Pond, Constance D., Brodaty, Henry, Stocks, Nigel P., Gunn, Jane, Marley, John, Disler, Peter, Magin, Parker, Paterson, Nerida, Horton, Graeme, Goode, Susan, Paine, Bronwen, Mate, Karen E.

Background: Dementia is increasing in prevalence as the population ages. An earlier rather than later diagnosis allows persons with dementia and their families to plan ahead and access appropriate management. However, most diagnoses are made by general practitioners (GPs) later in the course of the disease and are associated with management that is poorly adherent […]

Dobbs, Debra, Meng, Hongdao, Hyer, Kathyrn, Volicer, Ladi

Objective: This study examined the impact of hospice enrollment on the probabilities of hospital and nursing home admissions among a sample of frail dual-eligible assisted living (AL) residents.; Design: The study used a retrospective cohort design. We estimated bivariate probit models with 2 binary outcome variables: any hospital admissions and any nursing home admissions after […]

Chong, Mei Sian, Empensando, Esmiller F., Ding, Yew Yoong, Tan, Thai Lian

Introduction: The subacute care unit in Tan Tock Seng Hospital (TTSH) was set up in May 2009. We examined its impact on the transitions at the nexus between hospital and community sectors, patients’ discharge destination and functional performance.; Materials and Methods: We studied patients admitted during the initial 6-month period (May to October 2009). Differences […]

Faes, Miriam C., Reelick, Miriam F., Melis, René J., Borm, George F., Esselink, Rianne A., Rikkert, Marcel G. Olde

Objective: To assess whether a multifactorial fall prevention program was more effective than usual geriatric care in preventing falls and reducing fear of falling in frail community-dwelling older fallers, with and without cognitive impairment, and in alleviating subjective caregiver burden in caregivers.; Design, Setting, and Participants: A randomized, 2 parallel-group, single-blind, multicenter trial conducted in […]

Pitkälä, Kaisu H., Raivio, Minna M., Laakkonen, Marja-Liisa, Tilvis, Reijo S., Kautiainen, Hannu, Strandberg, Timo E.

Background: Besides cognitive decline, Alzheimer’s disease (AD) leads to physical disability, need for help and permanent institutional care. The trials investigating effects of exercise rehabilitation on physical functioning of home-dwelling older dementia patients are still scarce. The aim of this study is to investigate the effectiveness of intensive exercise rehabilitation lasting for one year on […]

Kersten, H., Molden, E., Tolo, I. K., Skovlund, E., Engedal, K., Wyller, T. B.

Background: Observational studies report a relationship between anticholinergic drug scale (ADS) score and cognitive function. This study investigated whether a reduced ADS score improved cognitive function in a frail elderly population.; Methods: This randomized, controlled, single-blinded trial, recruited long-term residents with an ADS score of greater than or equal to 3 from 22 nursing homes […]