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

Background/Objectives

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.

Conclusion

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

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The Minimum Data Set: An Opportunity to Improve Spasticity Screening

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

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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

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Are Nursing Home Residents With Dementia Appropriately Treated for Fracture Prevention?

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

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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 …

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A comparison of 3 frailty measures and adverse outcomes in the intake home care population: a retrospective cohort study

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GERAS Frailty Rehabilitation at Home During COVID-19 – Full Text View – ClinicalTrials.gov

GERAS Frailty Rehabilitation at Home During COVID-19 – Full Text View.

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The Long-term Care Pandemic: International Perspectives on COVID-19 and the Future of Nursing Homes

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…

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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 …

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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.

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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.

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