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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.

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  1. Using physical restraint (PR) for hospitalized elderly people is a major nursing challenge. It is associated with different physical and mental complications and ethical dilemmas, though many nurses still use ...

    Authors: Azam Sharifi, Narges Arsalani, Masoud Fallahi-Khoshknab, Farahnaz Mohammadi-Shahbolaghi and Abbas Ebadi

    Citation: BMC Geriatrics 2020 20:233

    Content type: Research article

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  2. Evidence-based practice in geriatric oncology is growing, and national initiatives have focused on expanding cancer care and research to improve health outcomes for older adults. However, there are still gaps ...

    Authors: Carolyn J. Presley, Jessica L. Krok-Schoen, Sarah A. Wall, Anne M. Noonan, Desiree C. Jones, Edmund Folefac, Nicole Williams, Janine Overcash and Ashley E. Rosko

    Citation: BMC Geriatrics 2020 20:231

    Content type: Commentary

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  3. Dementia is recognised as one of the greatest global public health challenges. A central tenet of national health and social care policy is to ensure that services support people in achieving their personal we...

    Authors: Agnete Nygaard, Liv Halvorsrud, Ellen Karine Grov and Astrid Bergland

    Citation: BMC Geriatrics 2020 20:227

    Content type: Research article

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  4. This study aimed to identify factors associated with health-related quality of life (HRQoL) and the burden on the relatives of older people with multi-morbidity.

    Authors: Barbro Krevers, Anne Ekdahl, Tiny Jaarsma, Jeanette Eckerblad and Anna Milberg

    Citation: BMC Geriatrics 2020 20:224

    Content type: Research article

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  5. Resident-to-resident aggression in nursing homes is a public health problem of growing concern, impacting the safety, health and well-being of all residents involved. Despite this, little research has been con...

    Authors: Anja Botngård, Arne Henning Eide, Laura Mosqueda and Wenche Malmedal

    Citation: BMC Geriatrics 2020 20:222

    Content type: Research article

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  7. Hospital length of stays (LOS) for incident of hip fracture are decreasing, but it is unknown if these changes have negative impacts on vulnerable older patient populations, like those with Alzheimer’s disease...

    Authors: Blair Rajamaki, Marjaana Koponen, Sirpa Hartikainen and Anna-Maija Tolppanen

    Citation: BMC Geriatrics 2020 20:214

    Content type: Research article

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  8. Nearly one in every seven Americans is 65 years and older, facing day-to-day challenge of aging. Although interest in healthy aging is growing, most of the efforts are directed towards understanding the percep...

    Authors: Rubee Dev, Oleg Zaslavsky, Barbara Cochrane, Thomas Eagen and Nancy F. Woods

    Citation: BMC Geriatrics 2020 20:211

    Content type: Research article

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  9. The Drug Burden Index (DBI) was developed to assess patient exposure to medications associated with an increased risk of falling. The objective of this study was to examine the association between the DBI and ...

    Authors: Susan J. Blalock, Chelsea P. Renfro, Jessica M. Robinson, Joel F. Farley, Jan Busby-Whitehead and Stefanie P. Ferreri

    Citation: BMC Geriatrics 2020 20:208

    Content type: Research article

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  10. It is unclear how formal long-term care (LTC) availability affects formal /informal caregiving patterns and caregiver health. We tested the impact of reduced formal LTC availability on formal LTC service use, ...

    Authors: Atsushi Miyawaki, Yasuki Kobayashi, Haruko Noguchi, Taeko Watanabe, Hideto Takahashi and Nanako Tamiya

    Citation: BMC Geriatrics 2020 20:207

    Content type: Research article

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  11. The implementation of individual clinical practice guidelines in patients with multimorbidity often results in polypharmacy. Our aim was to analyse medication use according to longitudinal multimorbidity patte...

    Authors: Noemí Villén, Marina Guisado-Clavero, Sergio Fernández-Bertolín, Amelia Troncoso-Mariño, Quintí Foguet-Boreu, Ester Amado, Mariona Pons-Vigués, Albert Roso-Llorach and Concepción Violán

    Citation: BMC Geriatrics 2020 20:206

    Content type: Research article

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  12. Frailty is broadly characterized by vulnerability and decline in physical, mental and social activities and is more common in elderly patients with type 2 diabetes mellitus (T2DM). Frailty is closely associate...

    Authors: Ikumi Yanagita, Yuya Fujihara, Chikayo Iwaya, Yuichi Kitajima, Misuzu Tajima, Masanao Honda, Yuji Teruya, Hideko Asakawa, Tomoko Ito, Terumi Eda, Noriko Yamaguchi, Yumi Kayashima, Mihoko Yoshimoto, Mayumi Harada, Shoji Yoshimoto, Eiji Aida…

    Citation: BMC Geriatrics 2020 20:200

    Content type: Research article

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  13. In order to optimize interventions and services in the community, it is important to identify the profile of persons who are able to stay at home and of those who are being admitted into residential care. Unde...

    Authors: Johanna de Almeida Mello, Sophie Cès, Dirk Vanneste, Thérèse Van Durme, Chantal Van Audenhove, Jean Macq, Brant Fries and Anja Declercq

    Citation: BMC Geriatrics 2020 20:195

    Content type: Research article

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  14. More older people are living in the community with multiple diagnoses and medications. Managing multiple medications produces issues of unrivalled complexity for those involved. Despite increasing literature o...

    Authors: Ian Maidment, Sally Lawson, Geoff Wong, Andrew Booth, Anne Watson, Hadar Zaman, Judy Mullan, Jane McKeown and Sylvia Bailey

    Citation: BMC Geriatrics 2020 20:183

    Content type: Research article

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  15. Planning population care in a specific health care setting requires deep knowledge of the clinical characteristics of the target care recipients, which tend to be country specific. Our area virtually lacks any...

    Authors: Jordi Amblàs-Novellas, Sebastià J. Santaeugènia, Emili Vela, Montse Clèries and Joan C. Contel

    Citation: BMC Geriatrics 2020 20:187

    Content type: Research article

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  16. The use of potentially inappropriate medications (PIMs) are associated with negative health effects for older adults. The purpose of this study was to apply national register data to investigate the impact of ...

    Authors: Jeanette Schultz Johansen, Kjell H. Halvorsen, Kristian Svendsen, Kjerstin Havnes and Beate H. Garcia

    Citation: BMC Geriatrics 2020 20:190

    Content type: Research article

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  17. Little is known regarding the impact of transitions in frailty on healthcare use and payment in older Mexican Americans. We address this gap in knowledge by investigating the effect of early transitions in phy...

    Authors: Chih-Ying Li, Soham Al Snih, Lin-Na Chou, Amol Karmarkar, Yong-Fang Kuo, Kyriakos S. Markides and Kenneth J. Ottenbacher

    Citation: BMC Geriatrics 2020 20:189

    Content type: Research article

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  18. Participation in fall prevention programmes is associated with lower risk of injurious falls among older adults. However participation rates in fall prevention interventions are low. The limited participation ...

    Authors: Lotte M. Barmentloo, Branko F. Olij, Vicki Erasmus, Dini Smilde, Yvonne Schoon and Suzanne Polinder

    Citation: BMC Geriatrics 2020 20:185

    Content type: Research article

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  19. Dementia is a major public health concern associated with significant caregiver demands and there are technologies available to assist with caregiving. However, there is a paucity of information on caregiver n...

    Authors: Chen Xiong, Bing Ye, Alex Mihailidis, Jill I. Cameron, Arlene Astell, Emily Nalder and Angela Colantonio

    Citation: BMC Geriatrics 2020 20:176

    Content type: Research article

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  20. Worldwide, patient and public involvement (PPI) in health research has grown steadily in recent decades. The James Lind Alliance (JLA) is one approach to PPI that brings patients, carers and clinicians togethe...

    Authors: Agnete Nygaard, Liv Halvorsrud, Asta Bye and Astrid Bergland

    Citation: BMC Geriatrics 2020 20:175

    Content type: Research article

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  21. Type II diabetes mellitus (T2DM) affects upwards of 25% of Canadian older adults and is associated with high comorbidity and burden. Studies show that lifestyle factors and self-management are associated with ...

    Authors: John J. Miklavcic, Kimberly D. Fraser, Jenny Ploeg, Maureen Markle-Reid, Kathryn Fisher, Amiram Gafni, Lauren E. Griffith, Sandra Hirst, Cheryl A. Sadowski, Lehana Thabane, Jean A. C. Triscott and Ross Upshur

    Citation: BMC Geriatrics 2020 20:174

    Content type: Research article

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  22. Access to rehabilitation services for people living in residential care facilities is frequently limited. A randomised trial of a hospital outreach hip fracture rehabilitation program in residential care facil...

    Authors: Maria Crotty, Emmanuel S. Gnanamanickam, Ian Cameron, Meera Agar, Julie Ratcliffe and Kate Laver

    Citation: BMC Geriatrics 2020 20:172

    Content type: Research article

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  24. The burden of hearing loss among older adults could be mitigated with appropriate care. This study compares implementation of three hearing screening strategies in primary care, and examines the reliability an...

    Authors: Janet Prvu Bettger, Rowena J. Dolor, David L. Witsell, Judy R. Dubno, Carl F. Pieper, Amy R. Walker, Mina Silberberg, Kristine A. Schulz, Pranab Majumder, Erika Juhlin, Sherri L. Smith, Howard W. Francis and Debara L. Tucci

    Citation: BMC Geriatrics 2020 20:170

    Content type: Study protocol

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  25. Restraint use is a complex and challenging issue in home care. Due to socio-demographic trends, worldwide home healthcare providers are faced with an increasing demand for restraint use from informal caregiver...

    Authors: Kristien Scheepmans, Bernadette Dierckx de Casterlé, Louis Paquay, Hendrik Van Gansbeke and Koen Milisen

    Citation: BMC Geriatrics 2020 20:169

    Content type: Research article

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  26. Several efforts have been made to change management of neuropsychiatric symptoms (NPS) in nursing homes, however only few were successful. Numerous barriers to change in healthcare were identified, yet only on...

    Authors: Charlotte F. van Teunenbroek, Kim Verhagen, Martin Smalbrugge, Anke Persoon, Sytse U. Zuidema and Debby L. Gerritsen

    Citation: BMC Geriatrics 2020 20:163

    Content type: Research article

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  27. Social prescribing is encouraged to promote well-being, reduce isolation and loneliness. Traditional, generalist day centres for older people could be suggested by social prescribing, but little is known about...

    Authors: Katharine Orellana, Jill Manthorpe and Anthea Tinker

    Citation: BMC Geriatrics 2020 20:158

    Content type: Research article

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  28. Endotracheal intubation is known to pose significant physiological, pharmacokinetic, and dynamic changes and postoperative respiratory complications in patients under general anesthesia.

    Authors: Linsheng Lv, Yan Lei, Liu Xun and Miaoxiaiven Chen

    Citation: BMC Geriatrics 2020 20:157

    Content type: Research article

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  29. The efficiency of the fast-track (FT) process in the management of patients in Emergency Departments is well demonstrated, but there is a lack of research focused on older adults. The aim of our study was to v...

    Authors: B. Gasperini, F. Pierri, E. Espinosa, A. Fazi, G. Maracchini and A. Cherubini

    Citation: BMC Geriatrics 2020 20:154

    Content type: Research article

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  30. Retirees face numerous challenges, including disassociation from persons in their social networks in Nigeria. Perceived social isolation or loneliness could impair the quality of life in old age, and lead to m...

    Authors: Chima C. Igbokwe, Veronica J. Ejeh, Olaoluwa S. Agbaje, Prince Ifeanachor Christian Umoke, Cylia N. Iweama and Eyuche L. Ozoemena

    Citation: BMC Geriatrics 2020 20:153

    Content type: Research article

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  31. Frailty exposes older people to an elevated risk of a range of negative outcomes. Emerging evidence that frailty can be effectively treated within community settings has stimulated calls for more proactive scr...

    Authors: Rachel C. Ambagtsheer, Mandy M. Archibald, Michael Lawless, Alison Kitson and Justin Beilby

    Citation: BMC Geriatrics 2020 20:152

    Content type: Research article

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  33. Inappropriate drug prescribing causes preventable drug-related adverse events that result in increased morbidity and mortality, additional costs and diminished quality of life. Numerous initiatives have been l...

    Authors: F. Correard, M. Montaleytang, M. Costa, M. Astolfi, K. Baumstarck, S. Loubière, K. Amichi, P. Auquier, P. Verger, P. Villani, S. Honore and A. Daumas

    Citation: BMC Geriatrics 2020 20:147

    Content type: Study protocol

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  34. Indigenous people continue to experience high rates of multiple chronic conditions (MCC) at younger ages than other populations, resulting in an increase in health and social care needs. Those who provide serv...

    Authors: Sharlene Webkamigad, Robyn Rowe, Shanna Peltier, Amanda Froehlich Chow, Katherine S. McGilton and Jennifer D. Walker

    Citation: BMC Geriatrics 2020 20:145

    Content type: Research article

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  35. In Germany, advance care planning (ACP) was first introduced by law in 2015. However, ACP is still uncommon in Germany and only few people have advance directive forms. This study aims to evaluate an ACP progr...

    Authors: Rieke Schnakenberg, Katharina Silies, Almuth Berg, Änne Kirchner, Henriette Langner, Yuliya Chuvayaran, Juliane Köberlein-Neu, Burkhard Haastert, Birgitt Wiese, Gabriele Meyer, Sascha Köpke and Falk Hoffmann

    Citation: BMC Geriatrics 2020 20:142

    Content type: Study protocol

    Published on:

  36. Hospital falls remain a frequent and debilitating problem worldwide. Most hospital falls prevention strategies have targeted clinician education, environmental modifications, assistive devices, hospital system...

    Authors: Hazel Heng, Dana Jazayeri, Louise Shaw, Debra Kiegaldie, Anne-Marie Hill and Meg E. Morris

    Citation: BMC Geriatrics 2020 20:140

    Content type: Research article

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  37. An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing ...

    Authors: Ilianna Lourida, Ruth Gwernan-Jones, Rebecca Abbott, Morwenna Rogers, Colin Green, Susan Ball, Anthony Hemsley, Debbie Cheeseman, Linda Clare, Darren Moore, Chrissy Hussey, George Coxon, David J. Llewellyn, Tina Naldrett and Jo Thompson Coon

    Citation: BMC Geriatrics 2020 20:131

    Content type: Research article

    Published on:

  39. China’s limited health care resources cannot meet the needs of chronic disease treatment and management of its rapid growing ageing population. The improvement and maintenance of patient’s self-management is e...

    Authors: Jing Liao, Xueji Wu, Caixuan Wang, Xiaochun Xiao, Yiyuan Cai, Min Wu, Yuyang Liu, Xiongfei Chen, Shaolong Wu, Yung Jen Yang and Dong (Roman) Xu

    Citation: BMC Geriatrics 2020 20:123

    Content type: Study protocol

    Published on:

  40. The prevalence of dementia is surging that results in huge service demand in the community care services. Dementia care competence of staff working in these settings is fundamental of the care quality. This pr...

    Authors: Helen Y. L. Chan, Florence K. Y. Ho, Kenny C. M. Chui, Eunice Y. S. Hui, Bel Wong, Yuen-yu Chong, Alison Bowes and Timothy C. Y. Kwok

    Citation: BMC Geriatrics 2020 20:122

    Content type: Research article

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  41. Despite increasing digitalisation the paper-based medication list remains one of the most important instruments for the documentation and exchange of medication-related information. However, even elderly patie...

    Authors: Cornelia Straßner, Cornelia Mahler, Beate Strauß, Ulrich Wehrmann, Katja Krug, Joachim Szecsenyi, Walter Emil Haefeli and Hanna Marita Seidling

    Citation: BMC Geriatrics 2020 20:116

    Content type: Research article

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  42. Up to one in three of older patients who are hospitalised develop functional decline, which is associated with sustained disability, institutionalisation and death. This study developed and validated a clinica...

    Authors: Bastiaan Van Grootven, Anthony Jeuris, Maren Jonckers, Els Devriendt, Bernadette Dierckx de Casterlé, Christophe Dubois, Katleen Fagard, Marie-Christine Herregods, Miek Hornikx, Bart Meuris, Steffen Rex, Jos Tournoy, Koen Milisen, Johan Flamaing and Mieke Deschodt

    Citation: BMC Geriatrics 2020 20:112

    Content type: Research article

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  43. Wellness program participation may reduce the risk of falling, emergency department-use, and hospitalization among older adults. “On the Move” (OTM), a community-based group exercise program focused on the tim...

    Authors: Peter C. Coyle, Subashan Perera, Steven M. Albert, Janet K. Freburger, Jessie M. VanSwearingen and Jennifer S. Brach

    Citation: BMC Geriatrics 2020 20:105

    Content type: Research article

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  44. Poor health literacy was found to be one of the key barriers in older adults’ disease prevention practice. However, it has still been unclear how different processes in health literacy play a role in older adu...

    Authors: Fan Zhang, Peggy Pui-Lai Or and Joanne Wai-Yee Chung

    Citation: BMC Geriatrics 2020 20:103

    Content type: Research article

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  45. Risk prediction after myocardial infarction is often complex in older patients. The Global Registry of Acute Coronary Events (GRACE) model includes clinical parameters and age, but not frailty. We hypothesised...

    Authors: Atul Anand, Sarah Cudmore, Shirley Robertson, Jacqueline Stephen, Kristin Haga, Christopher J. Weir, Scott A. Murray, Kirsty Boyd, Julian Gunn, Javaid Iqbal, Alasdair MacLullich, Susan D. Shenkin, Keith A. A. Fox, Nicholas Mills and Martin A. Denvir

    Citation: BMC Geriatrics 2020 20:102

    Content type: Research article

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  46. Preventive home visits are suited for patients with reduced mobility, such as older people. Healthcare needs for older patients are expected to increase due to the extended life expectancy estimated in coming ...

    Authors: Carolina Burgos-Díez, Rosa Maria Sequera-Requero, Francisco José Tarazona-Santabalbina, Joan Carles Contel-Segura, Marià Monzó-Planella and Sebastià Josep Santaeugènia-González

    Citation: BMC Geriatrics 2020 20:101

    Content type: Study protocol

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  47. In the European Union (EU), informal caregivers provide 60% of all care. Informal caregiving ranges from assistance with daily activities and provision of direct care to helping care recipients to navigate wit...

    Authors: Ingvild Lilleheie, Jonas Debesay, Asta Bye and Astrid Bergland

    Citation: BMC Geriatrics 2020 20:97

    Content type: Research article

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  49. Subgroups of older patients experience difficulty performing activities of daily living (ADL) following hospital discharge, as well as unplanned hospital readmissions and emergency department (ED) presentation...

    Authors: Véronique Provencher, Lindy Clemson, Kylie Wales, Ian D. Cameron, Laura N. Gitlin, Ariane Grenier and Natasha A. Lannin

    Citation: BMC Geriatrics 2020 20:84

    Content type: Research article

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  50. Many older people live at home, often with complex and chronic health and social care needs. Integrated care programs are increasingly being implemented as a way to better address these needs. To support older...

    Authors: Manon Lette, Eliva A. Ambugo, Terje P. Hagen, Giel Nijpels, Caroline A. Baan and Simone R. de Bruin

    Citation: BMC Geriatrics 2020 20:81

    Content type: Research article

    Published on:

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