Journal of the American Geriatrics Society
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Multicenter Study Comparative Study
Association between proportion of provider clinical effort in nursing homes and potentially avoidable hospitalizations and medical costs of nursing home residents.
To assess potential avoidable hospitalizations of nursing home (NH) residents as a function of the percentage of clinical effort their primary care provider (PCP) devotes to NH practice. ⋯ The percentage of clinical effort that providers devote to NHs is associated with risk of avoidable hospitalization.
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Randomized Controlled Trial Comparative Study
Multitarget stepping program in combination with a standardized multicomponent exercise program can prevent falls in community-dwelling older adults: a randomized, controlled trial.
To investigate the effects of a twice-weekly multitarget stepping (MTS) task combined with a multicomponent exercise program on stepping accuracy, gaze behavior, fall risk factors, and fall rates. ⋯ Participants who performed MTS tests combined with a multicomponent exercise program showed greater improvements in stepping accuracy, gaze behavior, and physical performance in a virtually complex environment. Considering the less-frequent fall rate in the follow-up assessment, these improvements could contribute to preventing falls in community-dwelling older adults.
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Comparative Study
Preferences and actual treatment of older adults at the end of life. A mortality follow-back study.
To compare actual treatments with preferences for starting or forgoing treatment of older adults at the end of life. ⋯ Although concordance between preferred and actual treatment is high in older adults who prefer treatment and lower in people who prefer no treatment, making preferences for forgoing treatment known is useful because it increases the chance of treatments being forgone in those who wish so.
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Letter Case Reports
The coffee bean sign and sigmoid volvulus in an elderly adult.