Archivo del Autor: Sergio Ariño Blasco

Predictors of Functional Decline in Nursing Home Residents: The Shelter Project 

Fedecostante M, Onder G, Eusebi P, Dell’Aquila G, Zengarini E, Carrieri B, et al. Predictors of functional decline in nursing home residents: the Shelter project. J Gerontol A Biol Sci Med Sci. 2019.

 

The aim of our study was to identify independent predictors of functional decline in older nursing home (NH) residents, taking into account both resident and facility characteristics.

 
Methods

Longitudinal observational study involving 1,760 older (≥65 y) residents of NH participating in the SHELTER* study (57 NH in eight countries). All residents underwent a comprehensive geriatric assessment using the interRAI LTCF. Functional decline was defined as an increase of at least one point in the MDS Long Form ADL scale during a 1 year follow-up. Facility and country effects were taken into account.

 
Results

During the study period 891 (50.6%), NH residents experienced ADL decline. Residents experiencing ADL decline were older, had lower disability at baseline, were more frequently affected by severe dementia and by urinary incontinence, and used more antipsychotics. In the mixed-effect logistic regression model, factors independently associated with a higher risk of functional decline were dementia and urinary incontinence, whereas the presence of a geriatrician was a protective factor.

 
Conclusions

Both resident and facility characteristics are associated with the risk of functional decline in NH residents. Increasing the quality of healthcare by involving a geriatrician in residents’ care might be an important strategy to improve the outcome of this vulnerable population.

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DIVERT-Collaboration Action Research and Evaluation (CARE) Trial Protocol: a multiprovincial pragmatic cluster randomised trial of cardiorespiratory management in home care | BMJ Open

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Moving Towards Common Data Elements and Core Outcome Measures in Frailty Research

With aging populations around the world, frailty is becoming more prevalent increasing the need for health systems and social systems to deliver optimal evidence based care. However, in spite of the…

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A frailty index derived from a standardized comprehensive geriatric assessment predicts mortality and aged residential care admission

Frailty in older adults is a condition characterised by a loss or reduction in physiological reserve resulting in increased clinical vulnerability. However, evidence suggests that frailty may be modifiable, and identifying frail older people could help better target specific health care interventions and services. Sigue leyendo

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Appropriateness of transferring nursing home residents to emergency departments: a systematic review | BMC Geriatrics | Full Text

Elderly living in a Nursing Home (NH) are frequently transferred to an Emergency Department when they need acute medical care. A proportion of these transfers may be considered inappropriate and may be avoidable. Systematic review. Literature search performed in September 2018 using PubMed, Web of Science, the Cochrane Library and the Cumulative Index to Nursing… Sigue leyendo

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The quest for semantic interoperability

Appl Clin Inform. 2018 Apr;9(2):348-365. doi: 10.1055/s-0038-1649488. Epub 2018 May 23. Documenting Routinely What Matters to People: Standardized Headings for Health Records of Patients with Chronic Health Conditions. Prodinger B1,2,3,4, Rastall P5, Kalra D6,7, Wooldridge D5, Carpenter I5. Abstract OBJECTIVE: … Sigue leyendo

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Clinical characteristics associated with the onset of delirium among long-term nursing home residents

Evelyn Ning Man Cheung, Sophia Benjamin, George Heckman, Joanne Man-Wai Ho, Linda Lee, Samir K. Sinha and Andrew P. Costa Abstract Background Nursing home residents are frail, have multiple medical comorbidities, and are at high risk for delirium. Most of the existing evidence base on delirium is derived from studies in the acute in-patient population. We examine the … Sigue leyendo

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Identificación del anciano frágil en ucias

Identification of older adults with frailty in the Emergency Department using a frailty index: results from a multinational study. Brousseau et al Age and Aging (pub ahead of print) Este trabajo sitúa la fragilidad como signo vital pronóstico en el … Sigue leyendo

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Validation of a Falls Risk Screening Tool Derived From InterRAI Acute Care Assessment.

Journal of Patient Safety, 2018 Jan 22 Peel NM, Jones LV, Berg K, Gray LC. OBJECTIVES: This study aimed to develop and validate a falls risk screening tool derived from interRAI Acute Care (AC) Assessment. METHODS: For derivation and validation, … Sigue leyendo

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Un nuevo instrumento de Calidad de Vida autopercibida (interRAI SQOL) para el medio residencial. Morris et al, JAMDA 2017

Este instrumento el SQOL-LTCF pertenece a la familia de herramientas de valoración interRAI usadas en dispositivos de atención domiciliaria, salud mental y residencias de válidos. Como ocurre con los instrumentos interRAI utiliza un core de variables comunes y otras específicas, … Sigue leyendo

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