Journal of the American Medical Directors Association
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Comparative Study
International variation in place of death of older people who died from dementia in 14 European and non-European countries.
The objective of this study was to examine variation in place of death of older people dying from dementia in countries across 4 continents. ⋯ Place of death of older people who died from a dementia-related disease differs substantially between countries, which might point to organizational differences in end-of-life care provision. Increasing the availability of long-term care beds might be important to reduce the number of hospital deaths, while focusing specialized end-of-life care services on married people or those aged 65 to 79 might be crucial for achieving home death. However, proper end-of-life care needs to be ensured in hospitals, should this be the most appropriate end-of-life care setting.
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Comparative Study
Differential association of frailty with cognitive decline and sarcopenia in community-dwelling older adults.
Frailty in older adults is a serious problem because of various adverse health outcomes in many countries with aging populations, such as Japan. The purpose of this study was to determine whether frailty and pre-frailty are associated with cognitive decline and sarcopenia in community-dwelling older adults. ⋯ Sarcopenia was associated with pre-frailty and frailty, whereas cognitive decline was associated only with frailty.