Journal of the American Geriatrics Society
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Multicenter Study
Effect of nosocomial bloodstream infections on mortality, length of stay, and hospital costs in older adults.
To quantify the effect of nosocomial bloodstream infection (BSI) on older adults, including mortality, length of stay (LOS), and costs attributed to BSI. ⋯ Nosocomial BSI in older adults was significantly associated with increases in 90-day mortality, increased LOS, and increased costs of care. Preventive interventions to eliminate nosocomial BSIs in older adults would likely be cost effective.
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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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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Association between treatment or usual care region and hospitalization for fall-related traumatic brain injury in the Connecticut Collaboration for Fall Prevention.
To evaluate the association between the treatment region (TR) or usual care region (UCR) of the Connecticut Collaboration for Fall Prevention (CCFP), a clinical intervention for prevention of falls, and the rate of hospitalization for fall-related traumatic brain injury (FR-TBI) in persons aged 70 and older and to describe the Medicare charges for FR-TBI hospitalizations. ⋯ The significantly lower rate of hospitalization for FR-TBI in CCFP's TR suggests that the engagement of practicing clinicians in the implementation of evidence-based fall-prevention practices may reduce hospitalizations for FR-TBI.
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Randomized Controlled Trial Multicenter Study Comparative Study
Outcomes of feeding problems in advanced dementia in a nursing home population.
To describe quality of care for feeding problems in advanced dementia and probability and predictors of weight loss and mortality. ⋯ Weight loss is a predictor of death in advanced dementia. Treatments can often stabilize weight, but weight loss should be used to trigger discussion of goals of care and treatment options.
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Multicenter Study Comparative Study
Hospice use and public expenditures at the end of life in assisted living residents in a Florida Medicaid waiver program.
To examine the association between hospice use and public expenditures in a sample of dually eligible assisted living (AL) residents at the end of life. ⋯ Hospice use at the end of life may not be associated with lower public expenditures in older dually eligible AL residents. Future research should examine the association between hospice enrollment and the quality of end-of-life care.