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JAMDA
May 7, 2015

Many publications among geriatric and gerontological literature in recent years have focused on various aspects of frailty, covering definitions, screening, prediction of adverse outcomes, and the incorporation of frailty assessment to guide clinical practice. There is no doubt that the concept of frailty as an entity has taken a firm root in primary as well as secondary care, and is seen to have relevance to clinical management.1–3 However, there is still debate on the best tools to use in the detection of frailty in a clinical setting.

JAMDA
May 7, 2015

Aging is characterized by rising susceptibility to development of multiple chronic diseases and, therefore, represents the major risk factor for multimorbidity. From a gerontological perspective, the progressive accumulation of multiple diseases, which significantly accelerates at older ages, is a milestone for progressive loss of resilience and age-related multisystem homeostatic dysregulation. Because it is most likely that the same mechanisms that drive aging also drive multiple age-related chronic diseases, addressing those mechanisms may reduce the development of multimorbidity.

JAMDA
May 5, 2015

Easily employed measures of frailty are needed in the evaluation of elderly people. Recently, a frailty index (FI) based on deficits in commonly used laboratory tests (the FI-LAB) has been proposed. To address the usefulness of the FI-LAB in long-term care (LTC) settings, we studied institutionalized participants in the Canadian Study of Health and Aging first clinical examination database. Our objectives were to compare the FI-LAB with a clinical FI LTC (FI-Clinical-LTC) focused on common health deficits seen in LTC and to assay its relationship with mortality.

JAMDA
May 3, 2015

To characterize outcomes of patients experiencing a fall and subsequent hip fracture while in a nursing home receiving skilled nursing facility (SNF) services.

JAMDA
May 1, 2015

The majority of scales to measure family member distress in dementia are designed for community settings and do not capture the unique burdens of the nursing home (NH) environment. We report the psychometric properties of a new Family Distress in Advanced Dementia Scale for use in the NH setting.

JAMDA
May 1, 2015

Fortes et al1 remind us that clinical assessment of volume status can be difficult, especially in the elderly. In an attempt to facilitate this determination, the authors studied several markers of hydration in hospitalized elderly people and found that salivary osmolality performed the best. They also concluded that with the exception of a low systolic blood pressure, “physical signs…provide little help to the physician making an initial hydration assessment.”1 The study is provocative, but I believe that its methodology and conclusions are flawed.

JAMDA
May 1, 2015

The Korean elderly population is rapidly increasing; currently, approximately 13.4% of the population is 65 years or older,1 and this proportion is expected to reach 37.0% by 2050, which will give Korea the second-highest elderly population proportion among Organisation for Economic Co-operation and Development countries, after Japan.2

Clinical Alerts
April 30, 2015

Background: 

On August 13, 2014, the Advisory Committee on Immunization Practices (ACIP) met and approved changes to their recommendations for pneumococcal vaccination. Of note, the ACIP now recommends the routine use of 13-valent pneumococcal conjugate vaccine (PCV 13) in adults ≥ 65 years of age in addition to the 23-valent pneumococcal polysaccharide vaccine (PPV23).1

AMDA - The Society for Post-Acute and Long-Term Care Medicine has received a number of inquiries regarding questions of policy coverage owing to the complexity of the...

JAMDA
April 28, 2015

The concept of vascular lesions in the brain leading to cognitive dysfunction was first shown by Otto Binswagner in 1894.1 Little attention was paid to these asymptomatic vascular lesions until 1986 when both Hachinski2,3 and Awad4,5 separately noted subcortical lesions on brain scans and related these to vascular disease and impaired cognition. Hachinski was the first to use the term leukoaraiosis (“leuko” = white and “araios” = rarefied) indicating that these lesions resulted in reduced x-ray absorption in the white matter.

JAMDA
April 28, 2015

We examined possible associations between different red blood cell (RBC) transfusion strategies, overall quality of life (OQoL), and recovery of activities of daily living (ADL) in operated frail elderly hip fracture patients, and the possibility that OQoL was related to ADL recovery.