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Olson Catherine H CH Biomedical Health Informatics, University of Minnesota, 330 Diehl Hall, 505 Essex Street SE, Minneapolis, MN 55455. Electronic address: - - 2014
Create an automated algorithm for predicting elderly patients' medication-related risks for readmission and validate it by comparing results with a manual analysis of the same patient population. Outcome and Assessment Information Set (OASIS) and medication data were reused from a previous, manual study of 911 patients from 15 Medicare-certified home ...
López Jorge H JH a Director Postgrado Especialidad en Geriatría , Universidad Nacional , Bogotá , - - 2014
Abstract A recent dramatic increase in the elderly population has not been accompanied by a parallel increase in specialized health care professionals in Latin America. The main purpose of our work was to determine the stage of Geriatrics teaching for both undergraduate and graduate medical levels in Latin America. Using ...
Pasina L L Laboratory for Quality Assessment of Geriatric Therapies and Services, Drug Information Service for the Elderly, IRCCS-Istituto di Ricerche Farmacologiche "Mario Negri", Via Giuseppe La Masa 19, 20156, Milan, Italy, - - 2014
Poor adherence may have a major impact on clinical outcome, contributing to substantial worsening of disease, increased health care costs and even death. With increasing numbers of medications, low adherence is a growing concern, seriously undermining the benefits of current medical care. Little is known about medication adherence among older ...
Masud Tahir T Healthcare for Older People, Nottingham University Hospitals NHS Trust, Nottingham, Notts, - - 2014
Introduction: the rise in the number of older, frail adults necessitates that future doctors are adequately trained in the skills of geriatric medicine. Few countries have dedicated curricula in geriatric medicine at the undergraduate level. The aim of this project was to develop a consensus among geriatricians on a curriculum ...
Greene Meredith M Division of Geriatrics, Department of Medicine, University of California San Francisco, San Francisco, California; San Francisco Veterans Affairs Medical Center, San Francisco, - - 2014
To describe the frequency of medication-related problems in older adults with human immunodeficiency virus (HIV) infection. Retrospective chart review. Community. HIV-positive individuals aged 60 and older and age- and sex-matched HIV-negative individuals. Total number of medications, potentially inappropriate medications (PIMs) according to the modified Beers Criteria, anticholinergic drug burden according ...
Tseng Ming-Hseng MH School of Medical Informatics, Chung Shan Medical University, Taichung, - - 2014
Drug is an important part of disease treatment, but medication errors happen frequently and have significant clinical and financial consequences. The prevalence of prescription medication use among the ambulatory adult population increases with advancing age. Because of the global aging society, outpatients need to improve medication safety more than inpatients. ...
Frain Judy - - 2014
The aims of this study were to examine differences in medication management between older and younger adults living with HIV and to examine the relationship between age and cognitive ability, depressive symptoms, and self-efficacy on medication management. This research utilized a descriptive-correlational, cross-sectional design to compare medication management between older ...
Costilla Vanessa C - - 2014
Constipation is a frequently diagnosed gastrointestinal disorder. Symptoms of constipation are common, with the greatest prevalence in the elderly. Evaluation of constipation begins with a detailed medical history and a focused anorectal examination. Diagnostic testing for constipation is not routinely recommended in the initial evaluation in the absence of alarm ...
Smith Miranda M Texas Tech University Health Sciences Center School of Pharmacy, Abilene, - - 2014
Adults older than 65 years of age with vision impairment are more likely to have difficulty managing medications compared with people having normal vision. This patient population has difficulty reading medication information and may take the wrong medication or incorrect doses of medication, resulting in serious consequences, including overdose or ...
Ku Li-Jung E LJ Institute of Public Health, College of Medicine, National Cheng Kung University, Tainan, - - 2014
ABSTRACT Background: Pharmaceutical therapy for patients with dementia including cholinesterase inhibitors (ChEI) and memantine is covered by Taiwan's National Health Insurance (NHI) but with strict reimbursement criteria. This study compared utilization of selected cognitive enhancers among elderly patients with dementia and estimated associated differences in medical care costs. Methods: This ...
Woods Steven Paul SP a Department of Psychiatry , University of California, San Diego , La Jolla , - - 2014
Background: Identifying potentially modifiable risk factors for medication non-adherence in older adults is important in order to enhance screening and intervention efforts designed to improve medication-taking behavior and health outcomes. The current study sought to determine the unique contribution of prospective memory (PM) (i.e. 'remembering to remember') to successful self-reported ...
Kamimura T T School of Health Sciences, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano Pref. 390-8621, - - 2014
ABSTRACT A 79-year-old female with type 2 diabetes and mild cognitive impairment (Clinical Dementia Rating score of 0.5) was supported with medication with regard to the daily requirements using a medication reminder device. Use of this device not only improved her medication adherence, hemoglobin A1c level, and self-confidence but also ...
Epstein Noam U NU Department of Neurology, Hines VA Medical Center, 5000 South 5th Avenue, Hines, IL, 60141, USA, - - 2013
Falls are common in the elderly, especially in those with cognitive impairment. The elderly are often treated with several medications, which may have both beneficial and deleterious effects. The use and type of medication in Alzheimer's disease (AD) patients and association with falls is limited. We examined the association between ...
Ellis Harold H Department of Anatomy, University of London, Guy's Campus, London, SE1 - - 2013
When I was a medical student in the 1940's we youngsters were well familiar with the condition called 'Mongolism'. We saw these patients--labelled 'Mongols'--as children in the paediatric clinics, and as older patients on our visits to the local enormous mental hospital during our attachment in psychiatry, where many of ...
Lee Sang Hyub SH Department of Urology, Kyung Hee University School of Medicine, Seoul, - - 2013
The prevalence of urinary incontinence and the usage of incontinence pads by elderly residents in Korean medical welfare facilities were investigated. From a total of 1,832 facilities, 33 medical welfare facilities in the capital area were randomly selected; all nursing homes were excluded. All data were collected by questionnaires to ...
Baldoni André de Oliveira - - 2013
Background Potentially inappropriate medications (PIMs) should be avoided by the elderly because they possess a significant high risk for this population when a safer alternative is available. Therefore, the identification of prevalence and factors associated with PIMs should be considered as they provide valuable information that can be used to ...
Schmitt Júnior Antônio Augusto - - 2013
To identify the prevalence of non-adherence to drug therapy for elderly patients in primary care in Blumenau, SC, Brazil. This is a cross-sectional, population-based epidemiological study. A randomly selected sample of users who attended the pharmacies of 14 units of primary healthcare answered the questionnaire's study variables. The prevalence of ...
Eisenhower Christine - - 2013
Beginning in fiscal year 2015, the Centers for Medicare and Medicaid Services will measure all-cause readmissions for patients admitted for exacerbation of chronic obstructive pulmonary disease (COPD). Hospitals will incur a payment penalty for unplanned 30-day readmissions. Elderly patients frequently present a challenge because of polypharmacy, which contributes to a ...
Borgström Bolmsjö Beata - - 2013
Since the burden of care for elderly patients with heart failure (HF) can be decreased by therapeutic measures, it is important that such patients are identified correctly. This study explores the prevalence of HF in nursing homes in Sweden, with special consideration of the risk of failure to diagnose HF ...
Narayanan Siva - - 2013
To estimate the medical and productivity-related cost burden of systemic lupus erythematosus (SLE) flares and comorbidities in a commercially insured population. Using administrative data, annual medical costs and indirect costs because of work loss were calculated for adult SLE patients, including flare severity and SLE-related comorbidity subsets, and a matched ...
Salmasian Hojjat H Department of Biomedical Informatics, Columbia University, New York, - - 2013
Extracting comorbidity information is crucial for phenotypic studies because of the confounding effect of comorbidities. We developed an automated method that accurately determines comorbidities from electronic medical records. Using a modified version of the Charlson comorbidity index (CCI), two physicians created a reference standard of comorbidities by manual review of ...
Arruda Guilherme Oliveira de - - 2013
this study aimed to investigate and understand the use of medications by elderly men, their representations and the subsequent practices. this is a qualitative, descriptive and exploratory study, in which there participated 17 elderly men, with polypharmacy, and assisted under the Family Health Strategy in the Municipality of Dourados in ...
Murata Atsuhiko - - 2013
There is currently little information on the medical economic outcomes of endoscopic submucosal dissection (ESD) for gastric cancer in elderly patients. This study therefore aimed to investigate the medical economic outcomes of ESD in elderly patients using a national administrative database. A total of 27 385 patients treated with ESD ...
Kainkaryam Vasanth V Internal Medicine and Pediatrics, Hartford HealthCare Medical Group, Enfield, - - 2013
The Hartford HealthCare Medical Group instituted 3 types of shared medical appointments (SMAs) in 2013, one being for the Medicare Annual Wellness Visit (AWV). While traditionally there have been 2 types of SMAs-either a chronic disease follow-up model or an annual physical examination model, the SMA AWV offers a preventive ...
Huskamp Haiden A HA *Department of Health Care Policy, Harvard Medical School, Boston, MA †The Dartmouth Institute and Geisel Medical School at Dartmouth, Lebanon, NH ‡Division of General Medicine and Clinical Epidemiology, School of Medicine §Department of Health Policy and Management, Gillings School of Global Public Health ∥Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC ¶Institute for Aging Research, Hebrew SeniorLife, Deaconess Medical Center #Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA **Omnicare Inc., Livonia, MI ††Department of Health Policy and Management, Harvard School of Public Health, Boston ‡‡Harvard Kennedy School, Cambridge, - - 2013
In 2006, dual-eligible nursing home residents were randomly assigned to a Medicare Part D prescription drug plan (PDP). Subsequently, residents not enrolled in qualified plans at the start of the next year were rerandomized. PDPs vary in generosity through differences in medication coverage and utilization management. Therefore, residents' assigned plans ...
Maher Robert L - - 2013
Introduction: Polypharmacy, defined as the use of multiple drugs or more than are medically necessary, is a growing concern for older adults. MEDLINE and EMBASE databases were searched from January 1, 1986 to June 30, 2013) to identify relevant articles in people aged > 65 years. Areas covered: We present ...
Hohmann Natalie - - 2013
Use of fall-risk medications (medications that increase risk of falling in the elderly as defined by Beers criteria, STOPP/START criteria, and other literature) or antithrombotics is common in the elderly, and the impact of their concomitant use should be assessed in regards to fall injuries. The primary objective of this ...
Bensadon Benjamin A - - 2013
For more than half a century, scientific research has documented widespread avoidance and even denial of aging. Though nothing new, aversive reactions to the elderly are not only unfortunate but dangerous today, as increasing life expectancy and consequent demand for specialized geriatric medical care vastly outpace the supply of qualified ...
Mallow Peter J - - 2013
Abstract Objective: The primary objective of this study was to quantify the differences in the prevalence rate and costs of hospital medical errors between the general population and an elderly population aged ≤ 65 years. Methods: Methods from an actuarial study of medical errors were modified to identify medical errors ...
Harris Ché Matthew - - 2013
Hospitalized elderly patients are at risk for medication errors and nonadherence when discharged home. To describe how older patients' medications change during and after hospitalizations and what patients ultimately take after discharge. We conducted an observational cohort study of 95 patients aged 65 years and older admitted to Johns Hopkins ...
Wick Jeannette Y - - 2013
After more than 50 years of experience with benzodiazepines, the American health care system has a love-hate relationship with them. In 1955, Hoffmann-La Roche chemist Leo Sternbach serendipitously identified the first benzodiazepine, chlordiazepoxide (Librium). By 1960, Hoffmann-La Roche marketed it as Librium, and it pursued molecular modifications for enhanced activity. ...
Widmeier Keith - - 2013
A variety of chronic pathologies often come along with the aging process and are experienced by many patients in late adulthood. EMS providers must be aware of the various challenges of transporting the geriatric population. And although an emphasis is often placed on the physical and medical issues associated with ...
Neves Sabrina Joany Felizardo SJ Departamento de Nutrição, Universidade Federal de Pernambuco, RecifePE, - - 2013
OBJECTIVE To analyze medication use and associated factors among the elderly. METHODS A population-based cross-sectional study was carried out with a sample of 400 elderly people aged over 60 living in the urban area covered by the Family Health Strategy program in Recife, Northeastern Brazil in 2009. Individuals were selected ...
Ayers Catherine R - - 2013
Hoarding disorder (HD) in late life is associated with increased risk for fire, falling, poor sanitary conditions, disability, and health risks. However, research on the health status of individuals with HD is limited. Hoarding symptoms and the resulting clutter may exacerbate health conditions and lead to improper management of medical ...
Kubesova Hana Matejovska - - 2013
Authors analyze actual situation in treatment of cardiovascular diseases in older patients. Different groups of recommended drugs are discussed separately; possible risks for elderly patients are stressed. Angiotensin converting enzyme inhibitors-this group is widely used in older patients because of their hypotensive effect, positive influence on cardiac failure, and positive ...
Rajpura Jigar R - - 2013
Background:Poor compliance with antihypertensive medications is one possible reason why its success in clinical trials has not been translated into everyday practice. In addition, medication noncompliance in elderly leads to increased hospitalizations, physician visits, and higher health care costs.Objective:The study assessed influence of illness perceptions and medications beliefs on medication ...
Poudel Arjun - - 2013
Older populations are more likely to have multiple comorbid diseases that require multiple treatments, which make them a large consumer of medications. As a person grows older, their ability to tolerate medications becomes less due to age-related changes in pharmacokinetics and pharmacodynamics often heading along a path that leads to ...
Akram Sakineh - - 2013
Objective: Individuals with Parkinson's disease (PD) show poorer balance and greater incidence of falls while turning. We investigated whether a disturbance in timing and sequence of reorientation of body segments is a potential cause of turning difficulty in PD and is altered by levodopa. Methods: The sequence and timing of ...
Osiri Manathip - - 2013
To evaluate the prevalence, types, and out-patient direct medical costs of comorbid conditions in patients with RA in Thailand. Information of the patients with RA treated by rheumatologists with at least one disease modifying antirheumatic drugs (DMARDs), including demographic data, RA-related medication types and treatment costs, comorbidity-related medication types and ...
Morandi Alessandro - - 2013
To determine types of potentially (PIMs) and actually inappropriate medications (AIMs), which PIMs are most likely to be considered AIMs, and risk factors for PIMs and AIMs at hospital discharge in elderly intensive care unit (ICU) survivors. Prospective cohort study. Tertiary care, academic medical center. One hundred twenty individuals aged ...
Schreier Gunter - - 2013
The intake of prescribed medication presents a challenge, in particular for elderly people and in cases where a variety of medications have to be taken in accordance to a complex schedule. To support patients with this task, an mHealth-concept was developed and evaluated in the course of a clinical trial. ...
Manias Elizabeth E The University of Melbourne, Melbourne, Victoria, Australia; The Royal Melbourne Hospital, Melbourne, Victoria, - - 2013
To determine the prevalence of potentially inappropriate medications (PIMs) in older people aged 65 years and over who were admitted to hospital, and to examine the medications and medication classes that comprised these PIMs with use of the Screening Tool of Older Person's Prescriptions. Using a retrospective clinical audit design, the ...
Boron Julie Blaskewicz - - 2013
The need to manage chronic diseases and multiple medications increases for many older adults. Older adults are aware of memory declines and incorporate compensatory techniques. Everyday memory strategies used to support medication adherence were investigated. A survey distributed to 2000 households in the Atlanta metropolitan area yielded a 19.9% response ...
Sommers Benjamin D - - 2013
Medicaid provides health insurance for 54 million Americans. Using the Census Bureau's Supplemental Poverty Measure (which subtracts out-of-pocket medical expenses from family resources), we estimated the impact of eliminating Medicaid. In our counterfactual, Medicaid beneficiaries would become uninsured or gain other insurance. Counterfactual medical expenditures were drawn stochastically from propensity-score-matched ...
Cheng Wei-Ming - - 2013
Erectile dysfunction (ED) has been a prevalent disease worldwide. The mainstay of treatment for ED focused on oral medications such as phosphodiesterase-5 (PDE-5) inhibitors or other medical aids with variable acceptance. Trazodone is a second-generation antidepressant approved by the U.S. Food and Drug Administration in 1981. Some evidence has suggested ...
Brahmbhatt Millie - - 2013
Objective: To evaluate the appropriateness/inappropriateness of medication prescribing using the Screening Tool of Older Person's Prescriptions/Screening Tool to Alert doctors to Right Treatment (STOPP/START) criteria in elderly homebased primary care (HBPC) veterans and to understand the potential impact of the HBPC team on the STOPP/START criteria.Design: Retrospective chart review between ...
Rajaram S S Khoo Teck Puat - - 2013
This study is an account in discovering the encounters of older people with dysphagia taking their medication. Dysphagia is a common problem notably among the elderly and it affects the digestion of food, fluids and medication. With the number of older people increasing and at present dysphagia has become a ...
Vieira de Lima Thaís Jaqueline - - 2013
BACKGROUND: The use of potentially inappropriate medications (PIM) among the elderly is a serious public health problem because it is intrinsically linked to increased morbidity and mortality, causing high costs to public health systems. This study's objective was to verify the prevalence of and the factors associated with the use ...
Blanchard Janice - - 2013
STUDY OBJECTIVE: The objective of this study was to evaluate the relationship between self-reported cost-related nonadherence to prescription medications and emergency department (ED) utilization among Medicare beneficiaries. We hypothesized that persons who report cost-related medication nonadherence would have subsequent higher ED use. METHODS: We conducted a retrospective cohort study of ...
Lee Eun Kyung - - 2013
Background Dementia is a disorder that is characterized by a chronic, progressive loss of cognitive function. Anticholinergic agents that are often used with elderly patients may cause a decline in cognitive capacity; therefore, they must be used with caution. Objective We aimed to identify the prescription patterns for anticholinergic drugs ...
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