Prevalence and Risk Factors of Dehydration Among Nursing Home Residents: A Systematic Review

Effects of antibiotic stewardship program (ASP) interventions to optimize antibiotic use for infections in nursing home (NH) residents remain unclear. The aim of this systematic review and meta-analysis was to assess ASPs in NHs and their effects on antibiotic use, multi-drug-resistant organisms, antibiotic prescribing practices, and resident mortality. Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we conducted a systematic review and meta-analysis using five databases (1988–2020). Nineteen articles were included, 10 met the criteria for quantitative synthesis. Inappropriate antibiotic use decreased following ASP intervention in eight studies with a pooled decrease of 13.8% (95% confidence interval [CI]: [4.7, 23.0]; Cochran’s Q = 166,837.8, p < .001, I2 = 99.9%) across studies. Decrease in inappropriate antibiotic use was highest in studies that examined antibiotic use for urinary tract infection (UTI). Education and antibiotic stewardship algorithms for UTI were the most effective interventions. Evidence surrounding ASPs in NH is weak, with recommendations suited for UTIs.

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Systematic Review: Health-Related Characteristics of Elderly Hospitalized Adults and Nursing Home Residents Associated with Short-Term Mortality

Journal of the American Geriatrics Society ◽

10.1111/jgs.12273 ◽

2013 ◽

Vol 61 (6) ◽

pp. 902-911 ◽

Cited By ~ 47

Author(s):

John M. Thomas ◽

Leo M. Cooney ◽

Terri R. Fried

Keyword(s):

Systematic Review ◽

Nursing Home ◽

Nursing Home Residents ◽

Short Term ◽

Short Term Mortality ◽

Health Related

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Advanced cognitive impairment among older nursing home residents

BMC Geriatrics ◽

10.1186/s12877-021-02336-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tadeja Gracner ◽

Patricia W. Stone ◽

Mansi Agarwal ◽

Mark Sorbero ◽

Susan L Mitchell ◽

...

Keyword(s):

Risk Factors ◽

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Nursing Home ◽

Cognitive Impairment ◽

Mortality Risk ◽

Advanced Disease ◽

Nursing Home Residents ◽

Functional Score ◽

Data Set

Abstract Background Though work has been done studying nursing home (NH) residents with either advanced Alzheimer’s disease (AD) or Alzheimer’s disease related dementia (ADRD), none have distinguished between them; even though their clinical features affecting survival are different. In this study, we compared mortality risk factors and survival between NH residents with advanced AD and those with advanced ADRD. Methods This is a retrospective observational study, in which we examined a sample of 34,493 U.S. NH residents aged 65 and over in the Minimum Data Set (2011–2013). Incident assessment of advanced disease was defined as the first MDS assessment with severe cognitive impairment (Cognitive Functional Score equals to 4) and diagnoses of AD or ADRD. Demographics, functional limitations, and comorbidities were evaluated as mortality risk factors using Cox models. Survival was characterized with Kaplan-Maier functions. Results Of those with advanced cognitive impairment, 35 % had AD and 65 % ADRD. At the incident assessment of advanced disease, those with AD had better health compared to those with ADRD. Mortality risk factors were similar between groups (shortness of breath, difficulties eating, substantial weight-loss, diabetes mellitus, heart failure, chronic obstructive pulmonary disease, and pneumonia; all p < 0.01). However, stroke and difficulty with transfer (for women) were significant mortality risk factors only for those with advanced AD. Urinary tract infection, and hypertension (for women) only were mortality risk factors for those with advanced ADRD. Median survival was significantly shorter for the advanced ADRD group (194 days) compared to the advanced AD group (300 days). Conclusions There were distinct mortality and survival patterns of NH residents with advanced AD and ADRD. This may help with care planning decisions regarding therapeutic and palliative care.

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The occurrence and risk factors of constipation in inpatient palliative care unit patients vs. nursing home residents

Gastroenterology Review ◽

10.5114/pg.2018.79809 ◽

2018 ◽

Vol 13 (4) ◽

pp. 299-304

Author(s):

Tomasz Dzierżanowski ◽

Aleksandra Ciałkowska-Rysz

Keyword(s):

Risk Factors ◽

Palliative Care ◽

Nursing Home ◽

Nursing Home Residents ◽

Palliative Care Unit

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Risk Factors for Adverse Drug Events Among Nursing Home Residents

Archives of Internal Medicine ◽

10.1001/archinte.161.13.1629 ◽

2001 ◽

Vol 161 (13) ◽

pp. 1629 ◽

Cited By ~ 238

Author(s):

Terry S. Field ◽

Jerry H. Gurwitz ◽

Jerry Avorn ◽

Danny McCormick ◽

Shailavi Jain ◽

...

Keyword(s):

Risk Factors ◽

Nursing Home ◽

Adverse Drug Events ◽

Nursing Home Residents

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Technology-based interventions for nursing home residents: a systematic review protocol

BMJ Open ◽

10.1136/bmjopen-2021-056142 ◽

2021 ◽

Vol 11 (12) ◽

pp. e056142

Author(s):

Zhaohui Su ◽

Kylie Meyer ◽

Yue Li ◽

Dean McDonnell ◽

Nitha Mathew Joseph ◽

...

Keyword(s):

Systematic Review ◽

Nursing Home ◽

Digital Health ◽

Nursing Home Residents ◽

Cochrane Collaboration ◽

Included Study ◽

Evaluation Framework ◽

Nursing Facilities ◽

Eligibility Criteria ◽

The Impact

IntroductionA growing number of technology-based interventions are used to support the health and quality of life of nursing home residents. The onset of COVID-19 and recommended social distancing policies that followed led to an increased interest in technology-based solutions to provide healthcare and promote health. Yet, there are no comprehensive resources on technology-based healthcare solutions that describe their efficacy for nursing home residents. This systematic review will identify technology-based interventions designed for nursing home residents and describe the characteristics and effects of these interventions concerning the distinctive traits of nursing home residents and nursing facilities. Additionally, this paper will present practical insights into the varying intervention approaches that can assist in the delivery of broad digital health solutions for nursing home residents amid and beyond the impact of COVID-19.Methods and analysisDatabases including the PubMed, PsycINFO, CINAHL and Scopus will be used to identify articles related to technology-based interventions for nursing home residents published between 1 January 2010 to 30 September 2021. Titles, abstracts and full-text papers will be reviewed against the eligibility criteria. The Cochrane Collaboration evaluation framework will be adopted to examine the risk of bias of the included study. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedures will be followed for the reporting process and implications for existing interventions and research evaluated by a multidisciplinary research team.Ethics and disseminationAs the study is a protocol for a systematic review, ethical approval is not required. The study findings will be disseminated via peer-reviewed publications and conference presentations.Trial registration numberCRD 42020191880.

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