Journal of the American Geriatrics Society
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To compare the FRAIL-NH scale with the Frailty Index in assessing frailty in residential aged care facilities. ⋯ The FRAIL-NH scale is a simple and practical method to screen for frailty in residential aged care facilities.
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Observational Study
Effect of a Home-Based Palliative Care Program on Healthcare Use and Costs.
To evaluate the nonclinical outcomes of a proactive palliative care program funded and operated by a health system for Medicare Advantage plan beneficiaries. ⋯ In the context of an alternative payment model in which the provider was "at risk" of bearing the costs of care, a proactive PC program helped to avoid the escalation in hospital use and costs commonly seen in the final months of life.
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To evaluate how receipt and timing of nursing home (NH) palliative care consultations (primarily by nurse practitioners with palliative care expertise) are associated with end-of-life care transitions and acute care use DESIGN: Propensity score-matched retrospective cohort study. ⋯ Palliative care consultations improve end-of-life NH care by reducing acute care use and potentially burdensome care transitions.
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Observational Study
A Simple Tool to Predict Development of Delirium After Elective Surgery.
To identify a quick clinical tool to assess the risk of delirium after elective surgery. ⋯ In this sample of veterans who had elective surgery with major anesthesia, Mini-Cog score predicted likelihood of postoperative delirium.
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To investigate factors associated with place of death of individuals in the Mount Sinai Visiting Doctors Program (MSVD). ⋯ Home-based primary and palliative care results in a high likelihood of nonhospital death, although certain demographic characteristics are strong predictors of death in the hospital. For MSVD participants, home visits in the last month of life were not associated with death outside the hospital.