Journal of the American Medical Directors Association
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Comparative Study
The effect of hospice on hospitalizations of nursing home residents.
Hospice enrollment is known to reduce risk of hospitalizations for nursing home residents who use it. We examined whether residing in facilities with a higher hospice penetration: (1) reduces hospitalization risk for nonhospice residents; and (2) decreases hospice-enrolled residents' hospitalization risk relative to hospice-enrolled residents in facilities with a lower hospice penetration. ⋯ Higher facility-level hospice penetration reduces hospitalization risk for both nonhospice and hospice-enrolled residents. The findings shed light on nursing home end-of-life care delivery, collaboration among providers, and cost benefit analysis of hospice care.
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Comparative Study
Differential association of frailty with cognitive decline and sarcopenia in community-dwelling older adults.
Frailty in older adults is a serious problem because of various adverse health outcomes in many countries with aging populations, such as Japan. The purpose of this study was to determine whether frailty and pre-frailty are associated with cognitive decline and sarcopenia in community-dwelling older adults. ⋯ Sarcopenia was associated with pre-frailty and frailty, whereas cognitive decline was associated only with frailty.