scholarly journals Factors Associated With Deprescribing Acetylcholinesterase Inhibitors in Older Nursing Home Residents With Severe Dementia

2019 ◽  
Vol 67 (9) ◽  
pp. 1871-1879 ◽  
Author(s):  
Joshua D. Niznik ◽  
Xinhua Zhao ◽  
Meiqi He ◽  
Sherrie L. Aspinall ◽  
Joseph T. Hanlon ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Acetylcholinesterase Inhibitors ◽  
Severe Dementia ◽  
Factors Associated

scholarly journals Risk for Health Events After Deprescribing Acetylcholinesterase Inhibitors in Nursing Home Residents With Severe Dementia

2019 ◽  
Vol 68 (4) ◽  
pp. 699-707 ◽  
Author(s):  
Joshua D. Niznik ◽  
Xinhua Zhao ◽  
Meiqi He ◽  
Sherrie L. Aspinall ◽  
Joseph T. Hanlon ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Acetylcholinesterase Inhibitors ◽  
Severe Dementia ◽  
Health Events

scholarly journals Sequential Dependencies in Solid and Fluid Intake in Nursing Home Residents with Dementia: A Multistate Model

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 915-915
Author(s):  
Wen Liu ◽  
Kristine Williams ◽  
Yong Chen
Keyword(s):  
Nursing Home ◽  
Fluid Intake ◽  
Nursing Home Residents ◽  
Temporal Association ◽  
Negative Consequences ◽  
Severe Dementia ◽  
Assistance Programs ◽  
Sequential Dependencies ◽  
Dementia Severity ◽  
Multinomial Logit Models

Abstract Nursing home (NH) residents with dementia commonly experience low food intake leading to negative consequences. While multilevel factors influence intake, evidence is lacking on how intake is sequentially associated. This study examined the temporal association between previous and current solid and fluid intake in NH residents with dementia. We analyzed 160 mealtime videos involving 27 residents and 36 staff (53 dyads) in 9 NHs. The dependent variable was the current intake state (fluid, solid, no-intake). Independent variables included the prior intake state, technique of current intake state (resident-initiated, staff-facilitated), duration between previous and current intakes. Covariates included resident and staff characteristics. Two-way interactions of duration and technique with the prior intake state, and resident comorbidity and dementia severity were examined using Multinomial Logit Models. Interactions were significant for technique by comorbidity, technique by dementia severity, technique by prior fluid and solid intake, and duration by prior fluid intake. Successful previous intake increased odds of current solid and fluid intake. Staff-facilitation (vs. resident-initiation) reduced odds of solid and fluid intake for residents with moderately severe (vs. severe) dementia. Higher morbidity decreased odds of solid intake (vs. no-intake) for staff-facilitated intake. Resident with severe dementia had smaller odds of solid and fluid intake for resident-initiated intake. Longer duration increased odds of transition from liquid to solid intake. Findings supported strong sequential dependencies in intake, indicating the promise of intervening behaviorally to modify transitions to successful intake during mealtime. Findings inform the development and implementation of innovative mealtime assistance programs to promote intake.

scholarly journals TRENDS IN OPIOID USE IN LONG-TERM CARE NURSING HOME RESIDENTS WITH DEMENTIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S709-S709
Author(s):  
Hemalkumar B Mehta ◽  
Yong-Fang Kuo ◽  
Jordan Westra ◽  
Mukaila Raji ◽  
James S Goodwin
Keyword(s):  
Nursing Home ◽  
Long Term Care ◽  
Nursing Home Residents ◽  
Opioid Use ◽  
Severe Dementia ◽  
Term Care ◽  
Dementia Patients ◽  
Moderate Dementia ◽  
Long Acting

Abstract We examined opioid use in long-term care nursing home residents with dementia. This retrospective cohort study used Minimum Data Set linked Medicare data, 2011-2016, and included long-term care episodes for residents 65+ years who survived 100+ days each year (592,211 episodes for 256,207 residents). Cognitive status at first annual assessment was classified as none/mild, moderate and severe impairment. Overall opioid use, prolonged opioid use (prescription supply 90+ days) and long-acting opioid use were identified from Medicare part D. Descriptive statistics were used to describe opioid use by cognitive impairment. Cochrane Armitage trends test was used to determine trends in opioid use. 114,622 (19%) patients had severe and 129,257 (22%) had moderate dementia. Overall opioid (none/mild=15.4%, moderate=13.9%, severe=9%), prolonged opioid (none/mild=5.2%, moderate=4.5%, severe=3.2%) and long-acting opioid use (none/mild=1.1%, moderate=0.9%, severe=0.3% ) were lower in patients with advanced dementia. Opioid use was significantly higher in females and Whites and varied by states. Substantial increase was found in overall opioid and prolonged opioid use from 2011 to 2016, with greater increase in none/mild and moderate dementia patients. For example, prolonged opioid use increased by 69% in none/mild and 71% in moderate dementia patients compared to 52% in severe dementia patients (p<0.0001). Long-acting opioid use decreased, with a greater decline in none/mild (69%) and moderate (71%) dementia patients compared to severe dementia patients (58%) (p<0.0001). Contrary to decreasing opioid use in community setting, overall and prolonged opioid use increased in nursing home residents. Future studies should identify the reasons behind increased use.

scholarly journals Mood and behavioral problems are important predictors of quality of life of nursing home residents with moderate to severe dementia: A cross-sectional study

PLoS ONE ◽  
2019 ◽  
Vol 14 (12) ◽  
pp. e0223704 ◽  
Author(s):  
Marinda Henskens ◽  
Ilse M. Nauta ◽  
Susan Vrijkotte ◽  
Katja T. Drost ◽  
Maarten V. Milders ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Behavioral Problems ◽  
Nursing Home Residents ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Severe Dementia ◽  
Cross Sectional

Prevalence and potentially reversible factors associated with anorexia among older nursing home residents: Results from the ULISSE Project

2013 ◽  
Vol 4 ◽  
pp. S45 ◽  
Author(s):  
G. Dell’Aquila ◽  
F. Landi ◽  
P. Eusebi ◽  
B. Gasperini ◽  
R. Liperoti ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Factors Associated

Risk factors associated with accidental falls among Italian nursing home residents: A longitudinal study (FRAILS)

2020 ◽  
Vol 41 (2) ◽  
pp. 75-80
Author(s):  
Anna Castaldo ◽  
Andrea Giordano ◽  
Raffaele Antonelli Incalzi ◽  
Maura Lusignani
Keyword(s):  
Risk Factors ◽  
Nursing Home ◽  
Longitudinal Study ◽  
Accidental Falls ◽  
Nursing Home Residents ◽  
Factors Associated

Epidemiology of Methicillin-ResistantStaphylococcus aureusBloodstream Coinfection Among Adults With Candidemia in Atlanta, GA, 2008–2012

2015 ◽  
Vol 36 (11) ◽  
pp. 1298-1304 ◽  
Author(s):  
Jessica Reno ◽  
Saumil Doshi ◽  
Amy K. Tunali ◽  
Betsy Stein ◽  
Monica M. Farley ◽  
...  
Keyword(s):  
Nursing Home ◽  
Medical Records ◽  
Odds Ratio ◽  
Nursing Home Residents ◽  
Population Based ◽  
Emerging Infections ◽  
Multivariate Logistic Regression ◽  
Factors Associated ◽  
Active Population ◽  
Invasive Infections

BACKGROUNDPatients with candidemia are at risk for other invasive infections, such as methicillin-resistantStaphylococcus aureus(MRSA) bloodstream infection (BSI).OBJECTIVETo identify the risk factors for, and outcomes of, BSI in adults withCandidaspp. and MRSA at the same time or nearly the same time.DESIGNPopulation-based cohort study.SETTINGMetropolitan Atlanta, March 1, 2008, through November 30, 2012.PATIENTSAll residents withCandidaspp. or MRSA isolated from blood.METHODSThe Georgia Emerging Infections Program conducts active, population-based surveillance for candidemia and invasive MRSA. Medical records for patients with incident candidemia were reviewed to identify cases of MRSA coinfection, defined as incident MRSA BSI 30 days before or after candidemia. Multivariate logistic regression was performed to identify factors associated with coinfection in patients with candidemia.RESULTSAmong 2,070 adult candidemia cases, 110 (5.3%) had coinfection within 30 days. Among these 110 coinfections, MRSA BSI usually preceded candidemia (60.9%; n=67) or occurred on the same day (20.0%; n=22). The incidence of coinfection per 100,000 population decreased from 1.12 to 0.53 between 2009 and 2012, paralleling the decreased incidence of all MRSA BSIs and candidemia. Thirty-day mortality was similarly high between coinfection cases and candidemia alone (45.2% vs 36.0%,P=.10). Only nursing home residence (odds ratio, 1.72 [95% CI, 1.03–2.86]) predicted coinfection.CONCLUSIONSA small but important proportion of patients with candidemia have MRSA coinfection, suggesting that heightened awareness is warranted after 1 major BSI pathogen is identified. Nursing home residents should be targeted in BSI prevention efforts.Infect. Control Hosp. Epidemiol.2015;36(11):1298–1304

scholarly journals Factors Associated With Antiepileptic Drug Use Among Elderly Nursing Home Residents

2000 ◽  
Vol 55 (7) ◽  
pp. M384-M392 ◽  
Author(s):  
J. Garrard ◽  
J. Cloyd ◽  
C. Gross ◽  
N. Hardie ◽  
L. Thomas ◽  
...  
Keyword(s):  
Nursing Home ◽  
Drug Use ◽  
Antiepileptic Drug ◽  
Nursing Home Residents ◽  
Factors Associated
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