Providing simultaneous COVID-19-sensitive and dementia-sensitive care as we transition from crisis care to ongoing care
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 20, 2020 Category: Health Management Authors: Marco Canevelli, Giuseppe Bruno, Matteo Cesari; Source Type: research

Essential Family Caregivers in Long-term Care during the COVID-19 Pandemic
In the months stretching out ahead of us in the prevention of COVID-19, we must keep our residents safe from the risk of circulating virus, but we also must promote person-centered geriatric care allowing family presence as essential care partners. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 20, 2020 Category: Health Management Authors: Jeffrey D. Schlaudecker Tags: Letter to the Editor Source Type: research

Sarcopenic Obesity Is Associated With Activities of Daily Living and Home Discharge in Post-Acute Rehabilitation
The aim of this study was to evaluate the effect of sarcopenic obesity on activities of daily living and home discharge rates in adults undergoing convalescent rehabilitation. In addition, we evaluated diagnostic criteria for sarcopenic obesity to predict outcomes. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 19, 2020 Category: Health Management Authors: Yoshihiro Yoshimura, Hidetaka Wakabayashi, Fumihiko Nagano, Takahiro Bise, Sayuri Shimazu, Mai Kudo, Ai Shiraishi Tags: Original Study Source Type: research

Psychometric Properties of the National Institute of Neurological Disorders and Stroke and Canadian Stroke Network Neuropsychological Battery in an Asian Older Adult Sample
Despite the wide usage of the National Institute of Neurological Disorders and Stroke and Canadian Stroke Network (NINDS-CSN) neuropsychological battery for the detection of vascular cognitive impairment, its reliability and validity have not been established. Therefore, the present study established the psychometric properties of the battery in cognitively normal older adults in a clinical setting in Singapore. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 18, 2020 Category: Health Management Authors: Kimberly A. Chew, Eddie J.Y. Chong, Christopher L.H. Chen, Xin Xu Tags: Original Study - Brief Report Source Type: research

Continuing chronic disease care during covid-19 and beyond
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 15, 2020 Category: Health Management Authors: Wei-Zhen HONG, Gek-Cher CHAN, Horng-Ruey CHUA Tags: Letter to the Editor Source Type: research

Association of Deprescribing With Reduction in Mortality and Hospitalization: A Pragmatic Stepped-Wedge Cluster-Randomized Controlled Trial
Deprescribing has gained awareness recently, but the clinical benefits observed from randomized trials are limited. The aim of this study was to examine the effectiveness of a pharmacist-led 5-step team-care deprescribing intervention in nursing homes to reduce falls (fall risks and fall rates). Secondary aims include reducing mortality, number of hospitalized residents, pill burden, medication cost, and assessing the deprescribing acceptance rate. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 14, 2020 Category: Health Management Authors: Chong-Han Kua, Cindy Ying Ying Yeo, Poh Ching Tan, Cheryl Wai Teng Char, Cheryl Wei Yan Tan, Vivienne Mak, Ian Yi-Onn Leong, Shaun Wen Huey Lee Tags: Original Study Source Type: research

Interventions to Improve Clinical Outcomes in Older Adults Admitted to a Surgical Service: A Systematic Review and Meta-analysis
Managing older patients with surgical conditions is a major challenge for hospitals. There is therefore a growing interest in providing geriatric perioperative services. The aim of this systematic review and meta-analysis was to characterize and assess the impact of targeted perioperative geriatric interventions on clinical outcomes of older adults admitted to nonorthopedic surgical teams. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 13, 2020 Category: Health Management Authors: Janani Thillainadesan, Minna F. Yumol, Sarah Hilmer, Sarah J. Aitken, Vasi Naganathan Tags: Review Article Source Type: research

Measuring Slowness in Old Age: Times to Perform Moberg Picking-Up and Walking Speed Tests
This study aimed to evaluate the relationship between MPUT and walking speed. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 10, 2020 Category: Health Management Authors: Brigitte Santos-Eggimann, Kamel Ballan, Sarah Fustinoni, Christophe B üla Tags: Original Study - Brief Report Source Type: research

Impact of Anticholinergic Burden on Cognitive Performance: A Cohort Study of Community-Dwelling Older Adults
Older people are susceptible to the adverse effects of anticholinergic medications, including cognitive impairment.1 A systematic review of observational studies reported mixed associations between high anticholinergic burden, a cumulative measure of anticholinergic medications, and cognitive performance in older people.2 Observational studies may have biased estimates of the impact of exposures, as the exposed and unexposed may systematically differ in covariates associated with the outcomes.3 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 9, 2020 Category: Health Management Authors: Prasad S. Nishtala, Heather Allore, Ling Han, Hamish A. Jamieson, Sarah N. Hilmer, Te-yuan Chyou Tags: Research Letter Source Type: research

Palliative Sedation and End of Life: Lights and Shadows
We read with great interest the article of Rietjens et  al1 about continuous deep sedation in Netherlands. The authors compared the rate of deep sedation at the end of life in 2005, 2010, and 2015, and they found a considerable increase of this practice throughout the years, especially for older and cancer patients. Palliative sedation (PS) often repre sents a fundamental tool in long-term care medicine for physicians attending to terminally ill patients, when no other treatments can relieve their suffering. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 9, 2020 Category: Health Management Authors: Pasquale Buonanno, Maria Vargas, Annachiara Marra, Carmine Iacovazzo, Giuseppe Servillo Tags: Letter to the Editor Source Type: research

Calf Circumference as a Case-Finding Tool for Sarcopenia: Influence of Obesity on Diagnostic Performance
We read with interest the Asian Working Group for Sarcopenia (AWGS) 2019 consensus update.1 Akin to the direction adopted by its European counterpart, AWGS 2019 aims to promote greater integration of sarcopenia in clinical practice by making it easier to conduct community case finding in an efficient manner.2 Beyond the 5-item SARC-F questionnaire, AWGS 2019 additionally recommends calf circumference (CC) as a screening tool for case finding of at-risk populations in community settings for further evaluation. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 9, 2020 Category: Health Management Authors: Wee Shiong Lim, Jun Pei Lim, Justin Chew, Alvin Wai Kit Tan Tags: Letter to the Editor Source Type: research

The COVID Grim Reaper
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 6, 2020 Category: Health Management Authors: Renzo Rozzini Tags: Letter to the Editor Source Type: research

Loneliness and Isolation in Long-term Care and the Covid-19 pandemic
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 6, 2020 Category: Health Management Authors: Joyce Simard, Ladislav Volicer Source Type: research

Understated Cognitive Impairment Assessed with the Clock-Drawing Test in Community-Dwelling Individuals Aged ≥50 Years
To estimate the prevalence of understated cognitive impairment by administering the Clock-Drawing Test (CDT) to community-dwelling individuals aged ≥50 years and to investigate the associated clinical phenotype. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 5, 2020 Category: Health Management Authors: Claire Leissing-Desprez, Emilie Thomas, Lauriane Segaux, Amaury Broussier, Nadia Oubaya, Nathalie Marie-Nelly, Marie Laurent, Laurent Cleret de Langavant, Isabelle Fromentin, Jean-Philippe David, Sylvie Bastuji-Garin Tags: Original Study Source Type: research

Reliability and Validity of the Tilburg Frailty Indicator in 5 European Countries
To assess the internal consistency, convergent and divergent validity, and concurrent validity of the Tilburg Frailty Indicator (TFI) within community-dwelling older people in Spain, Greece, Croatia, the Netherlands, and the United Kingdom. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 5, 2020 Category: Health Management Authors: Xuxi Zhang, Siok Swan Tan, Lovorka Bilajac, Tamara Alhambra-Borr ás, Jorge Garcés-Ferrer, Arpana Verma, Elin Koppelaar, Athina Markaki, Francesco Mattace-Raso, Carmen Betsy Franse, Hein Raat Tags: Original Studies Source Type: research

High Prevalence of Oropharyngeal Dysphagia in Acutely Hospitalized Patients Aged 80  Years and Older
Oropharyngeal dysphagia is a geriatric syndrome that is usually underdiagnosed in older patients. The aim of this study was to determine the prevalence and identify the main risk factors of dysphagia in the oldest old patients admitted to an acute geriatric unit. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 4, 2020 Category: Health Management Authors: Jes ús Mateos-Nozal, Beatriz Montero-Errasquín, Elisabeth Sánchez García, Estela Romero Rodríguez, Alfonso J. Cruz-Jentoft Tags: Original Study-Brief Report Source Type: research

Sarcopenia in Korean Community-Dwelling Adults Aged 70  Years and Older: Application of Screening and Diagnostic Tools From the Asian Working Group for Sarcopenia 2019 Update
To describe the prevalence of sarcopenia in a large group of community-dwelling older adults using the Asian Working Group for Sarcopenia (AWGS) 2019 definition and algorithm. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 4, 2020 Category: Health Management Authors: Miji Kim, Chang Won Won Tags: Original Study Source Type: research

High prevalence of oropharyngeal dysphagia in acutely hospitalized patients aged 80 and older
In this study including 329 acutely hospitalized patients aged 80 and older the prevalence of oropharyngeal dysphagia (assessed with an objective test, the Volume-Viscosity Swallow Test) was 82.4%. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 4, 2020 Category: Health Management Authors: Jes ús Mateos-Nozal, Beatriz Montero-Errasquín, Elisabeth Sánchez García, Estela Romero Rodríguez, Alfonso J. Cruz-Jentoft Tags: Original Study - Brief Report Source Type: research

Epidemiology of Polypharmacy in the General Population: 27-Year Prospective Cohort Study
At least a third of the individuals with a noncommunicable disease (NCD), such as diabetes, chronic lung disease, or heart disease, are diagnosed with another NCD in their lifetime.1 This high burden of co-occurring chronic diseases ( “multimorbidity”) necessitates frequent and simultaneous use of various drugs according to contemporary guidelines. Several studies reported the frequency and composition of polypharmacy (concurrent use of ≥5 drugs) in the general population,2,3 but most were unable to capture the incidence an d chronicity of polypharmacy because of their cross-sectional design. (Source: Journa...
Source: Journal of the American Medical Directors Association - May 3, 2020 Category: Health Management Authors: Silvan Licher, Brenda C.T. Kieboom, Loes E. Visser, Gijsbertus Ziere, Rikje Ruiter, M. Kamran Ikram, Bruno H. Ch. Stricker, M. Arfan Ikram Tags: Letter to the Editor Source Type: research

Walking Speed and Muscle Mass Estimated by the D3-Creatine Dilution Method Are Important Components of Sarcopenia Associated With Incident Mobility Disability in Older Men: A Classification and Regression Tree Analysis
The objective of this study was to determine the relative importance of strength; physical performance; and lean, fat, and muscle mass in predicting incident mobility disability in older men. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 3, 2020 Category: Health Management Authors: Jesse Zanker, Sheena Patel, Terri Blackwell, Kate Duchowny, Sharon Brennan-Olsen, Steven R. Cummings, William J. Evans, Eric S. Orwoll, David Scott, Sara Vogrin, Jane A. Cauley, Gustavo Duque, Peggy M. Cawthon, Osteoporotic Fractures in Men (MrOS) Study G Tags: Original Study - Brief Report Source Type: research

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)-Related Deaths in French Long-Term Care Facilities: The “Confinement Disease” Is Probably More Deleterious Than the Coronavirus Disease-2019 (COVID-19) Itself
To date, coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has infected 2.2 million people and has killed more than 150,000.1 The population groups most susceptible to severe and fatal coronavirus disease-2019 (COVID-19) are older adults and those with chronic underlying chronic medical disorders. The residents of long-term care facilities (LTCFs) typically combine those 2 features and are, thus, particularly at risk. In France, 9.4% of the population is over age 75  years and nearly 600,000 people currently reside in LTCFs for older dependent individuals. (Source: Journal of the American Medica...
Source: Journal of the American Medical Directors Association - May 2, 2020 Category: Health Management Authors: Sylvain Diamantis, Coralie Noel, Paul Tarteret, Nicolas Vignier, S ébastien Gallien, Groupe de Recherche et d'Etude des Maladies Infectieuses - Paris Sud-Est (GREMLIN Paris Sud-Est) Tags: Letter to the Editor Source Type: research

Hospital-at-Home as an Alternative to Release the Overload of Healthcare Systems During the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic
The novelty and fast spread of the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) have made it impossible to scientifically determine the best approach for its management and to take evidence-based political measures to try to tackle it.1 Several countries worldwide have adopted political measures of confinement of the population and restriction of free movement within their territories to mitigate the collapse of their healthcare systems.1 In this scenario of countries' quarantine and of lack of healthcare resources, a potentially effective and efficient alternative to provide healthcare for noncritical pati...
Source: Journal of the American Medical Directors Association - May 2, 2020 Category: Health Management Authors: Jorge Arias-de la Torre, Jordi Alonso, Vicente Mart ín, Jose M. Valderas Tags: Letter to the Editor Source Type: research

The Predictive Value of Social Frailty on Adverse Outcomes in Older Adults Living in the Community
Older people are often socially deprived, which may predispose them to frailty. The aim of the study was to identify the independent effects of social deficits and their combined effects with frailty ( “social frailty”) in predicting functional decline, institutionalization, and mortality in older adults living in the community. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 2, 2020 Category: Health Management Authors: Yunhwan Lee, Doukyoung Chon, Jinhee Kim, Seungkook Ki, Jihye Yun Tags: Original Study Source Type: research

Effects of an Eating Ability Promotion Program for Community-Dwelling Older Adults
In this study, we examine the effectiveness of an eating ability promotion program (EAPP) on the physical and mental performance of community-dwelling older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 2, 2020 Category: Health Management Authors: Shang-Jung Wu, Shwn-Huey Shieh, Yun-Ju Lai, Yun-Tong Shih, Yueh-Juen Hwu Tags: Original Study - Brief Report Source Type: research

Unanticipated Therapeutic Value of the Patient-Centered Outcomes Research Institute (PCORI) Stakeholder Engagement Project for Homebound Older Adults
A major goal of the Patient-Centered Outcomes Research Institute (PCORI) is to bring patients, caregivers, and other stakeholders into the research process and build a community that enhances patient-centered outcomes research (PCOR).1 There are about 2 million older adults in the United States who are homebound; another 5.3 million are unable to leave their homes without help.2 Disproportionately burdened by multimorbidity, functional impairment, and low social capital, these individuals are not engaged in PCOR. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 2, 2020 Category: Health Management Authors: Orla C. Sheehan, Christine S. Ritchie, Sarah B. Garrett, Krista L. Harrison, Alexandria Mickler, Ashley L. Eaton England, Pragyashree Sharma Basyal, Sarah K. Garrigues, Bruce Leff Tags: Research Letter Source Type: research

SARS-cov-2 related deaths in French long-term care facilities: the “confinement disease” is probably more deleterious than the COVID-19 itself
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 2, 2020 Category: Health Management Authors: Sylvain Diamantis, Coralie Noel, Nicolas Vignier, S ébastien Gallien Tags: Letter to the Editor Source Type: research

Hospital-at-Home as an alternative to release the overload of healthcare systems during the SARS-CoV-2 pandemic.
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - May 2, 2020 Category: Health Management Authors: Jorge Arias-de la Torre, Jordi Alonso, Vicente Mart ín, Jose M. Valderas Tags: Letter to the Editor Source Type: research

The Feasibility of Using Electronic Consultation in Long-Term Care Homes
Patients in long-term care (LTC) homes face barriers to accessing specialist advice. Electronic consultation (eConsult) has the potential to improve access for these patients. We used a multi-method approach to evaluate adoption of the Champlain BASE eConsult service in LTC homes across Eastern Ontario, Canada. We conducted a cross-sectional study of all eConsults submitted by primary care providers (PCPs) working at LTC homes between January 1, 2018 and December 31, 2018. Service use data were collected and descriptive statistics were calculated. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 29, 2020 Category: Health Management Authors: Mary Helmer-Smith, Celeste Fung, Amir Afkham, Lois Crowe, Mohamed Gazarin, Erin Keely, Isabella Moroz, Clare Liddy Tags: Pragmatic Innovations in Post-Acute and Long-Term Care Medicine Source Type: research

Cruise Ships, Nursing Homes, and Prisons as COVID-19 Epicenters: A “Wicked Problem” With Breakthrough Solutions?
I was not surprised that some of the earliest signs of COVID-19 outside of China were outbreaks on cruise ships. Several years ago, during a month on a 500-passenger cruise ship, I learned firsthand how rapidly viral infections can travel through those floating communities. I was the trip physician; the month was December; respiratory virus season had arrived early that year; and we unknowingly welcomed several unwanted guests when our passengers boarded in Nassau. Within 2  weeks, more than half the passengers were actively coughing and the clinic was inundated. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 28, 2020 Category: Health Management Authors: Philip D. Sloane Tags: Editorial Source Type: research

Cruise Ships, Nursing Homes and Prisons as COVID-19 Epicenters: A ‘Wicked Problem” with Breakthrough Solutions?
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 28, 2020 Category: Health Management Authors: Philip D. Sloane Source Type: research

The importance of physical activity to care for frail older adults during the covid-19 pandemic
COVID-19 restrictions could decreased physical and mental health. Simple, adapted and specific physical activities should be implemented and considered as the best solution to care for frail elderly during the COVID-19 pandemic. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 28, 2020 Category: Health Management Authors: M. Aubertin-Leheudre, Y. Rolland Source Type: research

Sarcopenia Identified According to the EWGSOP2 Definition in Community-Living People: Prevalence and Clinical Features
The European Working Group on Sarcopenia in Older People (EWGSOP2) recently updated the definition of sarcopenia in order to reflect scientific and clinical evidences. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 27, 2020 Category: Health Management Authors: Anna Maria Martone, Emanuele Marzetti, Sara Salini, Maria Beatrice Zazzara, Luca Santoro, Matteo Tosato, Anna Picca, Riccardo Calvani, Francesco Landi Tags: Original Study Source Type: research

Coronavirus lockdown: forced inactivity for the oldest old?
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 26, 2020 Category: Health Management Authors: Pedro L. Valenzuela, Alejandro Santos-Lozano, Simone Lista, Jos é A. Serra-Rexach, Enzo Emanuele, Alejandro Lucia Tags: Letter to the Editor Source Type: research

Pain Is Associated With Poor Balance in Community-Dwelling Older Adults: A Systematic Review and Meta-analysis
Pain is a risk factor for falls in older adults, but the mechanisms are not well understood, limiting our ability to implement effective preventive strategies. The aim of this study was to systematically review and synthesize the literature that has examined the impact of pain on static, dynamic, multicomponent, and reactive balance in community-dwelling older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 23, 2020 Category: Health Management Authors: Tatsuya Hirase, Yoshiro Okubo, Daina L. Sturnieks, Stephen R. Lord Tags: Review Article Source Type: research

Authors' Response to Association between Acetylcholinesterase Inhibitors and Osteoporotic Fractures in Older Persons With Alzheimer's Disease
We thank Naharci and Tasci1 for their thoughtful comments regarding our recent article published in the Journal of the American Medical Directors Assoication.2 They provided us with an opportunity to further increase the clinical value of our finding relating to the association between acetylcholinesterase inhibitors (AChEIs) and risk of fracture in patients with Alzheimer's disease (AD). (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 23, 2020 Category: Health Management Authors: Ju Hwan Kim, Seong Jun Byun, Ju-Young Shin Tags: Letter to the Editor Source Type: research

Comment on “Association Between Acetylcholinesterase Inhibitors and Osteoporotic Fractures in Alzheimer's Patients”
In a recent issue of the Journal of the American Medical Directors Association, Won et  al1 focused on to the association of acetylcholinesterase inhibitors (AChEIs) with osteoporotic fractures among older adults with Alzheimer's disease (AD). With existing conflicting findings on this association, the current study significantly extended evidence by showing in a huge study sample th at subjects on AChEIs were at a small increased risk of osteoporotic fractures. Another important aspect of this study is that dose, duration of treatment, and exposure timing of AChEIs were not associated with a reduced risk of osteoporo...
Source: Journal of the American Medical Directors Association - April 23, 2020 Category: Health Management Authors: Mehmet Ilkin Naharci, Ilker Tasci Tags: Letter to the Editor Source Type: research

Variability in State Regulations Pertaining to Infection Control and Pandemic Response in US Assisted Living Communities
At the end of 2019, international attention was drawn to an outbreak of zoonotic coronavirus SARS-CoV-2, formally named COVID-19, in Wuhan, China.1 The World Health Organization officially declared the outbreak a global pandemic on March 11, 2020, with the United States recording>1600 confirmed and presumptive travel-related and community-acquired cases at that time.1,2 As of April 10, 2020, all 50 US states and the District of Columbia, have reported cases, with the total number of US cases now totaling>400,000. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 23, 2020 Category: Health Management Authors: Taylor Bucy, Lindsey Smith, Paula Carder, Jaclyn Winfree, Kali Thomas Tags: Research Letter Source Type: research

The Need to Include Assisted Living in Responding to the COVID-19 Pandemic
The risk of complications and death from COVID-19 is markedly skewed toward older adults. The US Centers for Disease Control and Prevention (CDC) recently wrote, “Given their congregate nature and residents served (eg, older adults often with underlying chronic medical conditions), nursing home populations are at the highest risk of being affected by COVID-19. If infected with SARS-CoV-2, the virus that causes COVID-19, residents are at increased risk of s erious illness.”1 (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 23, 2020 Category: Health Management Authors: Sheryl Zimmerman, Philip D. Sloane, Paul R. Katz, Margo Kunze, Kevin O'Neil, Barbara Resnick Tags: COVID-19 Editorial Source Type: research

COVID-19 in Italy: Ageism and Decision Making in a Pandemic
The World Health Organization declared the COVID-19 situation as a pandemic on March 11, 2020.1 To date, Italy is the country after China that has been most severely hit by this humanitarian and public health tsunami. Projections are even suggesting that the number of deaths due to SARS-CoV-2 in Italy will continue to increase in the near future, leaving us the sad world record of casualties. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 23, 2020 Category: Health Management Authors: Matteo Cesari, Marco Proietti Tags: COVID-19 Editorial Source Type: research

Editorial Board
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 23, 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 - April 23, 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 - April 23, 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 - April 23, 2020 Category: Health Management Source Type: research

The geriatrician: the frontline specialist in the treatment of covid-19 patients
On February 20, 2020, a man living in the north of Italy was admitted to the emergency room with an atypical pneumonia that later proved to be COVID-19. This was the trigger of one of the most serious clusters of COVID-19 in the world, outside of China. Despite aggressive restraint and inhibition efforts, COVID-19 continues to increase, and the total number of infected patients in Italy is growing daily. After six weeks the total number of patients reached 128,948 cases (April 5, 2020), with the higher case-fatality rate (15,887 deaths) dominated by old and very old patients. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 21, 2020 Category: Health Management Authors: Gemelli Against COVID-19 Geriatrics Team, F. Landi, C. Barillaro, A. Bellieni, V. Brandi, A. Carf ì, C. Cipriani, E. D’Angelo, C. Falsiroli, D. Fusco, G. Landi, R. Liperoti, M.R. Lo Monaco, A.M. Martone, E. Marzetti, F. Pagano, C. Pais, A. Russo, S. Sa Tags: Pragmatic Innovations Source Type: research

The Association between Frailty and Healthcare Expenditure among Chinese Older Adults
The purpose of this study was to examine whether frailty could explain variability in healthcare expenditure beyond multimorbidity and disability among Chinese older adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 20, 2020 Category: Health Management Authors: Hai-Yu Jin, Xiaoting Liu, Qian-Li Xue, Shu Chen, Chenkai Wu Tags: Original Study Source Type: research

Frailty, Sarcopenia, and Malnutrition Frequently (Co-)occur in Hospitalized Older Adults: A Systematic Review and Meta-analysis
The purpose of this systematic review and meta-analysis was to summarize the prevalence of, and association between, physical frailty or sarcopenia and malnutrition in older hospitalized adults. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 19, 2020 Category: Health Management Authors: Gerdien C. Ligthart-Melis, Yvette C. Luiking, Alexia Kakourou, Tommy Cederholm, Andrea B. Maier, Marian A.E. de van der Schueren Tags: Review Article Source Type: research

Social preparedness in response to spatial distancing measures for aged care during COVID-19
(Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 19, 2020 Category: Health Management Authors: Joyce Siette, Viviana Wuthrich, Lee-Fay Low Tags: Letter to the Editor Source Type: research

Risk of Hospitalized Falls and Hip Fractures in 22,103 Older Adults Receiving Mental Health Care vs 161,603 Controls: A Large Cohort Study
To investigate the risk of hospitalized fall or hip fracture among older adults using mental health services. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 18, 2020 Category: Health Management Authors: Brendon Stubbs, Gayan Perara, Ai Koyanagi, Nicola Veronese, Davy Vancampfort, Joseph Firth, Katie Sheehan, Marc De Hert, Robert Stewart, Christoph Mueller Tags: Original Studies Source Type: research

Socioeconomic Differences in Trajectories of Functional Capacity Among Older Japanese: A 25-Year Longitudinal Study
This study aimed to identify distinct trajectories of functional capacity over a 25-year period and to explore socioeconomic differences in trajectory-group membership probabilities, using a national sample of older Japanese. (Source: Journal of the American Medical Directors Association)
Source: Journal of the American Medical Directors Association - April 17, 2020 Category: Health Management Authors: Hiroshi Murayama, Jersey Liang, Benjamin A. Shaw, Anda Botoseneanu, Erika Kobayashi, Taro Fukaya, Shoji Shinkai Tags: Original Study Source Type: research

Sleep Disturbance and Disorders within Adult Inpatient Rehabilitation Settings: A Systematic Review to Identify Both the Prevalence of Disorders and the Efficacy of Existing Interventions
Older people who are admitted to inpatient rehabilitation settings often experience sleep disturbance or disorders. Both intrinsic and environmental factors may contribute to reduced sleep quality. Poor sleep quality has been reported to be associated with poorer rehabilitation outcomes. The aim of this review was (1) to describe the prevalence of sleep disturbance or disorder among older people participating in inpatient rehabilitation, and (2) to describe interventions that have been trialed to increase sleep quality and/or quantity in older people in rehabilitation settings and report on their efficacy. (Source: Journal...
Source: Journal of the American Medical Directors Association - April 16, 2020 Category: Health Management Authors: Kate E. Laver, Claire Spargo, Alana Saggese, Veronica Ong, Maria Crotty, Nicole Lovato, David Stevens, Andrew Vakulin Tags: Review Article Source Type: research