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Health services research

Section edited by Koen Milisen

The section considers manuscripts on management of elderly healthcare, practitioner/nursing viewpoints, finance (from a health service perspective), intensive care, systems, emergency care, admissions data/management, prescribing practices/errors, decision making, care homes/facilities, technology.

Page 1 of 9

  1. Dementia is a serious and growing health problem, and since most people with dementia live at home, caring responsibilities generally fall on family members. Caregivers are often inadequately supported by form...

    Authors: Hui Shi, Chen Mao, Jinling Tang and Huiying Liang

    Citation: BMC Geriatrics 2020 20:20

    Content type: Research article

    Published on:

  2. Besides the importance of estimating the global economic impact of care for persons with dementia, there is an emerging need to identify the key factors associated with this cost. The aim of this study was to ...

    Authors: S. Vandepitte, L. Van Wilder, K. Putman, N. Van Den Noortgate, S. Verhaeghe, J. Trybou and L. Annemans

    Citation: BMC Geriatrics 2020 20:18

    Content type: Research article

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  3. Over the past decade, there has been significant growth in the awareness and understanding of fragility among orthopaedic surgeons in the context of osteoporotic fractures and with it, improvements in the reco...

    Authors: Mandy M. Archibald, Michael Lawless, Tiffany K. Gill and Mellick J. Chehade

    Citation: BMC Geriatrics 2020 20:17

    Content type: Research article

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  4. Informal caregivers (IC) of people with dementia (PwD) are at greater risk of developing physical and mental health problems when compared to the general population and to IC of people with other chronic disea...

    Authors: Soraia Teles, Ana Ferreira, Katrin Seeher, Stéfanie Fréel and Constança Paúl

    Citation: BMC Geriatrics 2020 20:10

    Content type: Study protocol

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  5. Regular inspection of the oral cavity is required for prevention, early diagnosis and risk reduction of oral- and general health-related problems. Assessments to inspect the oral cavity have been designed for ...

    Authors: Babette Everaars, Linet F. Weening-Verbree, Katarina Jerković-Ćosić, Linda Schoonmade, Nienke Bleijenberg, Niek J. de Wit and Geert J. M. G. van der Heijden

    Citation: BMC Geriatrics 2020 20:4

    Content type: Research article

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  6. Delirium is a frequent complication of hospital admission among older people. Multicomponent interventions which can reduce incident delirium by ≈one-third are recommended by the National Institute of Health a...

    Authors: Mary Godfrey, John Green, Jane Smith, Francine Cheater, Sharon K. Inouye, Keith Hurst and John Young

    Citation: BMC Geriatrics 2019 20:1

    Content type: Research article

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  7. Heart failure (HF) is a chronic condition with a variety of diverse symptoms. Patients with HF are usually elderly with multimorbidity, which are both multifaceted and challenging. Being a next of kin to patie...

    Authors: Malin Östman, Siv Bäck-Pettersson, Ann-Helén Sandvik and Annelie J. Sundler

    Citation: BMC Geriatrics 2019 19:375

    Content type: Research article

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  8. Little is known about the effects of continued antiplatelet therapy in patients who receive physician home visits. This study aimed to evaluate the association of survival with the continuation of antiplatelet...

    Authors: Yasuhiro Osugi, Teruo Ino, Daiki Kobayashi, Mitsunaga Iwata and Kanichi Asai

    Citation: BMC Geriatrics 2019 19:366

    Content type: Research article

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  9. 52% of all deaths in Norway occur in nursing homes. Still advance care planning (ACP) is scarce and heterogeneous. To improve the implementation and practice of ACP in nursing homes, knowledge about health car...

    Authors: Lisbeth Thoresen, Reidar Pedersen, Lillian Lillemoen, Elisabeth Gjerberg and Reidun Førde

    Citation: BMC Geriatrics 2019 19:363

    Content type: Research article

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  10. Patients with multimorbidity often receive diverse treatments; they are subjected to polypharmacy and to a high treatment burden. Hence it is advocated that doctors set individual health and treatment prioriti...

    Authors: Ulrike Junius-Walker, Tanja Schleef, Ulrike Vogelsang and Marie-Luise Dierks

    Citation: BMC Geriatrics 2019 19:362

    Content type: Research article

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  11. The demographic changes towards ageing of the populations in developed countries impose a challenge to trauma centres, as geriatric trauma patients require specific diagnostic and therapeutic procedures. This ...

    Authors: Lorenz Peterer, Christian Ossendorf, Kai Oliver Jensen, Georg Osterhoff, Ladislav Mica, Burkhardt Seifert, Clément M. L. Werner, Hans-Peter Simmen, Hans-Christoph Pape and Kai Sprengel

    Citation: BMC Geriatrics 2019 19:359

    Content type: Research article

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  12. Challenges of future dementia care include increasing shortage of qualified healthcare providers and decreasing potential of informal care by relatives. In order to meet those challenges, changes in dementia c...

    Authors: Johanna Forstner, Michel Wensing, Jan Koetsenruijter and Pamela Wronski

    Citation: BMC Geriatrics 2019 19:358

    Content type: Research article

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  13. We tested the feasibility of delivering and evaluating a complex therapy intervention which aimed to promote activity and independence for people with early dementia (PrAISED). Feasibility questions were on: r...

    Authors: Sarah E. Goldberg, Veronika van der Wardt, Andy Brand, Clare Burgon, Rupinder Bajwa, Zoe Hoare, Pip L. Logan and Rowan H. Harwood

    Citation: BMC Geriatrics 2019 19:353

    Content type: Research article

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  14. Today many older persons in ordinary housing receive home health care. It is stipulated that the care is to provide security; however, deficiencies in home health care are reported in many countries. It may be...

    Authors: Inger James, Margaretha Norell Pejner and Annica Kihlgren

    Citation: BMC Geriatrics 2019 19:351

    Content type: Research article

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  15. Unassisted falls are more likely to result in injury than assisted falls. However, little is known about risk factors for falling unassisted. Furthermore, rural hospitals, which care for a high proportion of o...

    Authors: Dawn M. Venema, Anne M. Skinner, Regina Nailon, Deborah Conley, Robin High and Katherine J. Jones

    Citation: BMC Geriatrics 2019 19:348

    Content type: Research article

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  16. In institutional care, oral liquid pharmaceutical products are widely prescribed for older patients, especially for those with swallowing disorders. As medicines acceptability is a key factor for compliance in...

    Authors: Emilie Belissa, Thibault Vallet, Sandra Laribe-Caget, Alain Chevallier, François-Xavier Chedhomme, Fattima Abdallah, Nathalie Bachalat, Sid-Ahmed Belbachir, Imad Boulaich, Vanessa Bloch, Anne Delahaye, Mathieu Depoisson, Amélie Dufaÿ Wojcicki, Stéphane Gibaud, Anne-Sophie Grancher, Caroline Guinot…

    Citation: BMC Geriatrics 2019 19:344

    Content type: Research article

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  17. Regarding the health care of older populations, WHO recommends shifting from disease-driven attention models towards a personalized, integrated and continuous care aimed to the maintenance and enhancement of f...

    Authors: Itziar Vergara, Maider Mateo-Abad, María Carmen Saucedo-Figueredo, Mónica Machón, Alonso Montiel-Luque, Kalliopi Vrotsou, María Antonia Nava del Val, Ana Díez-Ruiz, Carolina Güell, Ander Matheu, Antonio Bueno, Jazmina Núñez and Francisco Rivas-Ruiz

    Citation: BMC Geriatrics 2019 19:342

    Content type: Research article

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  18. Urinary tract infections (UTI) are among the most frequent bacterial infections in older adults. The aim of the study was to analyse the existence of differences in clinical features, microbiological data and ...

    Authors: Alex Smithson, Javier Ramos, Esther Niño, Alex Culla, Ubaldo Pertierra, Michele Friscia and Maria Teresa Bastida

    Citation: BMC Geriatrics 2019 19:334

    Content type: Research article

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  19. As populations are aging, a growing number of home care clients are frail and use multiple, complex medications. Combined with the lack of coordination of care this may pose uncontrolled polypharmacy and poten...

    Authors: Terhi Toivo, Marja Airaksinen, Maarit Dimitrow, Eeva Savela, Katariina Pelkonen, Valtteri Kiuru, Tuula Suominen, Mira Uunimäki, Sirkka-Liisa Kivelä, Saija Leikola and Juha Puustinen

    Citation: BMC Geriatrics 2019 19:332

    Content type: Research article

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  20. Collaborative medication review (CMR) practices for older adults are evolving in many countries. Development has been under way in Finland for over a decade, but no inventory of evolved practices has been cond...

    Authors: A. Kiiski, M. Airaksinen, A. Mäntylä, S. Desselle, A. Kumpusalo-Vauhkonen, T. Järvensivu and M. Pohjanoksa-Mäntylä

    Citation: BMC Geriatrics 2019 19:321

    Content type: Research article

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  21. Recent studies indicate inadequate nutritional care practices in healthcare institutions and identify several barriers to perform individualized nutritional care to older persons. Organisation of care can beco...

    Authors: Christine Hillestad Hestevik, Marianne Molin, Jonas Debesay, Astrid Bergland and Asta Bye

    Citation: BMC Geriatrics 2019 19:317

    Content type: Research article

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  22. Living with multiple chronic conditions (MCC), the coexistence of two or more chronic conditions, is becoming more prevalent as the population ages. Primary care and home care providers play key roles in carin...

    Authors: Jenny Ploeg, Marie-Lee Yous, Kimberly Fraser, Sinéad Dufour, Lisa Garland Baird, Sharon Kaasalainen, Carrie McAiney and Maureen Markle-Reid

    Citation: BMC Geriatrics 2019 19:316

    Content type: Research article

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  23. Global societal changes, such as increasing longevity and a shortage of family caregivers, have given rise to a popular worldwide trend of employing live-in migrant care workers (MCWs) to provide homecare for ...

    Authors: Ken H. M. HO, Vico C. L. CHIANG, Doris LEUNG and Daphne S. K. CHEUNG

    Citation: BMC Geriatrics 2019 19:314

    Content type: Research article

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  24. African American caregivers of community-residing persons with dementia are mostly unpaid and have high rates of unmet basic and health needs. The National Alzheimer’s Project Act (NAPA) mandates improved coor...

    Authors: Emily M. Abramsohn, Jessica Jerome, Kelsey Paradise, Tia Kostas, Wesley Alexandra Spacht and Stacy Tessler Lindau

    Citation: BMC Geriatrics 2019 19:311

    Content type: Research article

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  25. Elder abuse is a serious violation of human rights and a worldwide issue. Upon hospital admission, elderly patients become vulnerable and susceptible to abuse. Understanding the issues perceived as abuse by th...

    Authors: Zeinab Naderi, Sakineh Gholamzadeh, Ladan Zarshenas and Abbas Ebadi

    Citation: BMC Geriatrics 2019 19:307

    Content type: Research article

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  26. Proximal femoral fractures are strongly associated with morbidity and mortality in elderly patients. Mortality is highest among frail institutionalized elderly with both physical and cognitive comorbidities wh...

    Authors: Pieter Joosse, Sverre A. I. Loggers, C. L. P. (Marc) Van de Ree, Romke Van Balen, Jeroen Steens, Rutger G. Zuurmond, Taco Gosens, Sven H. Van Helden, Suzanne Polinder, Hanna C. Willems and Esther M. M. Van Lieshout

    Citation: BMC Geriatrics 2019 19:301

    Content type: Study protocol

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  27. The Community for Successful Ageing (ComSA) program has implemented overlapping BioPsychoSocial (BPS) components as part of a Community Development (CD) grassroots and volunteer-led initiative. Implementation ...

    Authors: Su Aw, Gerald C. H. Koh, Chuen Seng Tan, Mee Lian Wong, Hubertus J. M. Vrijhoef, Susana Concordo Harding, Mary Ann B. Geronimo and Zoe J. L. Hildon

    Citation: BMC Geriatrics 2019 19:263

    Content type: Research article

    Published on:

  28. Person-centered care is widely recognized as a gold standard and is based on a supportive psychosocial climate for both residents and staff in nursing homes. Residents and staff may have different perspectives...

    Authors: Yunxia Yang, Hui Li, Lily Dongxia XIAO, Wenhui Zhang, Menghan Xia and Hui Feng

    Citation: BMC Geriatrics 2019 19:292

    Content type: Research article

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  29. Although the interest of antibiotics is well known, antibiotics prescription is associated with side effect, especially in patients with multiples comorbidities. One way to reduce the incidence of side effects...

    Authors: Anthony Dylis, Anne Sophie Boureau, Audrey Coutant, Eric Batard, François Javaudin, Gilles Berrut, Laure de Decker and Guillaume Chapelet

    Citation: BMC Geriatrics 2019 19:291

    Content type: Research article

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  30. As the population ages, older hospitalized patients are at increased risk for hospital-acquired morbidity. The Mobilization of Vulnerable Elders (MOVE) program is an evidence-informed early mobilization interv...

    Authors: Jayna Holroyd-Leduc, Charmalee Harris, Jemila S. Hamid, Joycelyne E. Ewusie, Jacquelyn Quirk, Karen Osiowy, Julia E. Moore, Sobia Khan, Barbara Liu and Sharon E. Straus

    Citation: BMC Geriatrics 2019 19:288

    Content type: Research article

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  31. Over two-thirds of older Australians use different types/levels of aged care at some point in later life. Our aims were to estimate transitional probabilities and to identify risk factors influencing the movem...

    Authors: Md. Mijanur Rahman, Jimmy T. Efird and Julie E. Byles

    Citation: BMC Geriatrics 2019 19:286

    Content type: Research article

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  32. ‘Screening tool of older people’s prescriptions (STOPP) and screening tool to alert to right treatment (START)’ criteria is a useful tool to assess the appropriateness of medicines among older adults. However,...

    Authors: N. R. Samaranayake, A. Balasuriya, G. H. Fernando, D. Samaraweera, L. G. T. Shanika, J. K. P. Wanigasuriya, C. N. Wijekoon and C. A. Wanigatunge

    Citation: BMC Geriatrics 2019 19:282

    Content type: Research article

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  33. Falls and fall-related injuries exacerbate the health problems of older adults, and they are a public health concern. Despite an abundance of research, the implementation of evidence-based fall prevention prog...

    Authors: Hilde Worum, Daniela Lillekroken, Birgitte Ahlsen, Kirsti Skavberg Roaldsen and Astrid Bergland

    Citation: BMC Geriatrics 2019 19:278

    Content type: Research article

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  34. Some interventions are developed from practice, and implemented before evidence of effect is determined, or the intervention is fully specified. An example is Namaste Care, a multi-component intervention for p...

    Authors: Catherine Walshe, Julie Kinley, Shakil Patel, Claire Goodman, Frances Bunn, Jennifer Lynch, David Scott, Anne Davidson Lund, Min Stacpoole, Nancy Preston and Katherine Froggatt

    Citation: BMC Geriatrics 2019 19:275

    Content type: Research article

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  35. Complex medication schedules in Parkinson’s disease (PD) result in lower therapy adherence, which contributes to suboptimal therapy and clinical deterioration. Medication reminder systems might improve therapy...

    Authors: K. Hannink, L. ter Brake, N.G.M. Oonk, A.A. Wertenbroek, M. Piek, L. Vree-Egberts, M.J. Faber, J. van der Palen and L.D. Dorresteijn

    Citation: BMC Geriatrics 2019 19:273

    Content type: Research article

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  36. For older adults, a good transition from hospital to the primary or long-term care setting can decrease readmissions. This paper presents the 6-month post-discharge healthcare utilization of older adults and d...

    Authors: Yvonne de Man, Femke Atsma, Wilma Jonkers, Sophia E. J. A. de Rooij, Gert P. Westert, Patrick P. T. Jeurissen and A. Stef Groenewoud

    Citation: BMC Geriatrics 2019 19:266

    Content type: Research article

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  37. Hyponatremia is the most common electrolyte disorder in older adults and it can increase morbidity and mortality. Approximately one in three older adults fall each year; mild chronic hyponatremia can predispos...

    Authors: Sophie Boyer, Caroline Gayot, Charlotte Bimou, Thomas Mergans, Patrick Kajeu, Muriel Castelli, Thierry Dantoine and Achille Tchalla

    Citation: BMC Geriatrics 2019 19:265

    Content type: Research article

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  38. Many older adults with multiple chronic conditions, particularly those who are functionally impaired, spend considerable time juggling the competing demands of managing their conditions often assisted by careg...

    Authors: Orla C. Sheehan, Bruce Leff, Christine S. Ritchie, Sarah K. Garrigues, Lingsheng Li, Debra Saliba, Roya Fathi and Cynthia M. Boyd

    Citation: BMC Geriatrics 2019 19:262

    Content type: Research article

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  39. Uncoordinated interprofessional communication in nursing homes increases the risk of polypharmacy and inappropriate medication use. This may lead to augmented frequency of adverse drug events, hospitalizations...

    Authors: Angelika Mahlknecht, Laura Krisch, Nadja Nestler, Ulrike Bauer, Nina Letz, Daniel Zenz, Jochen Schuler, Laura Fährmann, Georg Hempel, Maria Flamm and Jürgen Osterbrink

    Citation: BMC Geriatrics 2019 19:257

    Content type: Research article

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  40. As ageing emerges as the next public health threat in Africa, there is a paucity of information on how prepared its health systems are to provide geriatric friendly care services. In this study, we explored th...

    Authors: Jude Thaddeus Ssensamba, Moses Mukuru, Mary Nakafeero, Ronald Ssenyonga and Suzanne N. Kiwanuka

    Citation: BMC Geriatrics 2019 19:256

    Content type: Research article

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  41. The world is facing many socio-demographic changes, such as an increased average life expectancy and the presence of chronic and non-communicable diseases, which in turn, leads to an enhanced dependency on oth...

    Authors: Maria dos Anjos Coelho Rodrigues Dixe, Liliana Fernanda da Conceição Teixeira, Timóteo João Teixeira Camacho Coelho Areosa, Roberta Caçador Frontini, Teresa de Jesus Almeida Peralta and Ana Isabel Fernandes Querido

    Citation: BMC Geriatrics 2019 19:255

    Content type: Research article

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  42. Delirium is a geriatric syndrome that presents in 1 out of 5 hospitalized older patients. It is also common in the community, in hospices, and in nursing homes. Delirium prevalence varies according to clinical...

    Authors: Alessandro Morandi, Christian Pozzi, Koen Milisen, Hans Hobbelen, Jennifer M. Bottomley, Alessandro Lanzoni, Verena C. Tatzer, Maria Gracia Carpena, Antonio Cherubini, Anette Ranhoff, Alasdair M. J. MacLullich, Andrew Teodorczuk and Giuseppe Bellelli

    Citation: BMC Geriatrics 2019 19:253

    Content type: Debate

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  43. People living with dementia at home are a group who are at increased risk of malnutrition. Health care professionals and home care workers, are ideally placed to support nutritional care in this vulnerable gro...

    Authors: Louise Mole, Bridie Kent, Mary Hickson and Rebecca Abbott

    Citation: BMC Geriatrics 2019 19:250

    Content type: Research article

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  44. Data quality is of special concern when it comes to survey research in nursing homes. Very little is known about specifics of cognitively impaired elderly in responding to survey questions. This study examines...

    Authors: Patrick Kutschar, Martin Weichbold and Jürgen Osterbrink

    Citation: BMC Geriatrics 2019 19:244

    Content type: Research article

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  45. Urinary incontinence is a chronic, age-related disorder, likely to increase in the future due to global population ageing. In Italy, as in most countries, older people with incontinence are often cared for by ...

    Authors: Sara Santini, Paolo Fabbietti and Giovanni Lamura

    Citation: BMC Geriatrics 2019 19:239

    Content type: Research article

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  46. Given the complexity of providing dementia care in hospitals, integrating technology into practice is a high challenge and an important opportunity. Although there are a growing demand and interest in using so...

    Authors: Lillian Hung, Cindy Liu, Evan Woldum, Andy Au-Yeung, Annette Berndt, Christine Wallsworth, Neil Horne, Mario Gregorio, Jim Mann and Habib Chaudhury

    Citation: BMC Geriatrics 2019 19:232

    Content type: Research article

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  47. Qualitative methods are increasingly included in larger studies to provide a richer understanding of people’s experience. This paper explores the potential of using a novel approach to embedded qualitative des...

    Authors: Michele Abendstern, Karen Davies, Helen Chester, Paul Clarkson, Jane Hughes, Caroline Sutcliffe, Fiona Poland and David Challis

    Citation: BMC Geriatrics 2019 19:227

    Content type: Research article

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  48. Hospitals are in need of valid and economic screening and assessment tools that help identifying older patients at risk for complications which require intensified support during their hospital stay.

    Authors: Anne-Carina Scharf, Janine Gronewold, Christian Dahlmann, Jeanina Schlitzer, Andreas Kribben, Guido Gerken, Tienush Rassaf, Christoph Kleinschnitz, Richard Dodel, Helmut Frohnhofen and Dirk M. Hermann

    Citation: BMC Geriatrics 2019 19:221

    Content type: Research article

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  49. A growing number of older people, mainly women, live in single households. They represent a vulnerable group as staying at home may turn out challenging when care needs increase, particularly at the end of lif...

    Authors: Sabine Pleschberger, Elisabeth Reitinger, Birgit Trukeschitz and Paulina Wosko

    Citation: BMC Geriatrics 2019 19:219

    Content type: Study protocol

    Published on: