Showing papers in "Journal of the American Medical Directors Association in 2020"

TL;DR: The Asian Working Group for Sarcopenia 2019 introduces "possible sarcopenia," defined by either low muscle strength or low physical performance only, specifically for use in primary health care or community-based health promotion, to enable earlier lifestyle interventions.

TL;DR: A metanalysis with more than half-million of Covid-19 patients from different countries highlights the determinant effect of age on mortality with the relevant thresholds on age >50 and, especially, >60.

TL;DR: Until polypharmacy is operationalized in a more clinically relevant manner, the adverse outcomes associated with it will not be fully understood, and future studies should work toward this approach in the face of rising multimorbidity and population aging.

TL;DR: Addressing and ameliorating burnout among HCWs should be a key priority for the sustainment of efforts to care for patients in the face of a prolonged pandemic.

TL;DR: The first findings on how the Dutch guideline to cautiously open nursing homes for visitors during the COVID-19 pandemic was applied in the local context, the compliance to local protocols and the impact on well-being of residents, their family caregivers and staff are reported.

TL;DR: This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record.

TL;DR: Acute kidney injury was associated with in-hospital mortality and hypertension with discharge to home in older adults hospitalized for coronavirus disease 2019 and other comorbidities were not associated with either outcome.

TL;DR: Even the oldest and most severely frail patients may benefit from hospitalization for COVID-19, if sufficient resources are available, and a multivariable model combining age, CFS, LDH and viral load significantly predicted survival.

TL;DR: A statistically significant association between statin intake and the absence of symptoms during COVID-19 is found and the role of ACEi/ARB and/or statin use with clinical manifestations in larger older adults residing in nursing homes is explored.

TL;DR: The evidence supports the continued need for hospital-based programs that provide assessment of functional ability and identification of at-risk older adults in order to better treat and prevent hospital-associated disability.

TL;DR: Author(s): McGilton, Katherine S; Escrig-Pinol, Astrid; Gordon, Adam; Chu, Charlene H; Zuniga, Franziska; Sanchez, Montserrat Gea; Boscart, Veronique; Meyer, Julienne; Corazzini, Kirsten N; Jacinto, Alessandro Ferrari; Spilsbury, Karen; Backman, Annica; Scales, Kezia; Wu, Bei.

TL;DR: The association between and prevalence of (pre-)frailty or sarcopenia and (risk of) malnutrition in older hospitalized adults is substantial and standardized screening for these conditions at hospital admission is highly warranted to guide targeted nutritional and physical interventions.

TL;DR: Examination of the prevalence and factors associated with shortages of NH staff during COVID-19 pandemic suggested that NHs with a higher proportion of Medicare residents were less likely to experience shortages and had lower probability of staff shortages.

TL;DR: In older patients hospitalized for COVID-19 male sex, crackles, a higher fraction of inspired oxygen and functionality were independent risk factors of mortality, and not differences in age, should be used to evaluate prognosis in older patients.

TL;DR: Nursing homes with five-star ratings were less likely to have COVID-19 cases and deaths after adjusting for nursing home size and patient race proportion, and nursing home star ratings and greater percentage of residents from different racial and ethnicity groups were significantly related to increased probability of having a CO VID-19 residents’ case or death.

TL;DR: A survey conducted among 193 residents, 1609 relatives, and 811 carers in Dutch long-term care facilities during the visitor-ban showed high levels of loneliness and increased frequency and severity of mood and behavior problems.

TL;DR: Supported by very low-to-moderate certainty of evidence, physical activity/exercise has a positive effect on several cognitive and noncognitive outcomes in people with MCI and dementia, but RCTs, with low risk of bias/confounding, are still needed to confirm these relationships.

TL;DR: Clinical characteristics, and risk factors associated with COVID-19 in long-stay nursing home residents, and patient characteristics and clinical symptoms obtained via electronic medical records and Minimum Data Set are described.

TL;DR: This research presents a novel and scalable approach called “SmartPharmacy,” which aims to provide real-time information about the physical and mental health of elderly patients with Alzheimer's disease and its complications.

TL;DR: Simple, adapted and specific physical activities should be implemented and considered as the best solution to care for frail elderly during the COVID-19 pandemic.

TL;DR: It is argued that there is a convergence on many fronts between these issues and that certain design models and approaches that improve quality of life, will also benefit infection control, support greater resilience, and in turn improve overall pandemic preparedness.

TL;DR: The results of this study suggest that the use of CC and SARC-CalF to screen for possible sarcopenia may be more suited than using the S ARC-F questionnaire alone according to the AWGS 2019 diagnostic algorithm in community-dwelling adults aged 70 to 84 years.

TL;DR: A phone call outreach program in which health care professional student volunteers phoned older adults, living in long-term care facilities and the community, at risk of social isolation during the COVID-19 pandemic, can be adopted by medical schools to leverage students to connect to socially-isolated seniors in numerous settings.

TL;DR: Handgrip strength could be used for assessing cognitive status in aging Americans and strength capacity should be monitored in those with cognitive impairment, as strength capacity and cognitive function may parallel each other.

TL;DR: Osteosarcopenia was associated with worse SPPB, TUG, FSS, limit of stability, and falls and fractures history, and those with osteosarc Openia had greater impairment of physical performance and balance.

TL;DR: Satisfaction of communication access to nursing home residents was highest when respondents had the possibility to communicate with Nursing home residents by nurses informing them via telephone, contact behind glass, and contact outside maintaining physical distance.

TL;DR: This study shows the validity of the updated American Testing Guidance for Nursing Homes (NHs) and suggests implementing COVID-19 infection prevention and control measures in both residents and HCP with positive testing or with CO VID-19 symptoms.