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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 …

Read the full article at: pubmed.ncbi.nlm.nih.gov

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

Read the full article at: cmajopen.ca

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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.

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.

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Frailty Index and functional level upon admission predict hospital outcomes: an interRAI-based cohort study of older patients in post-acute care hospitals | BMC Geriatrics | Full Text

Geriatric assessment upon admission may reveal factors that contribute to adverse outcomes in hospitalized older patients. The purposes of this study were to derive a Frailty Index (FI-PAC) from the interRAI Post-Acute Care instrument (interRAI-PAC) and to analyse the predictive ability of the FI-PAC and interRAI scales for hospital outcomes. This retrospective cohort study was conducted by combining patient data from interRAI-PAC with discharge records from two post-acute care hospitals. The FI-PAC was derived from 57 variables that fulfilled the Frailty Index criteria. Associations of the FI-PAC and interRAI-PAC scales (ADLH for activities of daily living, CPS for cognition, DRS for mood, and CHESS for stability of health status) with hospital outcomes (prolonged hospital stay ≥90 days, emergency department admission during the stay, and in-hospital mortality) were analysed using logistic regression and ROC curves. The Frailty Index derived from interRAI-PAC predicts adverse hospital outcomes. Its predictive ability was similar to that of the ADLH scale, whereas other interRAI-PAC scales had less predictive value. In clinical practice, assessment of functional ability is a simple way to assess a patient’s prognosis.

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DIVERT | covid toolkit

Download this DIVERT Scale SQL script and share with your IM/IT staff to generate reports to target patients using based on their most recent interRAI-HC.

Sourced through Scoop.it from: divertcovid.ca

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