huiwen Xu, Orna Intrator Tags: Original Study Source Type: research

The Impact of Long-Term Care Ombudsman Presence on Nursing Home Survey Deficiencies
Each year states are required to survey nursing homes (NHs), including issuing deficiency citations when regulatory standards are not met. These deficiency citations can have substantial consequences for NHs. Because it is imperative that the survey process is conducted consistently across facilities, this study aims to determine whether deficiency outcomes vary with the presence of a long-term care ombudsman at the survey. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 25, 2019 Category: Health Management Authors: Diane E. Berish, Josh Bornstein, John R. Bowblis Tags: Original Study Source Type: research

Pharmacotherapy Research Priorities in Older Adults With Cardiovascular Disease in Nursing Homes, Assisted Living, and Home Care: Report From a Satellite Symposium of the ACC, AGS, NIA Workshop
Long-term care (LTC) services include a broad range of health, personal care, and supportive services provided at home (health agencies, hospice, or community providers) (HC), assisted living (AL) communities, and nursing facilities (NF).1 Although the population of adults>85  years is increasing, the number of NF residents (1.4 million) will remain flat. In the future, a significant proportion of LTC for older adults will be HC. Evidence regarding strategies to optimize pharmacotherapeutic outcomes and medication safety across the LTC spectrum is scarce, creating a str ong research need. (Source: Journal of the Am...
Source: Journal of the American Medical Directors Association - March 25, 2019 Category: Health Management Authors: Barbara J. Zarowitz, David A. Nace, Nicole Brandt, Janice B. Schwartz Tags: Letter to the Editor Source Type: research

The Difficulty With Studying Challenging Behavior
The behavior of people with dementia has been a focus of both research and dementia care for decades, particularly behavior that is considered “challenging.” As we will discuss below, this challenging behavior has appeared difficult to demarcate and define, resulting in many approaches and views about what it comprises, which consequently has resulted in many different measurement instruments. The striking consequence is that the field now has been provided with a pool of research results that are hard to interpret and combine into knowledge that really moves it forward. (Source: Journal of the American Medical...
Source: Journal of the American Medical Directors Association - March 22, 2019 Category: Health Management Authors: Debby L. Gerritsen, Martin Smalbrugge, Annelies E. Veldwijk-Rouwenhorst, Roland Wetzels, Sytse U. Zuidema, Raymond T.C.M. Koopmans Tags: Editorial Source Type: research

Factors Associated With Pain Assessment for Nursing Home Residents: A Systematic Review and Meta-Synthesis
The burden of pain in nursing home residents is substantial; unfortunately, many times it goes undiagnosed and is inadequately treated. To improve identification of pain in this population, we aimed to review and synthesize findings from qualitative studies that report primary barriers and facilitators to pain assessment in nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 22, 2019 Category: Health Management Authors: Jennifer A. Knopp-Sihota, Kennedy L. Dirk, Geoffrey S. Rachor Tags: Review Article Source Type: research

The Optimal Short Version of Montreal Cognitive Assessment in Diagnosing Mild Cognitive Impairment and Dementia
This study evaluated the comparative performance of the short variants in identifying mild cognitive impairment or dementia (MCI/dementia). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 22, 2019 Category: Health Management Authors: Tau Ming Liew Tags: Original Study - Brief Report Source Type: research

Use of Anticholinergic Drugs According to Various Criteria and Their Association With Psychological Well-Being and Mortality in Long-Term Care Facilities
To compare 3 internationally established criteria for drugs with anticholinergic properties (DAPs) and their associated factors in long-term care facilities, and to investigate the association between use of DAPs and psychological well-being (PWB) or mortality. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 22, 2019 Category: Health Management Authors: Ulla L. Aalto, Harriet Finne-Soveri, Hannu Kautiainen, Hanna-Maria Roitto, Hannareeta Öhman, Kaisu H. Pitkälä Tags: Original Studies Source Type: research

Correlates of Administrator Tenure in US Residential Care Communities
To determine community- and individual-level correlates of administrator tenure in US residential care communities (RCCs). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 20, 2019 Category: Health Management Authors: Sarah Dys, Ozcan Tunalilar, Paula C. Carder Tags: Original Study Source Type: research

Cohort Study on Laryngeal Cough Reflex, Respiratory Disease, and Death: A Mediation Analysis
To estimate quantitatively whether the presence of cough associated with dysphagia (laryngeal cough reflex) increased mortality through respiratory disease among community-dwelling older Japanese. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 20, 2019 Category: Health Management Authors: Takafumi Yamamoto, Jun Aida, Tomohiro Shinozaki, Toru Tsuboya, Kemmyo Sugiyama, Tatsuo Yamamoto, Katsunori Kondo, Keiichi Sasaki, Ken Osaka Tags: Original Study Source Type: research

Effects of Elastic Resistance Training on Functional Performance and Myokines in Older Women —A Randomized Controlled Trial
To investigate the short- and long-term effects of elastic resistance training (ERT) on physical performance, inflammatory markers, and myokines in older women living in a nursing home. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 19, 2019 Category: Health Management Authors: Felicita Urzi, Uro š Marušič, Sabina Ličen, Elena Buzan Tags: Original Study Source Type: research

The Usefulness of an Alternative Diagnostic Method for Sarcopenia Using Thickness and Echo Intensity of Lower Leg Muscles in Older Males
This study aimed to investigate a new screening method using ultrasonography to diagnose sarcopenia of lower leg muscles in older males. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 19, 2019 Category: Health Management Authors: Masaaki Isaka, Ken Sugimoto, Yukiko Yasunobe, Hiroshi Akasaka, Taku Fujimoto, Hitomi Kurinami, Yasushi Takeya, Koichi Yamamoto, Hiromi Rakugi Tags: Original Study Source Type: research

Sociodemographic Factors and Characteristics of Caregivers as Determinants of Skilled Nursing Facility Admissions When Modeled Jointly With Functional Limitations
We examined whether previously identified relationships between sociodemographic factors and caregivers for skilled nursing facility (SNF) admissions are replicated when jointly accounting for longitudinal change in functional limitations. We further explored the impact of caregivers by investigating the relationship between caregiver's characteristics and SNF admissions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 19, 2019 Category: Health Management Authors: Terese Sara H øj Jørgensen, Heather Allore, Janet L. MacNeil Vroomen, Brent Vander Wyk, George O. Agogo Tags: Original Study Source Type: research

Response to Letter to the Editor “Caregiver Assessment Is Critical to HBMC”
We appreciate the wide-ranging comments regarding the importance of caregiver assessment in home-based medical care (HBMC) and the writer's appreciation of our initial steps to develop a quality of care framework,1 quality indicators,2 and a culture of quality improvement to the field of HBMC.3 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 14, 2019 Category: Health Management Authors: Christine S. Ritchie, Bruce Leff, Krista Harrison Tags: Letter to the Editor Source Type: research

Nursing Home Length of Stay in 3 Canadian Health Regions: Temporal Trends, Jurisdictional Differences, and Associated Factors
To assess (1) temporal changes (2008 –2015) in nursing home (NH) length of stay (LoS) in 3 Canadian health jurisdictions (Edmonton, Calgary, Winnipeg), (2) resident admission characteristics associated with LoS, and (3) temporal changes of admission characteristics in each of the 3 jurisdictions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 14, 2019 Category: Health Management Authors: Matthias Hoben, Stephanie A. Chamberlain, Andrea Gruneir, Jennifer A. Knopp-Sihota, Jason M. Sutherland, Jeffrey W. Poss, Malcolm B. Doupe, Veronica Bergstrom, Peter G. Norton, Corinne Schalm, Kimberley McCarthy, Kierstin Kashuba, Fred Ackah, Carole A. Es Tags: Original Study Source Type: research

Signs and Symptoms of Low-Intake Dehydration Do Not Work in Older Care Home Residents —DRIE Diagnostic Accuracy Study
To assess the diagnostic accuracy of commonly used signs and symptoms of low-intake dehydration in older care home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 11, 2019 Category: Health Management Authors: Diane K. Bunn, Lee Hooper Tags: Original Study Source Type: research

Memantine Induces Reflex Syncope in Elderly Patients With Dementia: Results From the Syncope and Dementia Study (SYD-Study)
Syncope has been diagnosed with increasing frequency in older patients with dementia.1 Recently, SYncope and Dementia Study (SYD Study) demonstrated how the extensive use of hypotensive drugs is involved in the high prevalence of syncope due to orthostatic hypotension ( ≈50%).2,3 However, very few data are available about the effect of psychotropic drugs used for the treatment of dementia and the development of syncope. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 11, 2019 Category: Health Management Authors: Francesco Curcio, Gianluca Testa, Alice Ceccofiglio, Anna Maria Martone, Daniela Riccio, Franco Nicosia, Gabriele Noro, Giuseppe Bellelli, Mario Bo, Chiara Mussi, Francesco Landi, Andrea Ungar, Pasquale Abete Tags: Letter to the Editor Source Type: research

Association of Pisa Syndrome With Mortality in Patients With Parkinson's Disease
In Parkinson's disease, Pisa syndrom (PS) has been associated with disease stage and severity, combined treatment with levodopa and dopamine agonists, gait disorders, and comorbidities. Some forms of PS are potentially reversible; nevertheless, little is known about the impact of this syndrome on survival. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 11, 2019 Category: Health Management Authors: Alice Laudisio, Maria Rita Lo Monaco, Davide L. Vetrano, Maria Stella Pisciotta, Vincenzo Brandi, Antonella Gemma, Domenico Fusco, Roberto Bernabei, Raffaele Antonelli Incalzi, Giuseppe Zuccal à Tags: Original Study - Brief Report Source Type: research

A Systematic Approach for Prescribing Posthospitalization Home-Based Physical Activity for Mobility in Older Adults: The PATH Study
Older patients experience increased loss of mobility after hospitalization, largely because of physical disabilities and inactivity. There are, however, no current recommendations for prescribing physical activity (PA) at hospital discharge. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 11, 2019 Category: Health Management Authors: Livia P. Carvalho, Marie-Jeanne Kergoat, Aline Bolduc, Myl ène Aubertin-Leheudre Tags: Original Study Source Type: research

A New Functional Classification Based on Frailty and Disability Stratifies the Risk for Mortality Among Older Adults: The FRADEA Study
The aim of the current study was to investigate whether a new functional classification, based on basic (BADL) and instrumental (IADL) activities of daily living and frailty, is associated with mortality in older adults during 10  years of follow-up. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 8, 2019 Category: Health Management Authors: Emiel O. Hoogendijk, Luis Romero, Pedro M. S ánchez-Jurado, Teresa Flores Ruano, José Viña, Leocadio Rodríguez-Mañas, Pedro Abizanda Tags: Original Study Source Type: research

Deprescribing in Nursing Home Residents on Polypharmacy: Incidence and Associated Factors
To assess 1-year incidence and factors related to deprescribing in nursing home (NH) residents in Europe. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 7, 2019 Category: Health Management Authors: Graziano Onder, Davide L. Vetrano, Emanuele R. Villani, Angelo Carf ì, Maria Rita Lo Monaco, Maria Camilla Cipriani, Ester Manes Gravina, Michael Denkinger, Francesco Pagano, Henriëtte G. van der Roest, Roberto Bernabei Tags: Original Study Source Type: research

Identifying Factors That Predict the Prescription of Non –vitamin K Antagonist Oral Anticoagulants in Older Individuals With Atrial Fibrillation
Factors that influence decision of non –vitamin K antagonist oral anticoagulants (NOACs) use among older atrial fibrillation (AF) patients in long-term care (LTC) facilities have not been well studied. The aim of this study was to assess whether increased frailty influenced physicians to prescribe NOACs over warfarin. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 7, 2019 Category: Health Management Authors: Mohammed Shurrab, Dennis T. Ko, Janet McElhaney, Mark Henderson, Asaf Danon, Kieran L. Quinn, Denis O'Donnell, Eugene Crystal, David Newman Tags: Original Study Source Type: research

Hospital Readmissions Among Post-acute Nursing Home Residents: Does Obesity Matter?
To explore profiles of obese residents who receive post-acute care in nursing homes (NHs) and to assess the relationship between obesity and hospital readmissions and how it is modified by individual comorbidities, age, and type of index hospitalizations. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 7, 2019 Category: Health Management Authors: Shubing Cai, Sijiu Wang, Dana B. Mukamel, Thomas Caprio, Helena Temkin-Greener Tags: Original Study Source Type: research

Pain in Older Australians Seeking Aged Care Services: Findings From the Registry of Older South Australians (ROSA)
Pain is a common symptom of many illnesses that affect older adults and often has a harmful impact such as reduced physical function.1 In Australia, 28% to 61% residents of aged care homes report pain,2 –4 but these estimates are from studies with small samples and exclude older people receiving home care. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 6, 2019 Category: Health Management Authors: Maria C. Inacio, Renuka Visvanathan, Catherine E. Lang, Azmeraw Amare, Stephanie L. Harrison, Steve Wesselingh Tags: Research Letter Source Type: research

Association of Body Fat With Health-Related Quality of Life and Depression in Nonagenarians: The Mugello Study
The association of body fat with health status and depression in the oldest old is still debated. The aim of this cross-sectional study is to investigate the association of body fat with health-related quality of life and depression in a sample of nonagenarians. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 6, 2019 Category: Health Management Authors: Silvia Giovannini, Claudio Macchi, Rossella Liperoti, Alice Laudisio, Daniele Coraci, Claudia Loreti, Federica Vannetti, Graziano Onder, Luca Padua, Mugello Study Working Group Tags: Original Study Source Type: research

Hospital Care of Older Patients With COPD: Adherence to International Guidelines for Use of Inhaled Bronchodilators and Corticosteroids
We aimed to analyze the prevalence and impact of COPD in older patients hospitalized in internal medicine or geriatric wards, and to investigate adherence to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines, associated clinical factors, and outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 6, 2019 Category: Health Management Authors: Marco Proietti, Pasquale Agosti, Chiara Lonati, Salvatore Corrao, Francesco Perticone, Pier Mannuccio Mannucci, Alessandro Nobili, Sergio Harari, REPOSI Investigators Tags: Original Study Source Type: research

Nursing Home Characteristics Associated With Implementation of an Advance Care Planning Video Intervention
Advance care planning (ACP) is important to ensure that nursing home (NH) residents receive care concordant with their goals. Video interventions have been developed to improve the process of ACP. Yet, little is known about which NH characteristics are associated with implementation of ACP video interventions in clinical practice. Our objective was to examine NH-level characteristics associated with the implementation of an ACP video intervention as part of the Pragmatic trial of Video Education in Nursing Homes (PROVEN) trial. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 6, 2019 Category: Health Management Authors: Lacey Loomer, Ellen McCreedy, Emmanuelle Belanger, Jennifer A. Palmer, Susan L. Mitchell, Angelo E. Volandes, Vincent Mor Tags: Original Study Source Type: research

Rethinking the Relationship Between Spatiotemporal Gait Variables and Dementia: A Prospective Study
The gait variables that are related to the risk of incident dementia have not yet been clarified. To examine whether quantitative gait variables can predict incident dementia in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 6, 2019 Category: Health Management Authors: Takehiko Doi, Kota Tsutsumimoto, Sho Nakakubo, Min-Ji Kim, Satoshi Kurita, Hiroyuki Shimada Tags: Original Study Source Type: research

Risk of 30-Day Hospital Readmission Among Patients Discharged to Skilled Nursing Facilities: Development and Validation of a Risk-Prediction Model
Patients discharged to a skilled nursing facility (SNF) for post-acute care have a high risk of hospital readmission. We aimed to develop and validate a risk-prediction model to prospectively quantify the risk of 30-day hospital readmission at the time of discharge to a SNF. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 6, 2019 Category: Health Management Authors: Anupam Chandra, Parvez A. Rahman, Amelia Sneve, Rozalina G. McCoy, Bjorg Thorsteinsdottir, Rajeev Chaudhry, Curtis B. Storlie, Dennis H. Murphree, Gregory J. Hanson, Paul Y. Takahashi Tags: Original Study Source Type: research

Nursing Home Staff Perceptions of Barriers and Facilitators to Implementing a Quality Improvement Intervention
This study examines staff perspectives on the implementation process. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 6, 2019 Category: Health Management Authors: Whitney L. Mills, Camilla B. Pimentel, A. Lynn Snow, Rebecca S. Allen, Nancy J. Wewiorski, Jennifer A. Palmer, Valerie Clark, Therasia M. Roland, Sarah E. McDannold, Christine W. Hartmann Tags: Original Study Source Type: research

A Framework for Supporting Post-acute Care Transitions of Older Patients With Hip Fracture
The objective of this article is to identify domains relevant to health care transitions of post-acute older patients with hip fracture so as to inform future ToC interventions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 6, 2019 Category: Health Management Authors: Paul Stolee, Jacobi Elliott, Kerry Byrne, Joanie Sims-Gould, Catherine Tong, Bert Chesworth, Mary Egan, Christine Ceci, Dorothy Forbes Tags: Original Study Source Type: research

Trajectory of Physical Functioning Among Persons Living With HIV in Nursing Homes
To examine the change in physical functional status among persons living with HIV (PLWH) in nursing homes (NHs) and how change varies with age and dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 4, 2019 Category: Health Management Authors: Shubing Cai, Susan C. Miller, Ira B. Wilson Tags: Original Study Source Type: research

Well-Being Among Older Gay and Bisexual Men and Women in England: A Cross-sectional Population Study
Lesbian, gay, and bisexual (LGB) older people present an under-represented population in research, with limited research citing higher prevelance of depression, loneliness, rejection, and overall poorer health and well-being outcomes. Our study compares well-being, defined as quality of life, life satisfaction, sexual satisfaction, and depression, among LGB people with their heterosexual peers'. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - March 1, 2019 Category: Health Management Authors: Igor Grabovac, Lee Smith, Daragh T. McDermott, Sinisa Stefanac, Lin Yang, Nicola Veronese, Sarah E. Jackson Tags: Original Study Source Type: research