Valoración Geriátrica Integral
- An MDS 3.0 Distressed Behavior in Dementia Indicator (DBDI): A Clinical Tool to Capture Change – Curyto – 2021 – Journal of the American Geriatrics Society – Wiley Online Library
- The Minimum Data Set: An Opportunity to Improve Spasticity Screening
- Development and validation of multivariable mortality risk-prediction models in older people undergoing an interRAI home-care assessment (RiskOP)
- Are Nursing Home Residents With Dementia Appropriately Treated for Fracture Prevention?
- Comparing the case-mix of frail older people at home and of those being admitted into residential care: a longitudinal study
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Archivo del Autor: Sergio Ariño Blasco
An MDS 3.0 Distressed Behavior in Dementia Indicator (DBDI): A Clinical Tool to Capture Change – Curyto – 2021 – Journal of the American Geriatrics Society – Wiley Online Library
Persons with dementia frequently demonstrate distress behaviors in dementia (DBD), associated with poorer outcomes. This study aimed to create a measure of DBD from routinely administered Minimum Data Set (MDS 3.0) behavior section items that demonstrated sensitivity to change, for evaluation of intervention efforts for VA Community Living Center (CLCs) residents exhibiting DBD.
The Distress Behavior in Dementia Indicator (DBDI) was created as a consistent factor with internal consistency, and was related to a validated measure as predicted at baseline and post‐intervention. Sensitivity to change was demonstrated by using change score correlations (r = 0.40–0.50), effect size (d = 0.63), and reliable change indices.
The DBDI is recommended for routine use in CLCs to evaluate impact of intervention effectiveness and provide quality improvement feedback.
Read the full article at: agsjournals.onlinelibrary.wiley.com
Spasticity is a common movement disorder that arises from trauma or disease affecting the central nervous system. Untreated spasticity can result in limitations in completing activities of daily living, painful limb contractures, and other conditions associated with loss of mobility. In the long-term care setting, this treatable condition is prevalent, yet often unrecognized likely because of a lack of spasticity-trained practitioners.
A recently published spasticity referral tool holds promise for addressing the underdiagnosisof spasticity in the long-term care population.
Read the full article at: www.jamda.com
Development and validation of multivariable mortality risk-prediction models in older people undergoing an interRAI home-care assessment (RiskOP)
The New Zealand Health Research Council.
Read the full article at: pubmed.ncbi.nlm.nih.gov
Clinicians struggle with whether to prescribe osteoporosis medications for fracture
prevention for older nursing home (NH) residents with dementia, given the lack of
evidence in this population. To better understand real-world clinical practice, we conducted a retrospective cohort study examining… Sigue leyendo
Comparing the case-mix of frail older people at home and of those being admitted into residential care: a longitudinal study
The study showed that the RUG-III system offers possibilities for identifying persons at risk of institutionalization. Interventions designed to avoid early nursing home admission can make use of the RUG-III system to optimize care planning and the allocation of services and resources. Based on the …
Read the full article at: pubmed.ncbi.nlm.nih.gov
A comparison of 3 frailty measures and adverse outcomes in the intake home care population: a retrospective cohort study
GERAS Frailty Rehabilitation at Home During COVID-19 – Full Text View.
Sourced through Scoop.it from: clinicaltrials.gov
John P. Hirdes, Anja Declercq, Harriet Finne-Soveri, Brant E. Fries, Leon Geffen, George Heckman, Terry Lum, Brigette Meehan, Nigel Millar and John N. Morris | Five major changes to long-term care can protect the elderly from the ravages of infectious disease and provide a greater quality of…
Sourced through Scoop.it from: www.balsillieschool.ca
Predicting Hospital Admission for Older Emergency Department Patients: Insights From Machine Learning
To the best of our knowledge, this is the first study to predict hospital admission in older ED patients using a series of geriatric syndromes and functional assessments. We were able to predict hospital admission in older ED patients with good accuracy using the items available in the interRAI ED C …
Sourced through Scoop.it from: pubmed.ncbi.nlm.nih.gov
Old and New Geriatric Screening Tools in a Belgian Emergency Department: A Diagnostic Accuracy Study – Heeren – – Journal of the American Geriatrics Society
OBJECTIVES To compare the diagnostic accuracy of the Identification of Seniors at Risk, the Flemish version of Triage Risk Screening Tool, and the interRAI Emergency Department
for predicting prolonged emergency department (ED) length of stay, hospitalization (following index ED stay), and unplanned ED readmission at 30 and 90 days among older (aged ≥70 years) community-dwelling adults admitted to the ED.
Sourced through Scoop.it from: onlinelibrary.wiley.com
Authors conclusion, this study reported that diagnostic charac teristics of ISAR, fTRST, and iEDS are comparable and that none of these tools accurately predicts prolonged ED LOS, hospitalization, and unplanned ED readmission at 30 and 90 days, when used as a stand-alone index.