Journal of the American Geriatrics Society
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Randomized Controlled Trial
CONNECT for better fall prevention in nursing homes: results from a pilot intervention study.
To determine whether an intervention that improves nursing home (NH) staff connections, communication, and problem solving (CONNECT) would improve implementation of a falls reduction education program (FALLS). ⋯ CONNECT has the potential to improve care delivery in NHs, but the trend toward improving fall rates requires confirmation in a larger ongoing study.
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Multicenter Study
Critically ill elderly adults with infection: analysis of the extended prevalence of infection in intensive care study.
To determine the effect of age on patterns of infection and on outcomes in individuals with infection. ⋯ A large proportion of individuals in the ICU with infection are aged 65 and older. Patterns of infection, including site and type of microorganism, vary according to age. Being aged 85 and older was an independent risk factor for mortality in individuals in the ICU with infection.
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To compare falls and fall-related injuries that a fall evaluator or hospital incident report identified with injuries identified according to discharge International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for the same set of inpatient episodes of care. ⋯ The CMS-targeted ICD-9-CM codes used to identify fall-related injuries in claims data do not always detect the most-serious falls.