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[PMID]:27770800
[Au] Autor:Hongisto MT; Nuotio M; Luukkaala T; Väistö O; Pihlajamäki HK
[Ad] Endereço:Department of Orthopedics and Traumatology, Seinäjoki Central Hospital, Hanneksenrinne 7, Seinäjoki, 60220, Finland. markus.hongisto@uta.fi.
[Ti] Título:Does cognitive/physical screening in an outpatient setting predict institutionalization after hip fracture?
[So] Source:BMC Musculoskelet Disord;17(1):444, 2016 10 22.
[Is] ISSN:1471-2474
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Institutionalization after hip fracture is a socio-economical burden. We examined the predictive value of Instrumental Activities of Daily Living (IADL) and Mini Mental State Examination (MMSE) for institutionalization after hip fracture to identify patients at risk for institutionalization. METHODS: Fragility hip fracture patients ≥65 years of age (n = 584) were comprehensively examined at a geriatric outpatient clinic 4 to 6 months after surgery and followed 1 year postoperatively. A telephone interview with a structured inquiry was performed at 1, 4, and 12 months after hip fracture. RESULTS: Age-adjusted univariate logistic regression analysis revealed that IADL and MMSE scores measured at the outpatient clinic were significantly associated with living arrangements 1 year after hip fracture. Multivariate logistic regression analysis established that institutionalization 1 year after hip fracture was significantly predicted by institutionalization at 4 months (odds ratio [OR] 16.26, 95 % confidence interval [CI] 7.37-35.86), IADL <5 (OR 12.96, 95 % CI 1.62-103.9), and MMSE <20 (OR 4.19, 95 % CI 1.82-9.66). A cut-off value of 5 was established for IADL with 100 % (95 % CI 96 %-100 %) sensitivity and 38 % (95 % CI 33 %-43 %) specificity and for MMSE, a cut-off value of 20 had 83 % (95 % CI 74 %-91 %) sensitivity and 65 % (95 % CI 60 %-70 %) specificity for institutionalization. During the time period from 4 to 12 months, 66 (11 %) patients changed living arrangements, and 36 (55 %) of these patients required more supportive accommodations. CONCLUSION: IADL and MMSE scores obtained 4 to 6 months after hospital discharge may be applicable for predicting institutionalization among fragility hip fracture patients ≥65 years of age at 1 year after hip fracture. An IADL score of ≥5 predicted the ability to remain in the community. Changes in living arrangements also often occur after 4 months.
[Mh] Termos MeSH primário: Assistência Integral à Saúde/métodos
Avaliação Geriátrica/métodos
Serviços de Saúde para Idosos
Fraturas do Quadril/terapia
Institucionalização
Testes Neuropsicológicos
Exame Físico
[Mh] Termos MeSH secundário: Acidentes por Quedas
Atividades Cotidianas
Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Assistência Ambulatorial/métodos
Cognição
Feminino
Fraturas do Quadril/economia
Instituição de Longa Permanência para Idosos
Seres Humanos
Masculino
Estudos Prospectivos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171209
[Lr] Data última revisão:
171209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:28493946
[Au] Autor:Jerez-Roig J; de Brito Macedo Ferreira LM; Torres de Araújo JR; Costa Lima K
[Ad] Endereço:Postgraduate Program in Collective Health, Odontology Department, Federal University of Rio Grande do Norte (UFRN), Avenida Salgado Filho 1787, Lagoa Nova, Natal-RN, Brazil.
[Ti] Título:Functional decline in nursing home residents: A prognostic study.
[So] Source:PLoS One;12(5):e0177353, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AIM: To verify the probability of maintaining functional capacity in basic activities of daily living and identify the prognostic factors of functional decline in institutionalized older adults. METHODS: A longitudinal study is presented herein, with 5 waves every 6 months, throughout 2 years (2013-2015), conducted with individuals ≥60 years old in 10 nursing homes in the city of Natal-RN (Brazil). Functional capacity was assessed by the items 'eating', 'personal hygiene', 'dressing', 'bathing', 'transferring', 'toileting' and 'walking', through a 5-item Likert scale. Sociodemographic, institution-related and health-related variables were considered to establish the baseline. Time dependent variables included continence decline, cognitive decline, increase in the number of medication, and incidences of falls, hospitalizations and fractures. The actuarial method, the log-rank test and Cox's regression were applied as statistical methods. RESULTS: The cumulative probability of functional maintenance was 78.2% (CI 95%: 72.8-82.7%), 65.1% (CI 95%: 58.9-70.5%), 53.5% (CI 95%: 47.2-59.5%) and 44.0% (CI 95%: 37.7-50.2%) at 6, 12, 18 and 24 months, respectively. Predicting factors for functional decline were: severe cognitive impairment (HR = 1.96; p = 0.001), continence decline (HR = 1.85; p = 0.002) and incidence of hospitalizations (HR = 1.62; p = 0.020), adjusted by the incidence of depression, age, education level, presence of chronic diseases and low weight. CONCLUSIONS: The cumulative probability of maintaining functional capacity in institutionalized older adults was only 44% at the 2-year follow-up. Prognostic factors for functional decline included severe cognitive impairment, continence decline and incidence of hospitalizations.
[Mh] Termos MeSH primário: Atividades Cotidianas
Casas de Saúde
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Institucionalização/estatística & dados numéricos
Masculino
Modelos Teóricos
Casas de Saúde/estatística & dados numéricos
Probabilidade
Prognóstico
Taxa de Sobrevida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170512
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0177353


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[PMID]:28427396
[Au] Autor:Auer S; Linsmayer E; Beránková A; Pascher P; Firlinger B; Prischl D; Ratajczak P; Span E; Holmerova I
[Ad] Endereço:Department for Clinical Neuroscience and Preventive Medicine, Danube University Krems, Dr.-Karl-Dorrek-Straße 30, 3500, Krems, Austria. Stefanie.Auer@mas.or.at.
[Ti] Título:DEMDATA: The Austrian-Czech institutional long term care project - design and protocol of a two-centre cross sectional study.
[So] Source:BMC Health Serv Res;17(1):296, 2017 Apr 20.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The organization of long-term care is one of the main challenges of public health and health policies in Europe and worldwide, especially in terms of care concepts for people with dementia. In Austria and the Czech Republic the majority of elderly institutionalized persons with dementia are cared for in nursing homes. It is however unclear, how many persons living in nursing homes in Austria and in the Czech Republic are suffering from cognitive impairment and dementia. In addition, basic information on the nutritional status, the status of mobility and the medication prescription patterns are often missing. To facilitate new effective and evidenced based care concepts, basic epidemiological data are in urgent need. Thus, DEMDATA was initiated to provide important basic data on persons living in nursing homes in Austria and the Czech Republic for future care planning. METHODS: DEMDATA is a multicentre mixed methods cross-sectional study. Stratified and randomly drawn nursing homes in Austria and the Czech Republic are surveyed. The study protocol used in both study centres assesses four different domains: a) Resident, b) Care team, c) Relative and d) Environmental Factors. Resident's data include among others health status, cognition, dementia, mobility, nutrition, behavioural symptoms, pain intensity and quality of life. A minimum of 500 residents per country are included into the study (N = 1000 residents). The care team is asked about the use of the person-centred care and their burden. The relatives are asked about the number of visits and proxy-rate the quality of life of their family member. All staff employed in the nursing homes, all residents and relatives can voluntary take part in the study. The environmental factors include among others the organisational category of the nursing home, number of residents, number of rooms, social activities and the care concept. The project started in March 2016 and will be concluded in February 2018. DISCUSSION: DEMDATA will provide important epidemiological data on four different nursing home domains in Austria and the Czech Republic, with a focus on the prevalence of dementia in this population. Thereby supplying decision and policy makers with important foundation for future care planning.
[Mh] Termos MeSH primário: Demência/terapia
Assistência de Longa Duração/organização & administração
[Mh] Termos MeSH secundário: Idoso
Áustria/epidemiologia
Sintomas Comportamentais/psicologia
Sintomas Comportamentais/terapia
Transtornos Cognitivos/psicologia
Transtornos Cognitivos/terapia
Estudos Transversais
República Tcheca/epidemiologia
Demência/epidemiologia
Demência/psicologia
Família/psicologia
Feminino
Instituição de Longa Permanência para Idosos/estatística & dados numéricos
Seres Humanos
Institucionalização
Masculino
Casas de Saúde/estatística & dados numéricos
Assistência Centrada no Paciente
Médicos/estatística & dados numéricos
Qualidade de Vida
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-017-2244-x


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[PMID]:28407199
[Au] Autor:Shields L; Henderson V; Caslake R
[Ad] Endereço:Department of Medicine for the Elderly, Aberdeen Royal Infirmary, Aberdeen, UK.
[Ti] Título:Comprehensive Geriatric Assessment for Prevention of Delirium After Hip Fracture: A Systematic Review of Randomized Controlled Trials.
[So] Source:J Am Geriatr Soc;65(7):1559-1565, 2017 Jul.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To assess the efficacy of comprehensive geriatric assessment (CGA) in prevention of delirium after hip fracture. DESIGN: Systematic review and metaanalysis. SETTING: Ward based models on geriatrics wards and visiting team based models on orthopaedics wards were included. PARTICIPANTS: Four trials (three European, one U.S.; 973 participants) were identified. Two assessed ward-based, and two assessed team-based interventions. MEASUREMENTS: MEDLINE, EMBASE, CINAHL and PsycINFO databases; Clinicaltrials.gov; and the Central Register of Controlled Trials were searched. Reference lists from full-text articles were reviewed. Incidence of delirium was the primary outcome. Length of stay, delirium severity, institutionalization, long-term cognition and mortality were predefined secondary outcomes. Duration of delirium was included as a post hoc outcome. RESULTS: There was a significant reduction in delirium overall (relative risk (RR) = 0.81, 95% confidence interval (CI) = 0.69-0.94) in the intervention group. Post hoc subgroup analysis found this effect to be preserved in the team-based intervention group (RR = 0.77, 95% CI = 0.61-0.98) but not the ward-based group. No significant effect was observed on any secondary outcome. CONCLUSION: There was a reduction in the incidence of delirium after hip fracture with CGA. This is in keeping with results of non-randomized controlled trials and trials in other populations. Team-based interventions appeared superior in contrast to the Ellis CGA paper, but it is likely that heterogeneity in interventions and population studied affected this.
[Mh] Termos MeSH primário: Delírio/prevenção & controle
Avaliação Geriátrica/métodos
Fraturas do Quadril/cirurgia
Ensaios Clínicos Controlados Aleatórios como Assunto
[Mh] Termos MeSH secundário: Idoso
Fraturas do Quadril/psicologia
Seres Humanos
Institucionalização
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170414
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.14846


  5 / 5048 MEDLINE  
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[PMID]:28177060
[Au] Autor:Sampaio NM; Oliveira MC; Ortega AO; Santos LB; Alves TD
[Ad] Endereço:Universidade Estadual de Feira de Santana - UEFS - Feira de Santana (BA), Brazil.
[Ti] Título:Temporomandibular disorders in elderly individuals: the influence of institutionalization and sociodemographic factors.
[So] Source:Codas;29(2):e20160114, 2017 Feb 06.
[Is] ISSN:2317-1782
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Purpose: The aim of this study was to determine the factors associated with temporomandibular disorders (TMD) in the non-institutionalized and institutionalized elderly population of Feira de Santana, Bahia, Brazil. Methods: A cross-sectional study was carried out in 307 subjects over 60 years old of both genders, where 80 are institutionalized and 227 are non-institutionalized. The evaluation of TMD signs and symptoms was performed using the Fonseca Anamnestic Index (IAF) as to sociodemographic, systemic and otological factors. The results were analyzed by correlating the study factors and the prevalence of TMD. A 95% confidence interval (CI) and a 5% significance level were established for all the tests used. Results: The results showed that 50.5% of the subjects presented some degree of TMD. The prevalence of TMD was 49.8% among non-institutionalized elderly individuals and of 52.5% among institutionalized individuals. Variation in the prevalence of TMD, with statistical significance according to gender, age, income, tinnitus, dizziness, and depression was observed. Conclusion: The prevalence of TMD was significant among the elderly population. There was no statistically significant difference between the prevalence of TMD in institutionalized and non-institutionalized individuals. Identifying TMD in the elderly population may be difficult because the symptoms of these disorders are similar to symptoms commonly presented in some systemic disorders associated with aging.
[Mh] Termos MeSH primário: Institucionalização/estatística & dados numéricos
Transtornos da Articulação Temporomandibular/epidemiologia
[Mh] Termos MeSH secundário: Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Brasil/epidemiologia
Estudos Transversais
Depressão
Feminino
Seres Humanos
Masculino
Meia-Idade
Prevalência
Fatores Sexuais
Transtornos da Articulação Temporomandibular/diagnóstico
Zumbido
Vertigem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170706
[Lr] Data última revisão:
170706
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170209
[St] Status:MEDLINE


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[PMID]:28116912
[Au] Autor:Kergoat H; Law C; Chriqui E; Leclerc BS; Kergoat MJ
[Ad] Endereço:1 École d'optométrie, Université de Montréal, Montreal, Quebec, Canada.
[Ti] Título:Tool for Screening Visual Acuity in Older Individuals With Dementia.
[So] Source:Am J Alzheimers Dis Other Demen;32(2):96-100, 2017 Mar.
[Is] ISSN:1938-2731
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Rationale/Objective: To develop a screening and referral algorithm tool to help identify which older institutionalized individuals with dementia need an eye examination. METHODS: The visual acuity (VA) screening test was developed on an iPad retina display. Three optotypes were used (letters, numbers, and tumbling E's) to determine whether one works best with dementia. The screening VA results and algorithm decision were validated against those obtained by an optometrist performing a complete eye examination. RESULTS: Of the 150 participants, 14.7% did not respond to any optotype, while 85.3% responded to letters, 84.0% to numbers, and 66.0% to tumbling E's. The VA achieved was superior for letters. The concordance for the screening versus eye examination was >80% for VA and 90% for the algorithm. CONCLUSION: The results indicate that the tool was successful at identifying older individuals with dementia needing an eye examination.
[Mh] Termos MeSH primário: Demência
Transtornos da Visão/diagnóstico
Testes Visuais/métodos
Acuidade Visual/fisiologia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Comorbidade
Demência/epidemiologia
Feminino
Seres Humanos
Institucionalização
Masculino
Transtornos da Visão/epidemiologia
Testes Visuais/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE
[do] DOI:10.1177/1533317517689877


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[PMID]:27914303
[Au] Autor:Nasser K; Sachs D; Sa'ar A
[Ad] Endereço:Department of Occupational Therapy, University of Haifa, Haifa, Israel. Electronic address: kareemnas@mli.org.il.
[Ti] Título:A necessary evil: Residential placement of people with intellectual disability among the Palestinian minority in Israel.
[So] Source:Res Dev Disabil;60:115-124, 2017 Jan.
[Is] ISSN:1873-3379
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Among the Palestinian minority in Israel, residential placement of people with intellectual disabilities [ID] is relatively new and steadily increasing, but poorly studied. A qualitative design was used to explore the process of residential placement decision by 18 parents of people with ID through semi-structured interviews. Sampling was purposive and data was analyzed thematically. Four main themes emerged representing parents' perceptions and experiences along the placement decision-making process, together indicating an experience of deeply 'conflicted parenting': (a) initial resistance to placement and its perception as abandonment and parental failure; (b) attrition following cumulative difficulties and lack of assistance; (c) resignation and reframing of placement as a necessary evil; (d) relief mixed with guilt, pain, and ambivalence following placement. Residential placement process proved to be linked primarily to lack of resources and of accessible culturally-competent services within the community. Parents' experience and behavior along the placement decision process reflect relentless efforts to practice "good parenting". This concept is culturally specific and in the present case entails commitment to consider the individual child's wellbeing together with the family's as a whole. Implications for practice are suggested.
[Mh] Termos MeSH primário: Árabes
Assistência à Saúde Culturalmente Competente
Tomada de Decisões
Acesso aos Serviços de Saúde
Institucionalização
Deficiência Intelectual
Pais
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Serviços de Saúde Comunitária
Feminino
Seres Humanos
Israel
Masculino
Meia-Idade
Grupos Minoritários
Poder Familiar
Percepção
Pesquisa Qualitativa
Instituições Residenciais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170608
[Lr] Data última revisão:
170608
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161204
[St] Status:MEDLINE


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[PMID]:27756499
[Au] Autor:Blasi F; Akova M; Bonanni P; Dartois N; Sauty E; Webber C; Torres A
[Ad] Endereço:Department of Pathophysiology and Transplantation, Università degli Studi di Milano, IRCCS Fondazione Cà Granda Ospedale Maggiore Policlinico, Milan, Italy. Electronic address: francesco.blasi@unimi.it.
[Ti] Título:Community-acquired pneumonia in adults: Highlighting missed opportunities for vaccination.
[So] Source:Eur J Intern Med;37:13-18, 2017 Jan.
[Is] ISSN:1879-0828
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Pneumococcal pneumonia remains a clear unmet medical need for adults worldwide. Despite advances in vaccine technology, vaccination coverage remains low, putting many people at risk of significant morbidity and mortality. The herd effect seen with paediatric vaccination is not enough to protect all older and vulnerable people in the community, and more needs to be done to increase the uptake of pneumococcal vaccination in adults. Several key groups are at increased risk of contracting pneumococcal pneumonia, and eligible patients are being missed in clinical practice. At present, community-acquired pneumonia costs over €10 billion annually in Europe alone. Pneumococcal conjugate vaccination could translate into preventing 200,000 cases of community-acquired pneumonia every year in Europe alone. This group calls on governments and decision makers to implement consistent age-based vaccination strategies, and for healthcare professionals in daily clinical practice to identify eligible patients who would benefit from vaccination strategies.
[Mh] Termos MeSH primário: Infecções Comunitárias Adquiridas/prevenção & controle
Seleção de Pacientes
Vacinas Pneumocócicas/uso terapêutico
Pneumonia Pneumocócica/prevenção & controle
[Mh] Termos MeSH secundário: Anemia Falciforme/epidemiologia
Asma/epidemiologia
Infecções Comunitárias Adquiridas/economia
Infecções Comunitárias Adquiridas/epidemiologia
Diabetes Mellitus/epidemiologia
Definição da Elegibilidade
Europa (Continente)
Custos de Cuidados de Saúde
Seres Humanos
Síndromes de Imunodeficiência/epidemiologia
Institucionalização/estatística & dados numéricos
Neoplasias/epidemiologia
Pneumonia Pneumocócica/economia
Pneumonia Pneumocócica/epidemiologia
Doença Pulmonar Obstrutiva Crônica/epidemiologia
Medição de Risco
Fumar/epidemiologia
Esplenectomia/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Pneumococcal Vaccines)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161021
[St] Status:MEDLINE


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[PMID]:27590442
[Au] Autor:Bogner HR; de Vries McClintock HF; Kurichi JE; Kwong PL; Xie D; Hennessy S; Streim JE; Stineman MG
[Ad] Endereço:Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA; Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address: hillary.bogner@uphs.upenn.
[Ti] Título:Patient Satisfaction and Prognosis for Functional Improvement and Deterioration, Institutionalization, and Death Among Medicare Beneficiaries Over 2 Years.
[So] Source:Arch Phys Med Rehabil;98(1):1-10, 2017 Jan.
[Is] ISSN:1532-821X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To examine how patient satisfaction with care coordination and quality and access to medical care influence functional improvement or deterioration (activity limitation stage transitions), institutionalization, or death among older adults. DESIGN: National representative sample with 2-year follow-up. SETTING: Medicare Current Beneficiary Survey from calendar years 2001 to 2008. PARTICIPANTS: Community-dwelling adults (N=23,470) aged ≥65 years followed for 2 years. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: A multinomial logistic regression model taking into account the complex survey design was used to examine the association between patient satisfaction with care coordination and quality and patient satisfaction with access to medical care and activities of daily living (ADL) stage transitions, institutionalization, or death after 2 years, adjusting for baseline socioeconomics and health-related characteristics. RESULTS: Out of 23,470 Medicare beneficiaries, 14,979 (63.8% weighted) remained stable in ADL stage, 2508 (10.7% weighted) improved, 3210 (13.3% weighted) deteriorated, 582 (2.5% weighted) were institutionalized, and 2281 (9.7% weighted) died. Beneficiaries who were in the top quartile of satisfaction with care coordination and quality were less likely to be institutionalized (adjusted relative risk ratio [RRR], .68; 95% confidence interval [CI], .54-.86). Beneficiaries who were in the top quartile of satisfaction with access to medical care were less likely to functionally deteriorate (adjusted RRR, .87; 95% CI, .79-.97), be institutionalized (adjusted RRR, .72; 95% CI, .56-.92), or die (adjusted RRR, .86; 95% CI, .75-.98). CONCLUSIONS: Knowledge of patient satisfaction with medical care and risk of functional deterioration may be helpful for monitoring and addressing disability-related health care disparities and the effect of ongoing policy changes among Medicare beneficiaries.
[Mh] Termos MeSH primário: Atividades Cotidianas
Procedimentos Clínicos
Acesso aos Serviços de Saúde
Satisfação do Paciente/estatística & dados numéricos
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Morte
Feminino
Seguimentos
Seres Humanos
Vida Independente
Institucionalização/estatística & dados numéricos
Masculino
Medicare
Prognóstico
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:160904
[St] Status:MEDLINE


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[PMID]:27432811
[Au] Autor:Wood W; Lampe JL; Logan CA; Metcalfe AR; Hoesly BE
[Ti] Título:The Lived Environment Life Quality Model for institutionalized people with dementia.
[So] Source:Can J Occup Ther;84(1):22-33, 2017 Feb.
[Is] ISSN:1911-9828
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There is a need for a conceptual practice model that explicates ecological complexities involved in using occupation to optimize the quality of life of institutionalized people with dementia. PURPOSE: This study aimed to prepare the Lived Environment Life Quality Model, a dementia-specific conceptual practice model of occupational therapy in institutional facilities, for publication and application to practice. METHOD: Interviews and focus groups with six expert occupational therapists were subjected to qualitative content analysis to confirm, disconfirm, and further develop the model. FINDINGS: The model's lived-environment domain as the focus of assessment and intervention was extensively confirmed, and its quality-of-life domain as the focus of intervention goals and outcomes was both confirmed and further developed. IMPLICATIONS: As confirmed in this study, the Lived Environment Life Quality Model is a client-centred, ecologically valid, and occupation-focused guide to optimizing quality of life of institutionalized adults with dementia in present moments and progressively over time.
[Mh] Termos MeSH primário: Demência/reabilitação
Institucionalização
Casas de Saúde
Terapia Ocupacional
Qualidade de Vida
[Mh] Termos MeSH secundário: Atividades Cotidianas
Meio Ambiente
Grupos Focais
Seres Humanos
Modelos Teóricos
Assistência Centrada no Paciente
Pesquisa Qualitativa
Meio Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160720
[St] Status:MEDLINE
[do] DOI:10.1177/0008417416656207



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