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An Andalusian delegation visits the Basque Country to learn about the political framework and experiences regarding social and healthcare... 
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The pragmatic attitude of the trial towards cluster selection, cluster assignment, participant selection, participant recruitment, informed consent and outcome measurement supports generalisation to other jurisdictions. Postrandomisation selection bias is limited by the use of existing, objective measures of eligibility. The use of secondary data for baseline data collection and follow-upmeasurement increases the a ccuracy of the data collection and limits the loss to follow-up compared with primary collection methods. It is not possible to conceal the treatment assignment, which exposes half of the primary and secondary outcomes measures to placebo and observer-expectancy effects. The jurisdictions included in the study used a convenience, non-probability sampling approach in cluster selection, which may limit external validity.
Servicio de Geriatría's insight:
Andrew Costa y su equipo desarrollan un a herramienta de predicción de visitas a urgencias en la población en atención domiciliaria.
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The Elderly Risk Assessment (ERA) score is a validated index for primary care patients that predict hospitalizations, mortality, and Emergency Department (ED) visits. Thescore incorporates age, prior hospital days, marital status, and comorbidities.
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Read more » Latest News December 2019 interRAI Annual Report 2018/19 Read more » Read our latest Annual Report 2018/19 here. interRAI Data Visualisation interRAI assessments produce a wealth of information about the health of older people. VIEW View all » Newsletters
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Interventions aimed at managing agitated and aggressive behaviors in dementia without
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Interventions aimed at managing agitated and aggressive behaviors in dementia without
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Use of a system-wide standardized clinical assessment to facilitate information-sharing is an essential component of an integrated healthcare system. The Resident Assessment
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PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
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PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
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The rapid screening of older adults in the Emergency Department (ED) at risk of adverse events is considered useful. The aim of this study was to eval…
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Watch the seminar Professor Heather McLeod presented her research yesterday in our first Zoom seminar. We recorded it so that those of you who couldn't zoom in can still have access to her talk.To recap, Heather presented her research that uses linked data from New Zealand's National Collections,...
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Background: Optimal long-term osteoporosis drug treatment (ODT) is uncertain. Purpose: To summarize the effects of long-term ODT and ODT discontinuation and holidays. Data Sources: Electronic bibliographic databases (January 1995 to October 2018) and systematic review bibliographies. Stud
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Gabrielle Stent, interRAI educator in New Zealand, talks about how the New Zealand interRAI software can be used as a patient management system. This is a pr...
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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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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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Examining the relationship between triage acuity and frailty to inform the care of older emergency department patients: Findings from a large Canadian multisite cohort study - Fabrice Mowbray, Audrey-Anne Brousseau, Eric Mercier, Don Melady, Marcel Émond, Andrew P.
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Comparisons with international systems and innovations in aged care has identified many opportunities for improvement in Australia, according to researchers at Flinders University.Flinders University experts …...
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In the elderly patient with tremor, the differential diagnosis is usually between essential tremor (ET) and Parkinson disease (PD). A careful history and examination are the keys to the diagnosis. Essential tremor is a bilateral action tremor of the upper limbs whereas PD begins unilaterally and is a rest tremor. A handwriting sample can usually distinguish PD from ET as the former is small (micrographic) but atremulous whereas writing in ET is tremulous but normal sized. In ET, there are no signs aside from tremor but in PD, the tremor is accompanied by bradykinesia and rigidity.
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Interventions aimed at managing agitated and aggressive behaviors in dementia without the use of antipsychotics are currently being tested in nursing homes (NHs). Researchers and clinicians require a measure that can capture the severity of residents’ behaviors.
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PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
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PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
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Government policy and infrastructure have a substantial impact on hospitalization of older adults, according to a University of Waterloo study. The study examined the experiences of 254,664 patients in home-care programs and 162,045 residents in long-term care in Alberta, British Columbia and...
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Conclusion The programme theory described here provides a framework for understanding how CGA could be effective in care homes. It will be of use to teams developing, implementing or auditing CGA in care homes. All three components are required to make CGA work—this may explain why attempts to implement CGA by interventions focused solely on assessment or care planning have failed in some long-term care settings.
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