Journal of the American Geriatrics Society
This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. 
Subscribe to this data using MyMedWorm.
Subscribe to this data using GoogleReader.
Subscribe to this data using Bloglines.
Subscribe to this data using MyYahoo.
Get the very latest Swine Flu news via the MedWorm Swine Flu RSS news feed - updated hourly from thousands of authoritative health and news sources.
This page shows you the latest items in this publication.
1504 records returned
Top Ten List of Long-Term Care Facility Preparations for the Upcoming Influenza Season
Email this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
A novel influenza A partly of virus of swine origin (2009 H1N1) emerged this spring, resulting in an influenza pandemic. This pandemic is anticipated to continue into the next influenza season. Given that the 2009 H1N1 and seasonal influenza A appear to be somewhat different in the human populations affected and that two influenza vaccines will be recommended this fall, those who manage long-term care facilities and treat patients in them will be faced with many uncertainties as they approach the 2009/10 influenza season. Ten specific suggestions are offered to those responsible for the care of patients in long-term care f...
Source: Journal of the American Geriatrics Society - November 18, 2009 Category: Geriatrics Authors: J. Rush Pierce Jr., Susan M. Kellie, Theresa A. West, J. Matthew Richardson, Devon A. Neale, Ona G. Montgomery, Stephanie C. McClure, Todd E. Bell Source Type: journals
Defining Sarcopenia in Terms of Risk of Physical Limitations: A 5-Year Follow-Up Study of 3,153 Chinese Men and WomenEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To examine the definition of sarcopenia in Chinese subjects by relating the value of appendicular skeletal muscle mass (ASM) divided by height squared to physical functional outcomes after 4 years. Four-year prospective study. A Chinese community in Hong Kong SAR China. Three thousand one hundred fifty-three community-living men and women aged 65 and older. Information collected by questionnaire included demographics, health limitation on activities of daily living (ADLs), self-care, physical activity level, dietary intake, and psychosocial functioning. Measurements included height, weight, grip strength, step length in a ...
Source: Journal of the American Geriatrics Society - November 17, 2009 Category: Geriatrics Authors: Jean Woo, Jason Leung, Aprille Sham, Timothy Kwok Source Type: journals
Normal Body Mass Index Rather than Obesity Predicts Greater Mortality in Elderly People: The Jerusalem Longitudinal StudyEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To examine the association between body mass index (BMI) and mortality in older people. A longitudinal cohort study of an age-homogenous, representative sample born in 1920/21. Community-based home assessments. West Jerusalem residents born in 1920/21 examined at baseline in 1990 (n=447), with additional recruitment waves in 1998 (n=870) and 2005 (n=1,086). Comprehensive assessment of health variables including BMI (m/kg2) at ages 70, 78, and 85. The primary outcome of mortality was collected from age 70 to 88 (1990[ndash]2008). Adjusted Cox proportional hazards analysis was used to calculate hazard ratios (HRs) for mortal...
Source: Journal of the American Geriatrics Society - November 17, 2009 Category: Geriatrics Authors: Jochanan Stessman, Jeremy M. Jacobs, Eliana Ein-Mor, Michael Bursztyn Source Type: journals
Should Oral Nutritional Supplementation Be Given to Undernourished Older People upon Hospital Discharge? A Controlled TrialEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To determine whether the oral nutritional supplementation of undernourished older people upon discharge from hospital improves muscle function and reduces disability. Randomized controlled trial. Community-based study in two centers in Scotland. Two hundred fifty-three people. Randomization to oral nutritional supplementation (600 kcal/d) or control supplement of 200 kcal/d. Primary outcome (20-point activity of daily living Barthel Index) and secondary outcomes (handgrip strength, Sit-to-Stand test, and Euroquol) were measured at baseline (after discharge from the hospital and before supplement was commenced) and 8 and 16...
Source: Journal of the American Geriatrics Society - November 17, 2009 Category: Geriatrics Authors: Marion E. T. McMurdo, Rosemary J. G. Price, Melanie Shields, Jan Potter, David J. Stott Source Type: journals
Pneumonia and Influenza Hospitalizations in Elderly People with DementiaEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To compare the demographic and geographic patterns of pneumonia and influenza (P&I) hospitalizations in older adults with dementia with those of the U.S. population and to examine the relationship between healthcare accessibility and P&I. Observational study using historical medical claims from the Centers for Medicare and Medicaid Services (CMS) and CMS records supplemented with information derived from other large national sources. Retrospective analysis of medical records uniformly collected over a 5-year period with comprehensive national coverage. A study population representative of more than 95% of all people aged 6...
Source: Journal of the American Geriatrics Society - October 27, 2009 Category: Geriatrics Authors: Elena N. Naumova, Sara M. Parisi, Denise Castronovo, Manisha Pandita, Julia Wenger, Paula Minihan Source Type: journals
The Jahnigen Scholars Program: A Model for Faculty Career DevelopmentEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
(Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - October 26, 2009 Category: Geriatrics Authors: Paul R. Katz, John R. Burton, George W. Drach, J. Patrick O'Leary, Dale C. Strasser, Janis Eisner, Elizabeth Haranas, Rachel Silverman, Nancy E. Lundebjerg Source Type: journals
Cholinesterase Inhibitor Use in U.S. Nursing Homes: Results from the National Nursing Home SurveyEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To determine the frequency of cholinesterase inhibitor (ChEI) use in nursing home (NH) residents with dementia and examine correlates of ChEI use in this population. Cross-sectional study using the 2004 National Nursing Home Survey (NNHS). A representative, stratified, random sample of U.S. NHs. All NNHS participants aged 65 and older with a chart diagnosis of dementia. Bivariate analyses to compare characteristics of NH residents with dementia according to ChEIs status and multivariable logistic regression to identify independent correlates of ChEI use. Almost half (49.1%) of NNHS participants had dementia, and 30.0% of t...
Source: Journal of the American Geriatrics Society - October 26, 2009 Category: Geriatrics Authors: Dallas P. Seitz, Andrea Gruneir, David K. Conn, Paula A. Rochon Source Type: journals
Hearing Acuity as a Predictor of Walking Difficulties in Older WomenEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To examine whether hearing acuity correlates with walking ability and whether impaired hearing at baseline predicts new self-reported walking difficulties after 3 years. Prospective follow-up. Research laboratory and community. Four hundred thirty-four women aged 63 to 76. Hearing was measured using clinical audiometry. A person was defined as having a hearing impairment if a pure-tone average of thresholds at 0.5 to 4 kHz in the better ear was 21 dB or greater. Maximal walking speed was measured over 10 m (m/s), walking endurance as the distance (m), covered in 6 minutes and difficulties in walking 2 km according to self-...
Source: Journal of the American Geriatrics Society - October 26, 2009 Category: Geriatrics Authors: Anne Viljanen, Jaakko Kaprio, Ilmari Pyykkö, Martti Sorri, Markku Koskenvuo, Taina Rantanen Source Type: journals
Alcohol, Tobacco, and Nonmedical Drug Use in Older U.S. Adults: Data from the 2001/02 National Epidemiologic Survey of Alcohol and Related ConditionsEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To examine the prevalence and sociodemographic and health-related correlates of substance use, including alcohol, tobacco, and nonmedical drug use, in adults aged 65 and older. Cross-sectional, retrospective survey of a population-based sample, the 2001/02 National Epidemiologic Survey on Alcohol and Related Conditions. United States. Eight thousand two hundred five U.S. adults aged 65 and older. Prevalence of lifetime and previous-12-month alcohol, tobacco, and nonmedical drug use and associations between substance use and sociodemographic and health-related factors. Almost 80% of older adults had used any of the three su...
Source: Journal of the American Geriatrics Society - October 26, 2009 Category: Geriatrics Authors: Alison A. Moore, Mitchell P. Karno, Christine E. Grella, James C. Lin, Umme Warda, Diana H. Liao, Peifeng Hu Source Type: journals
The Intersection of Sex, Marital Status, and Cardiovascular Risk Factors in Shaping Stroke Incidence: Results from the Health and Retirement StudyEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To examine the role of sex and marital status in the distribution and consequences of cardiovascular risk factors for stroke. Longitudinal cohort. U.S. national sample, community based. U.S. adults aged 50 and older and their spouses. Health and Retirement Study (HRS) participants born between 1900 and 1947 (N=22,818), aged 50 and older, and stroke-free at baseline were followed an average of 9.4 years for self- or proxy-reported stroke (2,372 events). Financial resources, behavioral risk factors, and cardiovascular conditions were used to predict incident stroke in Cox proportional hazard models stratified according to se...
Source: Journal of the American Geriatrics Society - October 26, 2009 Category: Geriatrics Authors: Joanna Maselko, Lisa M. Bates, Mauricio Avendaño, M. Maria Glymour Source Type: journals
Self-Reported Adherence to Nonpharmacological Treatment and Association with Mortality over 6 Years: Population-Based Study in Older Persons with HypercholesterolemiaEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To determine the prevalence of self-reported adherence of older persons with hypercholesterolemia to nonpharmacological treatment prescribed by a physician and to describe its association with mortality. Population-based prospective study. Home interview and physical examination at baseline. Four thousand eight persons representative of the noninstitutionalized Spanish population aged 60 and older. Primary exposure variable was self-reported adherence to nonpharmacological treatment (weight control or loss, increased physical activity, and reduced saturated fat or cholesterol intake) in the 918 persons with known hyperchol...
Source: Journal of the American Geriatrics Society - October 26, 2009 Category: Geriatrics Authors: Luz M. León-Muñoz, Pilar Guallar-Castillón, Auxiliadora Graciani, Fernando Rodríguez-Artalejo, José R. Banegas Source Type: journals
Life-Space Assessment in Urogynecology and Gynecological Oncology Surgery Patients: A Measure of Perioperative Mobility and FunctionEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To assess the effect of gynecological surgery on mobility and functional status in women aged 60 and older using Life-Space Assessment (LSA). Observational prospective cohort study. Academic outpatient urogynecology and gynecological oncology clinics. Women presenting for urogynecology (n=51) and gynecological oncology (n=51) surgery. LSA scores 6 weeks, 6 months, and 1 year after surgery. Information on participant demographics, preoperative diagnoses, surgical approach, and medical comorbidities was collected. Analyses used repeated measures. Mean age was 71 ± 7. Urogynecology participants started and maintained a highe...
Source: Journal of the American Geriatrics Society - October 26, 2009 Category: Geriatrics Authors: Chere M. L. Stewart, Thomas L. Wheeler II, Alayne D. Markland, J. Michael Straughn Jr., Holly E. Richter Source Type: journals
Do Hierarchical Condition Category Model Scores Predict Hospitalization Risk in Newly Enrolled Medicare Advantage Participants as Well as Probability of Repeated Admission Scores?Email this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To compare how well hierarchical condition categories (HCC) and probability of repeated admission (PRA) scores predict hospitalization. Longitudinal cohort study with 12-month follow-up. A Medicare Advantage (MA) plan. Four thousand five hundred six newly enrolled beneficiaries. HCC scores were identified from enrollment files. The PRA tool was administered by mail and telephone. Inpatient admissions were based on notifications. The Mann-Whitney test was used to compare HCC scores of PRA responders and nonresponders. The receiver operating characteristic curve provided the area under the curve (AUC) for each score. Admissi...
Source: Journal of the American Geriatrics Society - October 26, 2009 Category: Geriatrics Authors: David G. Mosley, Eileen Peterson, David C. Martin Source Type: journals
Baseline Lower Extremity Strength and Subsequent Decline in Functional Performance at 6-Year Follow-Up in Persons with Lower Extremity Peripheral Arterial DiseaseEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To evaluate associations between baseline lower extremity strength and decline in functional performance over 6 years of follow-up in men and women with lower extremity peripheral arterial disease (PAD). Prospective observational study. Three Chicago-area hospitals. Three hundred seventy-four men and women with PAD. Baseline isometric hip extension, hip flexion, knee flexion, and knee extension strength were measured using a musculoskeletal fitness evaluation chair. Usual and fastest-paced 4-m walking speed, 6-minute walk, and Short Physical Performance Battery (SPPB) were assessed at baseline and annually thereafter. Anal...
Source: Journal of the American Geriatrics Society - October 26, 2009 Category: Geriatrics Authors: Seth D. Herman, Kiang Liu, Lu Tian, Jack M. Guralnik, Luigi Ferrucci, Michael H. Criqui, Yihua Liao, Mary M. McDermott Source Type: journals
Sleep–Wake Disturbances and Frailty in Community-Living Older PersonsEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To evaluate the association between sleep[ndash]wake disturbances and frailty. Cross-sectional. New Haven, Connecticut. Three hundred seventy-four community-living persons aged 78 and older. Frailty was based on the Fried phenotype, and sleep[ndash]wake disturbances were defined as daytime drowsiness, based on an Epworth Sleepiness Scale (ESS) score of 10 or greater, and as subthreshold and clinical insomnia, based on Insomnia Severity Index (ISI) scores of 8 to 14 and greater than 14, respectively. Mean age was 84.3; 87 (23.8%) participants were drowsy, 122 (32.8%) had subthreshold insomnia, 38 (10.2%) had clinical insomn...
Source: Journal of the American Geriatrics Society - September 30, 2009 Category: Geriatrics Authors: Carlos A. Vaz Fragoso, Evelyne A. Gahbauer, Peter H. Van Ness, Thomas M. Gill Source Type: journals
Alogliptin Use in Elderly People: A Pooled Analysis from Phase 2 and 3 StudiesEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To compare the efficacy and safety of alogliptin, a dipeptidyl peptidase-4 (DPP-4) enzyme inhibitor, in elderly ([ge]65) and younger ( (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - September 29, 2009 Category: Geriatrics Authors: Richard E. Pratley, Thérèse McCall, Penny R. Fleck, Craig A. Wilson, Qais Mekki Source Type: journals
Accuracy of Spirometry in Diagnosing Pulmonary Restriction in Elderly PeopleEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To compare the accuracy of a diagnosis of pulmonary restriction made using forced vital capacity (FVC) less than the lower limit of normal (LLN) with the criterion standard diagnosis made using total lung capacity (TLC) less than the LLN in an elderly population. Retrospective analysis. A teaching hospital. Five hundred sixty-four ambulatory and acute care hospital patients aged 65 to 96 underwent complete pulmonary function evaluation. Sensitivity, specificity, positive and negative predictive values (PPV, NPV) of diagnosis of pulmonary restriction defined as FVC less than the LLN were calculated in the overall sample and...
Source: Journal of the American Geriatrics Society - September 29, 2009 Category: Geriatrics Authors: Simone Scarlata, Claudio Pedone, Maria Elisabetta Conte, Raffaele Antonelli Incalzi Source Type: journals
The On-Road Difficulties of Older Drivers and Their Relationship with Self-Reported Motor Vehicle CrashesEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To quantify the driving difficulties of older adults using a detailed assessment of driving performance and to link this with self-reported retrospective and prospective crashes. Prospective cohort study. On-road driving assessment. Two hundred sixty-seven community-living adults aged 70 to 88 randomly recruited through the electoral roll. Performance on a standardized measure of driving performance. Lane positioning, approach, and blind spot monitoring were the most common error types, and errors occurred most frequently in situations involving merging and maneuvering. Drivers reporting more retrospective or prospective c...
Source: Journal of the American Geriatrics Society - September 28, 2009 Category: Geriatrics Authors: Joanne M. Wood, Kaarin J. Anstey, Philippe F. Lacherez, Graham K. Kerr, Kerry Mallon, Stephen R. Lord Source Type: journals
Sensory and Motor Peripheral Nerve Function and Lower-Extremity Quadriceps Strength: The Health, Aging and Body Composition StudyEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To determine whether sensory and motor nerve function is associated cross-sectionally with quadriceps or ankle dorsiflexion strength in an older community-based population. Cross-sectional analyses within a longitudinal cohort study. Two U.S. clinical sites. Two thousand fifty-nine Health, Aging and Body Composition Study (Health ABC) participants (49.5% male, 36.7% black, aged 73[ndash]82) in 2000/01. Quadriceps and ankle strength were measured using an isokinetic dynamometer. Sensory and motor peripheral nerve function in the legs and feet was assessed using 10-g and 1.4-g monofilaments, vibration threshold, and peroneal...
Source: Journal of the American Geriatrics Society - September 27, 2009 Category: Geriatrics Authors: Elsa S. Strotmeyer, Nathalie de Rekeneire, Ann V. Schwartz, Helaine E. Resnick, Bret H. Goodpaster, Kimberly A. Faulkner, Ronald I. Shorr, Aaron I. Vinik, Tamara B. Harris, Anne B. Newman Source Type: journals
Cholinesterase Inhibitors and Incidence of Bradycardia in Patients with Dementia in the Veterans Affairs New England Healthcare SystemEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To quantify the association between cholinesterase inhibitors (ChE-Is) and a new diagnosis of bradycardia and to evaluate the clinical significance of bradycardia. Cox proportional hazards with time-dependent exposures were used to evaluate the association and examine the dose effect for donepezil and bradycardia. New England Veterans Affairs Healthcare System. Patients with dementia who received care between January 1999 and June 2007 (N=11,328). Bradycardia was defined using three methods using a combination of International Classification of Diseases, Ninth Revision, codes and recorded heart rates of less than 60 beats ...
Source: Journal of the American Geriatrics Society - September 27, 2009 Category: Geriatrics Authors: Rohini K. Hernandez, Wildon Farwell, Michael D. Cantor, Elizabeth V. Lawler Source Type: journals
Effects of a Multicomponent Cognitive Behavioral Group Intervention on Fear of Falling and Activity Avoidance in Community-Dwelling Older Adults: Results of a Randomized Controlled TrialEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To evaluate the effects of a multicomponent cognitive behavioral intervention on fear of falling and activity avoidance in older adults. Randomized controlled trial. Community-dwelling adults in the Netherlands. Five hundred forty adults aged 70 and older who reported fear of falling and fear-induced activity avoidance (280 intervention, 260 control). A multicomponent cognitive behavioral group intervention consisting of eight weekly sessions and a booster session. The sessions were aimed at instilling adaptive and realistic views on falls, reducing fall risk, and increasing activity and safe behavior. Data on fear of fall...
Source: Journal of the American Geriatrics Society - September 27, 2009 Category: Geriatrics Authors: G. A. Rixt Zijlstra, Jolanda C. M. van Haastregt, Ton Ambergen, Erik van Rossum, Jacques Th. M. van Eijk, Sharon L. Tennstedt, Gertrudis I. J. M. Kempen Source Type: journals
Sleep Disturbances and Frailty Status in Older Community-Dwelling MenEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To test the hypothesis that sleep disturbances are independently associated with frailty status in older men. Cross-sectional analysis of prospective cohort study. Six U.S. centers. Three thousand one hundred thirty-three men aged 67 and older. Self-reported sleep parameters (questionnaire); objective parameters of sleep[ndash]wake patterns (actigraphy data collected for an average of 5.2 nights); and objective parameters of sleep-disordered breathing, nocturnal hypoxemia, and periodic leg movements with arousals (PLMAs) (in-home overnight polysomnography). Frailty status was classified as robust, intermediate stage, or fr...
Source: Journal of the American Geriatrics Society - September 27, 2009 Category: Geriatrics Authors: Kristine E. Ensrud, Terri L. Blackwell, Susan Redline, Sonia Ancoli-Israel, Misti L. Paudel, Peggy M. Cawthon, Thuy-Tien L. Dam, Elizabeth Barrett-Connor, Ping C. Leung, Katie L. Stone Source Type: journals
The Relationship Between Short-Term Mortality and Quality of Care for Hip Fracture: A Meta-Analysis of Clinical Pathways for Hip FractureEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To assess the association between use of clinical pathways for hip fracture and changes in the rates of five inpatient complications and short-term mortality. Meta-analysis of published studies examining clinical pathways for hip fracture, identified through systematic searches of electronic databases (MEDLINE, EMBASE, CINAHL, and Cochrane Central Register of Controlled Trials) and hand searches of selected article bibliographies. Observational and interventional studies of clinical pathways for hip fracture examining rates of deep venous thrombosis, pressure ulcer, surgical site infection, urinary tract infection, pneumon...
Source: Journal of the American Geriatrics Society - September 27, 2009 Category: Geriatrics Authors: Mark D. Neuman, Sylvia Archan, Jason H. Karlawish, J. Sanford Schwartz, Lee A. Fleisher Source Type: journals
Blood Pressure and Brain Injury in Older Adults: Findings from a Community-Based Autopsy StudyEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To examine correlations between blood pressure (BP) and dementia-related pathological brain changes in a community-based autopsy sample. Prospective cohort study. A large health maintenance organization in Seattle, Washington. A cohort of 250 participants aged 65 and older and cognitively normal at time of enrollment in the Adult Changes in Thought (ACT) Study and who underwent autopsy. BP and history of antihypertensive treatment were taken at enrollment. A linear regression model was used to examine the relationship between BP (systolic (SBP) and diastolic (DBP)) at enrollment and pathological changes in the cerebrum (cy...
Source: Journal of the American Geriatrics Society - September 27, 2009 Category: Geriatrics Authors: Lucy Y. Wang, Eric B. Larson, Joshua A. Sonnen, Jane B. Shofer, Wayne McCormick, James D. Bowen, Thomas J. Montine, Ge Li Source Type: journals
Human Immunodeficiency Virus in an Aging Population, a Complication of SuccessEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
The proportion of human immunodeficiency virus (HIV)-infected patients aged 50 and older has greatly increased since the beginning of the epidemic, particularly since 1996, when combination antiretroviral therapy became available. By 2015, 50% of HIV-infected individuals in the United States are likely to be aged 50 and older. The rate of progression of untreated HIV disease, response to therapy, and complicating effects of comorbidities differ in older and younger patients. Older untreated patients with HIV demonstrate faster rates of CD4+ cell loss and more rapid progression to acquired immunodeficiency syndrome (AIDS) a...
Source: Journal of the American Geriatrics Society - September 27, 2009 Category: Geriatrics Authors: Jason B. Kirk, Matthew Bidwell Goetz Source Type: journals
Prediction of Cardiorespiratory Fitness in Older Men Infected with the Human Immunodeficiency Virus: Clinical Factors and Value of the Six-Minute Walk DistanceEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To investigate factors related to cardiorespiratory fitness in older human immunodeficiency virus (HIV)-infected patients and to explore the utility of 6-minute walk distance (6-MWD) in measuring fitness. Cross-sectional study in clinic-based cohort. Veterans Affairs Medical Center, Baltimore, Maryland. Forty-three HIV-infected men, median age 57 (range 50[ndash]82), without recent acquired immunodeficiency syndrome[ndash]related illness and receiving antiretroviral (ARV) therapy. Peak oxygen utilization (VO2peak) according to treadmill graded exercise testing, 6-MWD, grip strength, quadriceps maximum voluntary isometric c...
Source: Journal of the American Geriatrics Society - September 27, 2009 Category: Geriatrics Authors: Krisann K. Oursler, Leslie I. Katzel, Barbara A. Smith, Wayne B. Scott, David W. Russ, John D. Sorkin Source Type: journals
Development and Implementation of a Proactive Geriatrics Consultation Model in Collaboration with HospitalistsEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
Acutely ill hospitalized older adults often experience a decline in function that may be preventable using a proactive, interdisciplinary, patient-centered approach. Hospitalists are treating an increasing number of these patients. A collaborative geriatrics consultation model to prevent functional decline and improve care for older patients with geriatrics syndromes was developed and implemented in partnership with a large hospitalist group in a community teaching hospital. A team of a geriatrician and a geriatrics nurse practitioner led the new consultation service. The team assisted with identifying cases, provided cons...
Source: Journal of the American Geriatrics Society - September 27, 2009 Category: Geriatrics Authors: Youcef Sennour, Steven R. Counsell, Jerrlyn Jones, Michael Weiner Source Type: journals
The Vulnerable Elders-13 Survey Predicts 5-Year Functional Decline and Mortality Outcomes in Older Ambulatory Care PatientsEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
This study extends the utility of the VES-13 to clinical decisions that require longer-term prognostic estimates of functional status and survival. (Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - September 27, 2009 Category: Geriatrics Authors: Lillian Min, William Yoon, Jeff Mariano, Neil S. Wenger, Marc N. Elliott, Caren Kamberg, Debra Saliba Source Type: journals
Neighborhood Deprivation, Individual Socioeconomic Status, and Frailty in Older AdultsEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To assess how individual socioeconomic status and neighborhood deprivation affect frailty. Nationally representative population-based study, the English Longitudinal Study of Aging (ELSA), analyzed cross-sectionally. Four thousand eight hundred eighteen individuals aged 65 and older. Outcome was a frailty index (FI), based on 58 potential deficits, with a theoretical range from 0 to 1; exposures were individual wealth and neighborhood deprivation (lack of local resources, financial and otherwise), based on a set of standard indicators. The FI score varied independently according to wealth and neighborhood deprivation. The ...
Source: Journal of the American Geriatrics Society - September 14, 2009 Category: Geriatrics Authors: Iain A. Lang, Ruth E. Hubbard, Melissa K. Andrew, David J. Llewellyn, David Melzer, Kenneth Rockwood Source Type: journals
Age and Persistent Use of Cardiovascular Medication After Acute Coronary Syndrome: Results from Medication Applied and Sustained Over TimeEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To describe the persistent use of evidence-based cardiovascular medications (EBCMs) 3 months after discharge from an acute coronary syndrome (ACS) event and patient-reported reasons for nonpersistence across age groups. Medication Applied and Sustained Over Time (MAINTAIN) is a longitudinal follow-up cohort study of the Can Rapid Risk Stratification of Unstable Angina Patients Suppress ADverse Outcomes with Early Implementation quality improvement initiative and Acute Coronary Treatment and Intervention Outcomes Network registry. Forty-one acute care hospitals in the United States from January 2006 to September 2007. One t...
Source: Journal of the American Geriatrics Society - September 14, 2009 Category: Geriatrics Authors: Robin C. Ali, Chiara Melloni, Fang-Shu Ou, Kenneth Schmader, E. Magnus Ohman, Matthew T. Roe, Eric D. Peterson, Karen P. Alexander Source Type: journals
An Intervention Integrated into Daily Clinical Practice Reduces the Incidence of Delirium During Hospitalization in Elderly PatientsEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To analyze the effectiveness of a multicomponent intervention integrated into daily practice for the prevention of in-hospital delirium in elderly patients. Controlled study comparing an intervention in a geriatric unit (GI) with usual care in two internal medicine services (UC). University hospital in Madrid, Spain. Five hundred forty-two consecutive patients (170 GI, 372 UC), aged 70 and older, with any of the risk criteria for delirium (cognitive impairment, visual impairment, acute disease severity, dehydration). Educational measures and specific actions in seven risk areas (orientation, sensory impairment, sleep, mobi...
Source: Journal of the American Geriatrics Society - September 14, 2009 Category: Geriatrics Authors: María T. Vidán, Elisabet Sánchez, Mar Alonso, Beatriz Montero, Javier Ortiz, José A. Serra Source Type: journals
Influence of Age on the Association Between Various Measures of Obesity and All-Cause MortalityEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To determine whether the association between various simple measures of obesity and risk for all-cause mortality differs between younger and older men and women. Prospective cohort study with 8.7 ± 0.2 years of follow-up for mortality linkage. Third National Health and Nutrition Examination Survey, 1988 to 1994. Four thousand, four hundred thirty-seven men and 5,166 women. Measures of obesity included body mass, waist circumference, waist-to-hip ratio, hip circumference, sum of skinfolds, and bioelectrical impedance. Overall and abdominal obesity are associated with greater mortality risk in younger adults ( (Source: Jour...
Source: Journal of the American Geriatrics Society - September 14, 2009 Category: Geriatrics Authors: Jennifer L. Kuk, Chris I. Ardern Source Type: journals
Findings and Risk Factors of Early Mortality of Endoscopic Retrograde Cholangiopancreatography in Different Cohorts of Elderly PatientsEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To analyze experience of endoscopic retrograde cholangiopancreatography (ERCP) in patients with of different age cohorts and discuss the risk factors of early mortality after ERCP. Retrospective study. Tertiary care medical center. Two hundred sixty-four patients with pancreatobiliary diseases divided into cohorts according to decades as young-old (YO, 65[ndash]74, n=143), old-old (OO, 75[ndash]84, n=88), and very-old (VO, [ge]85, n=33). The indications, results, and complications of ERCP in these three groups were demonstrated and compared. Three hundred three ERCP procedures were performed. The leading indication for ERC...
Source: Journal of the American Geriatrics Society - September 10, 2009 Category: Geriatrics Authors: Kuang-Chun Hu, Wen-Hsiung Chang, Cheng-Hsin Chu, Horng-Yuan Wang, Shee-Chan Lin, Tsang-En Wang, Shou-Chuan Shih Source Type: journals
Moderate Alcohol Intake and Risk of Functional Decline: The Health, Aging, and Body Composition StudyEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To investigate the prospective relationship between alcohol consumption and incident mobility limitation. Cohort study. The Health Aging and Body Composition study, conducted in Memphis, Tennessee, and Pittsburgh, Pennsylvania. Three thousand sixty-one adults aged 70 to 79 without mobility disability at baseline. Incidence of mobility limitation, defined as self-report at two consecutive semiannual interviews of any difficulty walking one-quarter of a mile or climbing stairs, and incidence of mobility disability, defined as severe difficulty or inability to perform these tasks at two consecutive reports. Alcohol intake, li...
Source: Journal of the American Geriatrics Society - September 8, 2009 Category: Geriatrics Authors: Cinzia Maraldi, Tamara B. Harris, Anne B. Newman, Stephen B. Kritchevsky, Marco Pahor, Annemarie Koster, Suzanne Satterfield, Hilsa N. Ayonayon, Renato Fellin, Stefano Volpato Source Type: journals
Retinal Microvascular Signs and Cognitive ImpairmentEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To examine the association between retinal microvascular signs, as a proxy for cerebral microvascular disease, and cognitive impairment. Cross-sectional population-based study. Urban population survey One thousand nine hundred eighty-eight persons aged 49 to 97. All participants underwent retinal photography and had the Mini-Mental State Examination (MMSE) administered by trained personnel. Retinal photographs were masked and graded for retinopathy signs (microaneurysms, hemorrhages, hard exudates, cotton wool spots), and retinal vessel calibers were measured using a validated computer-assisted method. Cognitive impairment...
Source: Journal of the American Geriatrics Society - September 7, 2009 Category: Geriatrics Authors: Gerald Liew, Paul Mitchell, Tien Yin Wong, Richard I. Lindley, Ning Cheung, Shweta Kaushik, Jie Jin Wang Source Type: journals
Relationship Between Higher Estradiol Levels and 9-Year Mortality in Older Women: The Invecchiare in Chianti StudyEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To investigate the relationship between total estradiol (E2) levels and 9-year mortality in older postmenopausal women not taking hormone replacement therapy (HRT). Population-based study of persons living in the Chianti geographic area (Tuscany, Italy). Community. A representative sample of 509 women aged 65 and older with measures of total E2. Serum total E2 was measured at the University of Parma using ultrasensitive radioimmunoassay (RIA). Women who died (n=135) during 9 years of follow up were older; had higher total E2 levels; and were more likely to have evidence of stroke, hypertension, diabetes mellitus, and conge...
Source: Journal of the American Geriatrics Society - September 7, 2009 Category: Geriatrics Authors: Marcello Maggio, Gian Paolo Ceda, Fulvio Lauretani, Stefania Bandinelli, Carmelinda Ruggiero, Jack M. Guralnik, E. Jeffrey Metter, Shari M. Ling, Giuseppe Paolisso, Giorgio Valenti, Anne R. Cappola, Luigi Ferrucci Source Type: journals
Factors Associated with Accurate Recall of Prior Disability in Older PersonsEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To identify the factors associated with accurate recall of prior disability. Cohort study. Greater New Haven, Connecticut. Ninety-two participants, included in each of two analytical samples, who were nondisabled at the present time in four essential activities of daily living (ADLs; bathing, dressing, transferring, and walking) but who had had at least 1 month of disability during the prior year as determined from monthly telephone interviews. Participants who did not need help from another person at the present time were asked to recall whether they had needed help from another person to complete the relevant ADL at any ...
Source: Journal of the American Geriatrics Society - September 7, 2009 Category: Geriatrics Authors: Thomas M. Gill, Peter H. Van Ness, Evelyne A. Gahbauer Source Type: journals
Nursing Home Residents and Enrollment in Medicare Part DEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To assess the impact of Medicare Part D in the nursing home (NH) setting. A population-based study using 2005/06 prescription dispensing records, Poisson regressions with generalized estimating equations, and interrupted times series estimation with segmented regression methods. Nursing Homes. A nationwide sample of long-stay Medicare enrollees in NHs (N=861,082). Probability of Part D enrollment, changes in source of drug payments, changes in average number of monthly prescriptions dispensed per resident. In 2006, 81.0% of NH residents were enrolled in Part D, 16.1% had other drug coverage, and 3.0% (n=11,000) remained wi...
Source: Journal of the American Geriatrics Society - August 21, 2009 Category: Geriatrics Authors: Becky A. Briesacher, Stephen B. Soumerai, Terry S. Field, Hassan Fouayzi, Jerry H. Gurwitz Source Type: journals
Visual Field Loss and Risk of Fractures in Older WomenEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To evaluate the associations between visual field loss and nonspine fractures. Prospective cohort study. Community. Four thousand seven hundred seventy-three community-dwelling white and African-American women aged 65 and older with no previous history of hip fracture at the time of recruitment. Radiographically confirmed hip and nonspine, nonhip fractures identified from September 1997 to April 2008. Visual field loss was measured using a Humphrey Field Analyzer suprathreshold screening test of the peripheral and central vision of each eye and was classified into an ordinal rating of no, mild, moderate, or severe binocula...
Source: Journal of the American Geriatrics Society - August 20, 2009 Category: Geriatrics Authors: Anne L. Coleman, Steven R. Cummings, Kristine E. Ensrud, Fei Yu, Peter Gutierrez, Katie L. Stone, Jane A. Cauley, Kathryn L. Pedula, Marc C. Hochberg, Carol M. Mangione Source Type: journals
Physical Activity and Executive Function in Aging: The MOBILIZE Boston StudyEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To determine the relationship between physical activity and cognition, specifically executive function, and the possible mediating role of factors such as cardiovascular disease (CVD) and CVD risk factors, chronic pain, and depressive symptoms. Cross-sectional study. Population-based study of individuals aged 70 and older in the Boston area. Older community-dwelling adults (n=544; mean age 78, 62% female). Presence of heart disease (self-reported physician diagnosed), pain, and depressive symptomatology were assessed using interviewer-administered questions. Blood pressure was measured. Engagement in physical activity was ...
Source: Journal of the American Geriatrics Society - August 20, 2009 Category: Geriatrics Authors: Laura H. P. Eggermont, William P. Milberg, Lewis A. Lipsitz, Erik J. A. Scherder, Suzanne G. Leveille Source Type: journals
The Effect of a High-Intensity Functional Exercise Program on Activities of Daily Living: A Randomized Controlled Trial in Residential Care FacilitiesEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To evaluate whether a high-intensity functional weight-bearing exercise program reduces dependency in activities of daily living (ADLs) in older people living in residential care facilities, focusing on people with dementia. Randomized, controlled trial. Nine residential care facilities. One hundred ninety-one older people dependent in ADLs and with a Mini-Mental State Examination score of 10 or greater. One hundred (52.4%) of the participants had dementia. A high-intensity functional weight-bearing exercise program or a control activity consisting of 29 sessions over 3 months. The Barthel ADL Index; follow-up at 3 months ...
Source: Journal of the American Geriatrics Society - August 20, 2009 Category: Geriatrics Authors: Håkan Littbrand, Lillemor Lundin-Olsson, Yngve Gustafson, Erik Rosendahl Source Type: journals
Bedrail Use in English and Welsh HospitalsEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To explore rates of bedrail use, nurses' rationale, and factors related to bedrail use. An overnight observational study of patient and equipment characteristics related to bedrail use, analyzed using a logistic regression model. A stratified random sample of seven organizations, drawn from 167 organizations providing acute general hospital care in England and Wales during 2006. One thousand ninety-two inpatients on adult inpatient wards observed at night. Categorical data on bedrail use related to bed type, mattress type, patient age, nurses' description of patients' mobility and confusion, and nurses' rationale for bedra...
Source: Journal of the American Geriatrics Society - August 20, 2009 Category: Geriatrics Authors: Frances M. Healey, Alexandra Cronberg, David Oliver Source Type: journals
Curriculum for the Hospitalized Aging Medical Patient ReviewEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
Geriatricians, hospitalists, general medicine faculty, and PhD educators at the University of Chicago Pritzker School of Medicine designed the Curriculum for the Hospitalized Aging Medical Patient (CHAMP) with support from the Donald W. Reynolds Foundation. It represents a comprehensive faculty development curriculum in hospital-based geriatrics. The program comprises multiple educational modules including PowerPoint presentations, bedside teaching triggers, and workshops for faculty learners. The curriculum includes evaluation instruments, observed structured teaching exercises, and pocket teaching cards with pearls for w...
Source: Journal of the American Geriatrics Society - August 20, 2009 Category: Geriatrics Authors: Ethan Cumbler Source Type: journals
Palliative Access Through Care at Home: Experiences with an Urban, Geriatric Home Palliative Care ProgramEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
This article describes a unique, urban, home-based geriatrics palliative care program (Palliative Access Through Care at Home (PATCH)) designed to address some of these unmet needs. After 1 year of providing service, a mixed-methods study consisting of chart review, telephone interviews, and face-to-face interviews was conducted to assess caregiver expectations of and satisfaction with the program. Caregivers for the elderly, mostly African-American patients, more than half of whom had dementia, were overall very satisfied with their experience, despite the large amount of time necessary to provide the care that patients r...
Source: Journal of the American Geriatrics Society - August 20, 2009 Category: Geriatrics Authors: Abigail P. H. Holley, Rita Gorawara-Bhat, William Dale, Joshua Hemmerich, Deon Cox-Hayley Source Type: journals
Pulmonary Medicine and Critical CareEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
(Source: Journal of the American Geriatrics Society)
Source: Journal of the American Geriatrics Society - August 20, 2009 Category: Geriatrics Authors: Lee Morrow, Reena Mehra, Brian K. Gehlbach Source Type: journals
The Influence of Long-Term Care Insurance on the Likelihood of Nursing Home AdmissionEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To determine the effect of long-term care (LTC) insurance on nursing home use. Longitudinal analysis, 1998 to 2006 waves of the Health Retirement Study. Community-dwelling nationally representative sample. Nineteen thousand one hundred seventy adults aged 50 and older, 1998 wave. Two groups of respondents were created at baseline: those with and without an LTC insurance policy. Respondents admitted to the nursing home from 1998 to 2006 were identified. Propensity scores were used to control for known predictors of LTC insurance possession. A Cox proportional hazards model was used to compare the probability of nursing home...
Source: Journal of the American Geriatrics Society - August 19, 2009 Category: Geriatrics Authors: Tanya R. Gure, Mohammed U. Kabeto, Kenneth M. Langa Source Type: journals
Emergency Department Discharge Diagnosis and Adverse Health Outcomes in Older AdultsEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To determine the relationship between the reason for an emergency department (ED) visit and subsequent risk of adverse health outcomes in older adults discharged from the ED. Secondary analysis of data from the Medicare Current Beneficiary Survey. ED. One thousand eight hundred fifty-one community-dwelling Medicare fee-for-service enrollees aged 65 and older discharged from the ED between January 2000 and September 2002. Independent variables were ED discharge diagnosis groups: injury or musculoskeletal (MSK) (e.g., fracture, open wound), chronic condition (e.g., chronic obstructive pulmonary disorder, heart failure), infe...
Source: Journal of the American Geriatrics Society - August 19, 2009 Category: Geriatrics Authors: S. Nicole Hastings, Heather E. Whitson, Jama L. Purser, Richard J. Sloane, Kimberly S. Johnson Source Type: journals
Older Drivers in Australia: Trends in Driving Status and Cognitive and Visual ImpairmentEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To investigate self-reported driving status within three Australian states; associations between demographic, health, and functional factors and driving status; and the extent to which remaining a driver in spite of cognitive and visual impairments varies as a function of sex. Secondary data analysis of a pooled data set. Australian communities. Adults aged 65 to 103 (N=5,206) from the Dynamic Analyses to Optimise Ageing (DYNOPTA) project. DYNOPTA is a unique data set created through the harmonization and pooling of data across nine separate Australian longitudinal studies of aging conducted between 1990 and 2007 (N=50,652...
Source: Journal of the American Geriatrics Society - August 19, 2009 Category: Geriatrics Authors: Lesley A. Ross, Kaarin J. Anstey, Kim M. Kiely, Tim D. Windsor, Julie E. Byles, Mary A. Luszcz, Paul Mitchell Source Type: journals
Risk Factors for Disability Subtypes in Older PersonsEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To identify risk factors for five different subtypes of disability. Prospective cohort study. Greater New Haven, Connecticut. Seven hundred fifty-four community-living residents aged 70 and older and initially nondisabled in four essential activities of daily living (bathing, dressing, walking, and transferring). Candidate risk factors were measured every 18 months for 90 months during comprehensive home-based assessments. Disability was assessed during monthly telephone interviews for up to 108 months. In participants who were nondisabled at the start of an 18-month interval, incident episodes of five different disability...
Source: Journal of the American Geriatrics Society - August 19, 2009 Category: Geriatrics Authors: Thomas M. Gill, Terrence E. Murphy, Lisa C. Barry, Heather G. Allore Source Type: journals
Functional Decline and Recovery of Activities of Daily Living in Hospitalized, Disabled Older Women: The Women's Health and Aging Study IEmail this article to a colleague.
Save this article to My Clippings.
Discuss or comment on this article.
To determine, in disabled, older, community-dwelling women who were hospitalized, the rates and predictors of functional decline, the probability and time course of subsequent functional recovery, and predictors of functional recovery. Population-based observational cohort. Woman's Health and Aging Study. A subset of the 1,002 moderately to severely disabled community-dwelling older women who were hospitalized over 3 years (N=457). Functional decline and complete and partial recovery were defined using a 0 to 6 scale of dependencies in activities of daily living (ADLs) evaluated every 6 months over 3 years. Complete recove...
Source: Journal of the American Geriatrics Society - August 19, 2009 Category: Geriatrics Authors: Cynthia M. Boyd, Michelle Ricks, Linda P. Fried, Jack M. Guralnik, Qian-Li Xue, Jin Xia, Karen Bandeen-Roche Source Type: journals
