Daily Physical Activity Predicts Frailty Development Among Community-Dwelling Older Japanese Adults
This study examined the association between frailty development and physical activity including the number of steps, the time of light-intensity physical activity (LPA) with (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 18, 2019 Category: Health Management Authors: Atsumu Yuki, Rei Otsuka, Chikako Tange, Yukiko Nishita, Makiko Tomida, Fujiko Ando, Hiroshi Shimokata, Hidenori Arai Tags: Original Study Source Type: research

Cost Benefit of High-Dose vs Standard-Dose Influenza Vaccine in a Long-Term Care Population During an A/H1N1-Predominant Influenza Season
Influenza is a leading cause of avoidable admissions for nursing home (NH) residents. We previously evaluated the effectiveness of a high-dose trivalent influenza vaccine (HD) compared to a standard-dose influenza vaccine (SD) through a cluster-randomized trial of NH residents. Fewer residents from facilities randomized to HD were hospitalized. In this article, we extend our analyses to consider direct medical care costs relative to vaccine costs for HD ($31.82/dose) as compared to SD ($12.04/dose). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 15, 2019 Category: Health Management Authors: Theresa I. Shireman, Jessica Ogarek, Pedro Gozalo, Tingting Zhang, Vincent Mor, H. Edward Davidson, Lisa Han, Monica Taljaard, Stefan Gravenstein Tags: Original Study Source Type: research

Successful Aging and Mortality Risk: The Korean Longitudinal Study of Aging (2006-2014)
The aim of this study is to examine the association of successful aging with mortality and further find gender differences in the effect of components of successful aging on mortality risks. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 13, 2019 Category: Health Management Authors: Hye-Jin Kim, Jin-Young Min, Kyoung-Bok Min Tags: Original Study Source Type: research

Predictive Capacity of Frailty Phenotype Toward Patterns of Disability Identified Using Latent Class Analysis
Frailty phenotype (FP) has low sensitivity toward the identification of older people who will lose 1 or more activities of daily living. Nevertheless, the definition of disability in terms of activities of  daily living may not resemble the pattern of functional impairment occurring during aging. The aim of this study was to examine the discriminative capacity of the FP toward the identification of patterns of disabilities in an extended list of tasks, identified among community-dwelling older people . (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 13, 2019 Category: Health Management Authors: Luisa Costanzo, Matteo Cesari, Luigi Ferrucci, Stefania Bandinelli, Raffaele Antonelli Incalzi, Claudio Pedone Tags: Original Study Source Type: research

Trajectories of Accumulation of Health Deficits in Older Adults: Are There Variations According to Health Domains?
To analyze sex- and education-specific trajectories of health deficits accumulation (DA) throughout old age and to examine whether these trajectories differ according to health domains. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 13, 2019 Category: Health Management Authors: Esther Garc ía-Esquinas, Rosario Ortolá, Matthew Prina, Denes Stefler, Fernando Rodríguez-Artalejo, Roberto Pastor-Barriuso Tags: Original Study Source Type: research

Food Consumption and Frailty Syndrome: Results From the Hellenic Longitudinal Investigation of Aging and Diet Study
The existing literature has shown that different factors related to nutrition can affect frailty.1 In our previous work, we had observed a beneficial effect of Mediterranean Diet on the prevalence of frailty. In the current study, we opted to examine the relationship between different food groups (either typical of the Mediterranean Diet or not), energy intake, and frailty status in a cohort of older adults in Greece. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 7, 2019 Category: Health Management Authors: Eva Ntanasi, Nikolaos Scarmeas, Eirini Mamalaki, Mary-Helen Kosmidis, Costas A. Anastasiou, Efthimios Dardiotis, Giorgos Hadjigeorgiou, Maria Megalou, Panagiota Voskou, Paraskevi Sakka, Mary Yannakoulia Tags: Letter to the Editor Source Type: research

Association Between Clinician Specialization in Nursing Home Care and Nursing Home Clinical Quality Scores
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%. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 7, 2019 Category: Health Management Authors: Kira L. Ryskina, Christine Lam, Hye-Young Jung Tags: Original Study Source Type: research

Caregiver Assessment Is Critical to Home-Based Medical Care Quality
For several years, leaders in home-based medical care (HBMC) have endeavored to develop standards for primary care and palliative care in the home setting. The recent paper by Christine Ritchie et  al1 is yet another contribution to this multifaceted effort, laying a foundation for demonstrating value and improving on those outcomes over time. My concern with this effort is that its focus seems to be narrowing just as a fuller picture of dependent adults and their caregivers is emerging else where. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 7, 2019 Category: Health Management Authors: Terry Hill Tags: Letter to the Editor Source Type: research

Discontinuation of Antihypertensive Medication, Cognitive Complaints, and Incident Dementia
To evaluate whether discontinuation of antihypertensive medication in community-dwelling older people is associated with a reduction in memory complaints and/or incident dementia. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 6, 2019 Category: Health Management Authors: Jan Willem van Dalen, Eric P. Moll van Charante, William A. van Gool, Edo Richard Tags: Original Studies Source Type: research

Interdisciplinary Teams and Home-Based Medical Care: Secondary Analysis of a National Survey
The objective of this study was to describe the use of interdisciplinary teams (IDTs) in home-based medical care practices. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 6, 2019 Category: Health Management Authors: Kathryn Huber, Kanan Patel, Sarah Garrigues, Bruce Leff, Christine Ritchie Tags: Brief Report Source Type: research

Can Physical Activity Offset the Detrimental Consequences of Sedentary Time on Frailty? A Moderation Analysis in 749 Older Adults Measured With Accelerometers
To determine whether or not and to what extent the association between sedentary time and frailty was moderated by moderate-to-vigorous physical activity in older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 6, 2019 Category: Health Management Authors: Asier Ma ñas, Borja del Pozo-Cruz, Irene Rodríguez-Gómez, José Losa-Reyna, Leocadio Rodríguez-Mañas, Francisco J. García-García, Ignacio Ara Tags: Brief Report Source Type: research

Functional Recovery Within a Formal Home Care Program
To identify home care clients with substantial functional deficits who had capacity to improve and, thus, for whom recovery goals should be articulated. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 6, 2019 Category: Health Management Authors: John N. Morris, Katherine Berg, Elizabeth P. Howard, Palmi V. Jonsson, Meredith Craig Tags: Original Study Source Type: research

Erratum
The Authors wish to make a correction to their article published in JAMDA (https://doi.org/10.1016/j.jamda.2014.10.014) “The Vegetative State: Prevalence, Misdiagnosis, and Treatment Limitations”. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 6, 2019 Category: Health Management Tags: Erratum Source Type: research

Erratum
The Authors wish to make a correction to their article published in JAMDA (https://doi.org/10.1016/j.jamda.2018.05.019) “Gait Speed Assessment in Older Adults: A Comparison Among Walk Tests, a Portable Gait Analysis Device and Self-Report”. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 6, 2019 Category: Health Management Tags: Erratum Source Type: research

Translating Frailty Research Into Clinical Practice: Insights From the Successful Aging and Frailty Evaluation Clinic
Aging researchers have been studying frailty for decades. Experts agree that frailty is a medical syndrome marked by reduced physiologic function, which increases the risk of vulnerability and short-term mortality, particularly in the face of a stressor. Frailty has been shown to predict poor outcomes including falls, disability, major morbidity following surgery, and mortality among older adults. Despite hundreds of papers identifying frailty as a useful marker of risk, its translation into clinical practice has lagged. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 5, 2019 Category: Health Management Authors: Megan Huisingh-Scheetz, Michelle Martinchek, Yolanda Becker, Mark K. Ferguson, Katherine Thompson Tags: Special Article Source Type: research

Definition of Respiratory Sarcopenia With Peak Expiratory Flow Rate
Respiratory muscle strength decreases with advancing age, and respiratory muscle dysfunction may indicate respiratory sarcopenia. However, there is no consensus regarding the definition of respiratory sarcopenia. We aimed to create a definition of respiratory sarcopenia based on the peak expiratory flow rate (PEFR). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 5, 2019 Category: Health Management Authors: Takeshi Kera, Hisashi Kawai, Hirohiko Hirano, Motonaga Kojima, Yutaka Watanabe, Keiko Motokawa, Yoshinori Fujiwara, Kazushige Ihara, Hunkyung Kim, Shuichi Obuchi Tags: Original Study Source Type: research

Risk Factors for Poor Functional Recovery, Mortality, Recurrent Fractures, and Falls Among Patients Participating in a Fracture Liaison Service Program
A fracture liaison service (FLS) for patients with fractures is a promising approach for improving outcomes, but barriers to the successful implementation of an FLS remain. The factors influencing the outcomes of patients already receiving FLS care are unclear. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 2, 2019 Category: Health Management Authors: Chia-Ter Chao, Rong-Sen Yang, Wei-Jia Huang, Keh-Sung Tsai, Ding-Cheng (Derrick) Chan Tags: Original Study Source Type: research

Families' Experiences With End-of-Life Care in Nursing Homes and Associations With Dying Peacefully With Dementia
To examine family caregivers' experiences with end-of-life care for nursing home residents with dementia and associations with the residents dying peacefully. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 1, 2019 Category: Health Management Authors: Sascha R. Bolt, Laura Verbeek, Judith M.M. Meijers, Jenny T. van der Steen Tags: Original Study - Brief Report Source Type: research

The Role of Dietary Patterns in the Contribution of Cardiorespiratory Fitness in Community-Dwelling Older Chinese Adults in Hong Kong
We examined the influence of various dietary patterns on cardiorespiratory fitness (CRF) expressed as peak oxygen uptake (VO2peak), taking into account demographics and lifestyle risk factors. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - February 1, 2019 Category: Health Management Authors: Ruth Chan, Forrest Yau, Blanche Yu, Jean Woo Tags: Original Study Source Type: research

Workplace Interventions and Vaccination-Related Attitudes Associated With Influenza Vaccination Coverage Among Healthcare Personnel Working in Long-Term Care Facilities, 2015 ‒2016 Influenza Season
The objective of this study was to investigate workplace interventions and healthcare personnel vaccination-related attitudes associated with higher influenza vaccination coverage among healthcare personnel working in LTC facilities. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 30, 2019 Category: Health Management Authors: Xin Yue, Carla Black, Sarah Ball, Sara Donahue, Marie A. de Perio, A. Scott Laney, Stacie Greby Tags: Original Study Source Type: research

Depression and Antidepressants as Potential Risk Factors in Dementia: A Systematic Review and Meta-analysis of 18 Longitudinal Studies
To investigate whether depression and/or antidepressants can be a potential risk factor for the development of dementia and mild cognitive impairment (MCI). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 30, 2019 Category: Health Management Authors: Joyce Y.C. Chan, Karen K.L. Yiu, Timothy C.Y. Kwok, Samuel Y.S. Wong, Kelvin K.F. Tsoi Tags: Review Article Source Type: research

Physical Performance Predictor Measures in Older Adults With Falls-Related Emergency Department Visits
This study aimed to compare, in this clinical population, the incremental predictive value of the Short Physical Performance Battery (SPPB) component tests for incident falls, injurious falls, and mobility limitations. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 30, 2019 Category: Health Management Authors: Yong-Hao Pua, David B. Matchar Tags: Original Study - Brief Report Source Type: research

Poor Treatment Outcomes Following Repositioning Maneuvers in Younger and Older Adults With Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-analysis
This systematic review aimed to methodically review the available evidence on poor treatment outcomes after repositioning maneuver treatments in adults with BPPV and whether there are differences in the outcomes for older and younger adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 26, 2019 Category: Health Management Authors: Eyvonne Sim, Dawn Tan, Keith Hill Tags: Review Article Source Type: research

Standards for the Use of Telemedicine for Evaluation and Management of Resident Change of Condition in the Nursing Home
This document offers guidance to clinicians and facilities on the use of telemedicine to deliver medically necessary evaluation and management of change of condition for nursing home residents. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 26, 2019 Category: Health Management Authors: Suzanne M. Gillespie, Andrea L. Moser, Murthy Gokula, Thomas Edmondson, Joseph Rees, Dallas Nelson, Steven M. Handler Tags: Review Article Source Type: research

What Does Conducting a Clinical Study Teach You? Insights to Improve Care and Enhance Collaboration
In setting out to conduct a research study, one contemplates certain goals, research questions, or hypotheses. As a study proceeds, the process of investigation sometimes provides the researcher with insights that are as important, and sometimes more important, than the insights gained by the study's formal results. Yet, we have no channels through which to report on those by-product insights. I attempt just that in this editorial. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 26, 2019 Category: Health Management Authors: Jiska Cohen-Mansfield Tags: Editorial Source Type: research

Making Pragmatic Trials Pragmatic in Post-acute and Long-term Care Settings
The paper intriguingly titled “The Answer Is 17 Years, What Is the Question: Understanding Time Lags in Translational Research” affirms that the path from basic research, to human research, to clinical research, to guidelines, and eventually to practice, is roughly a 17-year journey1—for those few research discoveries tha t even make it to the finish line. It's no surprise, then, that the National Institutes of Health promote the NIH Stage Model to guide research from stage 0 (basic research) through stage V (implementation and dissemination), a critical step being stage IV (effectiveness), during wh...
Source: Journal of the American Medical Directors Association - January 26, 2019 Category: Health Management Authors: Sheryl Zimmerman, Philip D. Sloane Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 26, 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 - January 26, 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 - January 26, 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 - January 26, 2019 Category: Health Management Source Type: research

Comparing the Effects of Grief and Burden on Caregiver Depression in Dementia Caregiving: A Longitudinal Path Analysis over 2.5  Years
Caregivers of persons with dementia can experience loss and grief long before the death of the person. Although the phenomenon of caregiver grief has been increasingly described, it is uncertain if caregiver grief has independent effects —separate from the well-studied construct of caregiver burden—on adverse outcomes such as caregiver depression. We sought to compare the effects of baseline grief and burden on caregiver depression at baseline and 2.5 years later. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 25, 2019 Category: Health Management Authors: Tau Ming Liew, Bee Choo Tai, Philip Yap, Gerald Choon-Huat Koh Tags: Original Study Source Type: research

Prognosis of Frailty in Patients With Heart Failure
I read with interest the recent article in this journal written by Zhang et  al.1 The authors conducted a meta-analysis to evaluate the effect of frailty on prognosis in patients with heart failure (HF). By using 20 articles, they found adjusted hazard ratios (HRs) [95% confidence intervals (CIs)] of frailty for all-cause mortality and hospitalization of 1.59 (1.39-1.82) a nd 1.31 (1.21-1.42), respectively. In addition, HR (95% CI) of ventricular assist device implantation in patients with advanced HF for all-cause mortality was 1.62 (1.35-1.94). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 25, 2019 Category: Health Management Authors: Tomoyuki Kawada Tags: Letter to the Editor Source Type: research

Factors Associated With Withdrawal From Dialysis Therapy in Incident Hemodialysis Patients Aged 80 Years or Older
Among kidney disease patients ≥80 years progressing to end-stage renal disease, there is growing interest in conservative nondialytic management approaches. However, among those who have initiated hemodialysis, little is known about the impact of withdrawal from dialysis on mortality, nor the patient characteristics associated with withdrawal from dialysis. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 25, 2019 Category: Health Management Authors: Gang Jee Ko, Yoshitsugu Obi, Tae Ik Chang, Melissa Soohoo, Rieko Eriguchi, Soo Jeong Choi, Daniel L. Gillen, Csaba P. Kovesdy, Elani Streja, Kamyar Kalantar-Zadeh, Connie M. Rhee Tags: Original Study Source Type: research

B-vitamins in Relation to Depression in Older Adults Over 60  Years of Age: The Trinity Ulster Department of Agriculture (TUDA) Cohort Study
This study aimed to investigate folate, vitamin B12, vitamin B6, and riboflavin in relation to depression and anxiety in aging and also considered the role of fortified foods as a means of optimizing B-vitamin status and potentially reducing the risk of these mental health disorders. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 25, 2019 Category: Health Management Authors: Katie Moore, Catherine F. Hughes, Leane Hoey, Mary Ward, Conal Cunningham, Anne M. Molloy, J.J. Strain, Kevin McCarroll, Miriam C. Casey, Fergal Tracey, Eamon Laird, Maurice O'Kane, Helene McNulty Tags: Original Study Source Type: research

Using an Integrated Clinical and Functional Assessment Tool to Describe the Use of Social and Medical Care in an Urban Community-Dwelling Swedish Older Population
To describe the use of social and medical care services in a community-dwelling older population from Stockholm, Sweden, using an integrated clinical and functional assessment tool. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 17, 2019 Category: Health Management Authors: Giola Santoni, Bettina Meinow, Anders Wimo, Alessandra Marengoni, Laura Fratiglioni, Amaia Calder ón-Larrañaga Tags: Original Study Source Type: research

The Informant AD8 Can Discriminate Patients with Dementia From Healthy Control Participants in an Asian Older Cohort
The informant-AD8 (i-AD8) was found to be reliable in detecting cognitive impairment and dementia in tertiary and primary health care settings. We evaluated the discriminability of the i-AD8, as compared to other brief cognitive measures, and its combination with the 5-minute Montreal Cognitive Assessment (MoCA) and Mini-Cog in detecting very mild dementia in an Asian older cohort. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 17, 2019 Category: Health Management Authors: Cheuk Ni Kan, Liwen Zhang, Ching-Yu Cheng, Tien Yin Wong, Narayanaswamy Venketasubramanian, Christopher Li-Hsian Chen, Xin Xu Tags: Original Study-Brief Report Source Type: research

Meaning of a 5-Star Rating for Nursing Homes Differs by State
Owing to the increasing availability and accessibility of national data, the last decade witnessed growing interest in identifying racial/ethnic, socioeconomic, and spatial inequalities in access to high-quality nursing homes.1,2 However, caution is warranted when empirical studies that use overall quality rating or domain ratings from the Five-Star Quality Rating System make comparisons across state boundaries. Such studies implicitly assume that these ratings are state-invariant —that is, the same underlying construct is measured across states given a specific rating (eg, 5-star). (Source: Journal of the American M...
Source: Journal of the American Medical Directors Association - January 17, 2019 Category: Health Management Authors: Ozcan Tunalilar Tags: Letter to the Editor Source Type: research

Agreement Between Initial and Revised European Working Group on Sarcopenia in Older People Definitions
Sarcopenia is defined as the loss of muscle mass, strength, and function resulting in adverse outcomes.1 The European Working Group on Sarcopenia in Older People (EWGSOP1)1 was recently revised (EWGSOP2),2 proposing changes to cut-off points for muscle strength and appendicular lean mass, and alternate assessments for muscle strength [5 times sit to stand (5STS) test] and physical performance [Short Physical Performance Battery, Timed Up and Go (TUG), and 400m walk test]. With the existing lack of consensus between sarcopenia definitions,3 it is unknown how the revised EWGSOP2 affects the diagnosis of sarcopenia in clinica...
Source: Journal of the American Medical Directors Association - January 17, 2019 Category: Health Management Authors: Steven Phu, Sara Vogrin, Jesse Zanker, Ebrahim Bani Hassan, Ahmed Al Saedi, Gustavo Duque Tags: Research Editor Source Type: research

EWGSOP2 Versus EWGSOP1: Impact on the Prevalence of Sarcopenia and Its Major Health Consequences
In June 2018, we published in your journal an article showing that sarcopenia, characterized by the European Working Group on Sarcopenia in Older People (EWGSOP) definition developed in 2010,1 was associated with an increased risk of mortality.2 In October 2018, the EWGSOP revised its consensus and proposed a new operational definition of sarcopenia, the EWGSOP2.3 We seek here to compare the prevalence of sarcopenia defined by EWGSOP1 and by EWGSOP2, and the major outcomes associated with each of these definitions. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 17, 2019 Category: Health Management Authors: M édéa Locquet, Charlotte Beaudart, Jean Petermans, Jean-Yves Reginster, Olivier Bruyère Tags: Letter to the Editor Source Type: research

Number of Medications and Mortality Among Residents in Nursing Homes
The use of multiple concurrent medications is an indicator commonly used to evaluate the quality of pharmacotherapy in older adults, via an assessment of the medication burden.1,2 Previous studies have reported polypharmacy prevalences of up to 40% among nursing home (NH) residents.3 However, the association between polypharmacy and mortality in this setting is still unclear. The aim of this study was to measure the association between multiple medication use and all-cause mortality in older people residing in NHs in Madrid. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 17, 2019 Category: Health Management Authors: Mar Mart ín-Pérez, Ana Ruigómez, Roberto Pastor-Barriuso, Fernando J. García López, Ana Villaverde-Hueso, Javier Damián Tags: Research Letter Source Type: research

Frailty as a Predictor of All-Cause Mortality Among Older Nursing Home Residents: A Systematic Review and Meta-analysis
We performed a meta-analysis based on prospective cohort studies to synthesize the pooled risk effect and to determine whether frailty is a predictor of all-cause mortality. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 10, 2019 Category: Health Management Authors: XiaoMing Zhang, QingLi Dou, WenWu Zhang, CongHua Wang, XiaoHua Xie, YunZhi Yang, YingChun Zeng Tags: Review Article Source Type: research

A Proposal for the Retrospective Identification and Categorization of Older People With Functional Impairments in Scientific Studies —Recommendations of the Medication and Quality of Life in Frail Older Persons (MedQoL) Research Group
When treating older adults, a main factor to consider is physical frailty. Because specific assessments in clinical trials are frequently lacking, critical appraisal of treatment evidence with respect to functional status is challenging. Our aim was to identify and categorize assessments for functional status given in clinical trials in older adults to allow for a retrospective characterization and indirect comparison of treatment evidence from these cohorts. We conducted 4 separate systematic reviews of randomized and nonrandomized controlled clinical trials in older people with hypertension, diabetes, depression, and dem...
Source: Journal of the American Medical Directors Association - January 9, 2019 Category: Health Management Authors: Simone Brefka, Dhayana Dallmeier, Viktoria M ühlbauer, Christine A.F. von Arnim, Claudia Bollig, Graziano Onder, Mirko Petrovic, Carlos Schönfeldt-Lecuona, Moritz Seibert, Gabriel Torbahn, Sebastian Voigt-Radloff, Walter E. Haefeli, Jürgen M. Bauer, Mi Tags: Special Article Source Type: research

Repeated Cerebrospinal Fluid Removal Procedure in Older Patients With Idiopathic Normal Pressure Hydrocephalus Ineligible for Surgical Treatment
To evaluate the effects of repeated cerebrospinal fluid (CSF) tap procedures in idiopathic normal pressure hydrocephalus (iNPH) patients ineligible for surgical treatment. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 9, 2019 Category: Health Management Authors: Paolo Dionigi Rossi, Sarah Damanti, Carolina Nani, Mauro Pluderi, Giulio Bertani, Daniela Mari, Matteo Cesari, Dario Consonni, Diego Spagnoli Tags: Original Study - Brief Report Source Type: research

Dietary Patterns and Foods Associated With Cognitive Function in Taiwanese Older Adults: The Cross-sectional and Longitudinal Studies
To find dietary patterns and foods associated with cognitive function. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 7, 2019 Category: Health Management Authors: Shao-Yuan Chuang, Yen-Li Lo, Szu-Yun Wu, Pei-Ning Wang, Wen-Harn Pan Tags: Original Study Source Type: research

Personality Changes With Dementia From the Informant Perspective: New Data and Meta-Analysis
To examine changes in personality in individuals with mild cognitive impairment (MCI) or dementia as observed by family members using both new data and a meta-analysis with the published literature. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 7, 2019 Category: Health Management Authors: Maheen Islam, Mridul Mazumder, Derek Schwabe-Warf, Yannick Stephan, Angelina R. Sutin, Antonio Terracciano Tags: Review Article Source Type: research

The Effect of a Multicomponent Intervention on Quality of Life in Residents of Nursing Homes: A Randomized Controlled Trial (COSMOS)
To investigate if the multicomponent intervention of the COSMOS trial, combining communication, systematic pain management, medication review, and activities, improved quality of life (QoL) in nursing home patients with complex needs. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 7, 2019 Category: Health Management Authors: Bettina S. Huseb ø, Clive Ballard, Dag Aarsland, Geir Selbaek, Dagrun D. Slettebo, Christine Gulla, Irene Aasmul, Torstein Habiger, Tony Elvegaard, Ingelin Testad, Elisabeth Flo Tags: Original Study Source Type: research

Relationship Between Loneliness and Frailty Among Older Adults in Nursing Homes: The Mediating Role of Activity Engagement
In this study, we evaluated whether activity engagement mediates the relationship between loneliness and frailty among older adults living in nursing homes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 7, 2019 Category: Health Management Authors: Meng Zhao, Jie Gao, Ming Li, Kefang Wang Tags: Original Study Source Type: research

Post-acute and Long-term Care Settings as First Responders for the Surviving Sepsis Campaign
In 2016, the Society of Critical Care launched its Surviving Sepsis Campaign, emphasizing early recognition and management of sepsis.1 Sepsis disproportionately affects older adults, particularly nursing facility residents who, compared to non-nursing facility residents, experience higher rates of intensive care unit admission (40% vs 21%), have a longer hospital length of stay (7 vs 5  days), and have higher in-hospital mortality (37% vs 15%).2 Factors that contribute to an increased risk of adverse outcomes include age-related changes such frailty, immune senescence, alterations in temperature regulation, cognitive ...
Source: Journal of the American Medical Directors Association - January 7, 2019 Category: Health Management Authors: Robin L.P. Jump, Susan M. Levy, Wayne S. Saltsman Tags: Editorial Source Type: research

Frailty Management in Community-Dwelling Older Adults: Initial Results of a Trained Nurses Program
Screening frail older individuals and implementing intervention programs is a strategic measure as it could prevent the progression toward dependency.1 –4 Policy makers and health professionals are exploring different options to implement frailty management in primary care.5,6 Specialized hospital care may introduce a recruitment bias in favor of city residents. Involving primary care physicians limits this risk, but in reality the physicians are overburdened, and this limits home care visits. Thus, there is great concern about the equal accessibility of these programs, especially for rural areas and socially isolate...
Source: Journal of the American Medical Directors Association - January 7, 2019 Category: Health Management Authors: Antoine Piau, Sandrine Sourdet, Olivier Toulza, Caroline Bernon, Neda Tavassoli, Fati Nourhashemi Tags: Letter to the Editor Source Type: research

Antiepileptic Drugs and Accumulation of Hospital Days Among Persons With Alzheimer's Disease
To compare the accumulation of hospital days between initiators and noninitiators of antiepileptic drugs (AEDs) among persons with Alzheimer's disease (AD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - January 7, 2019 Category: Health Management Authors: Piia Lavikainen, Heidi Taipale, Antti Tanskanen, Marjaana Koponen, Jari Tiihonen, Sirpa Hartikainen, Anna-Maija Tolppanen Tags: Original Study Source Type: research