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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 5 of 9

  1. Respite services provide a break in the caregiving relationship for people with dementia and their carers, however they are often under-used and service acceptability can be low. This study aims to understand ...

    Authors: Emma O’ Shea, Suzanne Timmons, Eamon O’ Shea, Siobhan Fox and Kate Irving

    Citation: BMC Geriatrics 2017 17:282

    Content type: Research Article

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  2. It remains unclear into which level the systolic blood pressure (SBP) should be lowered in order to provide the best cardiovascular protection among older people. Hypertension guidelines recommendation on atta...

    Authors: Aline A. I. Moraes, Cristina P. Baena, Taulant Muka, Arjola Bano, Adriana Buitrago-Lopez, Ana Zazula, Bruna O. Erbano, Nicolle A. Schio, Murilo H. Guedes, Wichor M. Bramer, Oscar H. Franco and José Rocha Faria-Neto

    Citation: BMC Geriatrics 2017 17:279

    Content type: Research Article

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  3. Achieving choice is proposed as a quality marker. But little is known about what influences preferences especially among older adults. We aimed to determine and compare, across three countries, factors associa...

    Authors: Irene J. Higginson, Barbara A. Daveson, R. Sean Morrison, Deokhee Yi, Diane Meier, Melinda Smith, Karen Ryan, Regina McQuillan, Bridget M. Johnston and Charles Normand

    Citation: BMC Geriatrics 2017 17:271

    Content type: Research Article

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  4. To assess the scope, volume and quality of research on the acceptability, utilisation and effectiveness of telephone- and computer-delivered interventions for caregivers of people living with dementia.

    Authors: Amy Waller, Sophie Dilworth, Elise Mansfield and Rob Sanson-Fisher

    Citation: BMC Geriatrics 2017 17:265

    Content type: Research Article

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  5. Sleep disturbances are widespread among nursing home (NH) patients and associated with numerous negative consequences. Identifying and treating them should therefore be of high clinical priority. No prior stud...

    Authors: Kjersti Marie Blytt, Bjørn Bjorvatn, Bettina Husebo and Elisabeth Flo

    Citation: BMC Geriatrics 2017 17:253

    Content type: Research Article

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  6. Antipsychotic medications are not recommended for the management of symptoms of dementia, particularly among persons with no behavioral or psychological symptoms. We examine patterns of antipsychotic medicatio...

    Authors: Sebastian Rios, Christopher M. Perlman, Andrew Costa, George Heckman, John P. Hirdes and Lori Mitchell

    Citation: BMC Geriatrics 2017 17:244

    Content type: Research Article

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    The Correction to this article has been published in BMC Geriatrics 2018 18:128

  7. The prevalence of dementia is expected to increase rapidly, and institutionalization is a common consequence of the disease. Dependence in activities of daily living (ADL) is a predictor for institutionalizati...

    Authors: Marinda Henskens, Ilse M. Nauta, Erik J. A. Scherder, Frits G. J. Oosterveld and Susan Vrijkotte

    Citation: BMC Geriatrics 2017 17:243

    Content type: Research article

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  8. Low back pain is a debilitating condition for older adults, who may seek healthcare from multiple providers. Few studies have evaluated impacts of different healthcare delivery models on back pain outcomes in ...

    Authors: Christine M. Goertz, Stacie A. Salsbury, Cynthia R. Long, Robert D. Vining, Andrew A. Andresen, Maria A. Hondras, Kevin J. Lyons, Lisa Z. Killinger, Fredric D. Wolinsky and Robert B. Wallace

    Citation: BMC Geriatrics 2017 17:235

    Content type: Research Article

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  9. Multimorbidity and the associated use of multiple medicines (polypharmacy), is common in the older population. Despite this, there is no consensus definition for polypharmacy. A systematic review was conducted...

    Authors: Nashwa Masnoon, Sepehr Shakib, Lisa Kalisch-Ellett and Gillian E. Caughey

    Citation: BMC Geriatrics 2017 17:230

    Content type: Research Article

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  10. Comfort is frequently ranked important for a good death. Although rising numbers of people are dying in very old age, many with dementia, little is known about symptom control for “older old” people or whether...

    Authors: Jane Fleming, Rowan Calloway, Anouk Perrels, Morag Farquhar, Stephen Barclay and Carol Brayne

    Citation: BMC Geriatrics 2017 17:222

    Content type: Research Article

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  11. In Germany, the guardianship system provides adults who are no longer able to handle their own affairs a court-appointed legal representative, for support without restriction of legal capacity. Although these ...

    Authors: Julia Lühnen, Burkhard Haastert, Ingrid Mühlhauser and Tanja Richter

    Citation: BMC Geriatrics 2017 17:217

    Content type: Study protocol

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  12. The majority of persons with dementia are home-dwelling. To enable these persons to stay in their own homes as long as possible, a holistic, individual and flexible care is recommended. Despite a requirement f...

    Authors: Anette Hansen, Solveig Hauge and Ådel Bergland

    Citation: BMC Geriatrics 2017 17:211

    Content type: Research Article

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  13. To examine the impact of frailty on medical and social care utilisation among the Irish community-dwelling older population to inform strategies of integrated care for older people with complex needs.

    Authors: Lorna Roe, Charles Normand, Maev-Ann Wren, John Browne and Aisling M. O’Halloran

    Citation: BMC Geriatrics 2017 17:203

    Content type: Research Article

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  14. Improved knowledge based on clinical features of chronic pain in older adults would be valuable in terms of patient-orientated approaches and would provide support for health care systems in optimizing health ...

    Authors: Britt Larsson, Björn Gerdle, Lars Bernfort, Lars-Åke Levin and Elena Dragioti

    Citation: BMC Geriatrics 2017 17:200

    Content type: Research Article

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  15. Falls among older adults can cause serious morbidity and pose economic burdens on society. Older age is a known risk factor for falls and age has been shown to influence the effectiveness of fall prevention pr...

    Authors: Wanrudee Isaranuwatchai, Johnna Perdrizet, Maureen Markle-Reid and Jeffrey S. Hoch

    Citation: BMC Geriatrics 2017 17:199

    Content type: Research Article

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  16. Pharmacotherapy is necessary for the management of many diseases which number increased with aging. However, potentially inappropriate prescriptions and polymedication increases iatrogenic risks and can lead t...

    Authors: Virginie Dauphinot, Elodie Jean-Bart, Pierre Krolak-Salmon and Christelle Mouchoux

    Citation: BMC Geriatrics 2017 17:195

    Content type: Study protocol

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  17. Although the role of serum procalcitonin (PCT) and high-sensitivity C-reactive protein (hs-CRP) in the diagnosis of sepsis and septic shock is well studied, it has not been investigated among oldest old patien...

    Authors: Hongmin Zhang, Xiaoting Wang, Qing Zhang, Ying Xia and Dawei Liu

    Citation: BMC Geriatrics 2017 17:173

    Content type: Research article

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  18. Dementia is a life-limiting condition that is increasing in global prevalence in line with population ageing. In this context, it is necessary to accurately measure dementia knowledge across a spectrum of heal...

    Authors: Michael J. Annear, Chris Toye, Kate-Ellen J. Elliott, Frances McInerney, Claire Eccleston and Andrew Robinson

    Citation: BMC Geriatrics 2017 17:168

    Content type: Research Article

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  19. It is challenging to use shared decision-making with patients who have a chronic health condition or, especially, multimorbidity. A patient-goal-oriented approach can thus be beneficial. This study aims to ide...

    Authors: Neeltje P. C. A. Vermunt, Mirjam Harmsen, Gert P. Westert, Marcel G. M. Olde Rikkert and Marjan J. Faber

    Citation: BMC Geriatrics 2017 17:167

    Content type: Research Article

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  20. Despite concerns about racial differences on adherence to prescribed medication rigimens among older adults, current information about nonadherence among underserved elderly African Americans with co-morbiditi...

    Authors: Mohsen Bazargan, James Smith, Hamed Yazdanshenas, Masoud Movassaghi, David Martins and Gail Orum

    Citation: BMC Geriatrics 2017 17:163

    Content type: Research Article

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  21. Many countries are introducing smaller, more home-like care facilities that represent a radically new approach to nursing home care for people with dementia. The green care farm is a new type of nursing home d...

    Authors: Bram de Boer, Jan P.H. Hamers, Sandra M.G. Zwakhalen, Frans E.S. Tan and Hilde Verbeek

    Citation: BMC Geriatrics 2017 17:155

    Content type: Research Article

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  22. The present study takes place within a geriatric program, aiming at improving the diagnosis and management of geriatric syndromes in primary care. Within this program it was of prime importance to be able to r...

    Authors: Isabella Locatelli, Stéfanie Monod, Jacques Cornuz, Christophe J. Büla and Nicolas Senn

    Citation: BMC Geriatrics 2017 17:153

    Content type: Research Article

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  23. The need to better understand implementing evidence-informed dementia care has been recognised in multiple priority-setting partnerships. The aim of this scoping review was to give an overview of the state of ...

    Authors: Ilianna Lourida, Rebecca A Abbott, Morwenna Rogers, Iain A Lang, Ken Stein, Bridie Kent and Jo Thompson Coon

    Citation: BMC Geriatrics 2017 17:147

    Content type: Research Article

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  24. Eating problems in patients with advanced dementia are strongly associated with their deteriorating survival. Food and drink intake in people with dementia may be supported by specific interventions, but the e...

    Authors: Masahisa Arahata, Makoto Oura, Yuka Tomiyama, Naoe Morikawa, Hatsue Fujii, Shinji Minani and Yukihiro Shimizu

    Citation: BMC Geriatrics 2017 17:146

    Content type: Research Article

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  25. An enriched environment for residents with dementia may have a positive effect on the rest-activity rhythm. A small scaled homelike special care unit might be such an enriched environment. The present study sh...

    Authors: Jeroen S. Kok, Ina J. Berg, Gerwin C. G. Blankevoort and Erik J. A. Scherder

    Citation: BMC Geriatrics 2017 17:137

    Content type: Research Article

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  26. A wide range of initiatives on early detection and intervention have been developed to proactively identify problems related to health and wellbeing in (frail) older people, with the aim of supporting them to ...

    Authors: Manon Lette, Annerieke Stoop, Lidwien C. Lemmens, Yvette Buist, Caroline A. Baan and Simone R. de Bruin

    Citation: BMC Geriatrics 2017 17:132

    Content type: Research Article

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  27. Caring and supporting older people with dementia have become a major public health priority. Recent reports have also revealed a diminishing number of family carers to provide dementia care in the future. Care...

    Authors: Lisa Pau Le Low, Lai Wah Lam and Kim Pong Fan

    Citation: BMC Geriatrics 2017 17:120

    Content type: Study protocol

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  28. If worn during a fall, hip protectors substantially reduce risk for hip fracture. However, a major barrier to their clinical efficacy is poor user adherence. In long-term care, adherence likely depends on how ...

    Authors: Alexandra M.B. Korall, Judith Godin, Fabio Feldman, Ian D. Cameron, Pet-Ming Leung, Joanie Sims-Gould and Stephen N. Robinovitch

    Citation: BMC Geriatrics 2017 17:103

    Content type: Research Article

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  29. Despite the detrimental effects of physical inactivity for older adults, especially aged residents of residential care settings may spend much time in inactive behavior. This may be partly due to their poorer ...

    Authors: Johanna G. Douma, Karin M. Volkers, Gwenda Engels, Marieke H. Sonneveld, Richard H.M. Goossens and Erik J.A. Scherder

    Citation: BMC Geriatrics 2017 17:97

    Content type: Research Article

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  30. In oldest-old patients (>80), few trials showed efficacy of treating hypertension and they included mostly the healthiest elderly. The resulting lack of knowledge has led to inconsistent guidelines, mainly bas...

    Authors: Sven Streit, Marjolein Verschoor, Nicolas Rodondi, Daiana Bonfim, Robert A. Burman, Claire Collins, Gerasimovska Kitanovska Biljana, Sandra Gintere, Raquel Gómez Bravo, Kathryn Hoffmann, Claudia Iftode, Kasper L. Johansen, Ngaire Kerse, Tuomas H. Koskela, Sanda Kreitmayer Peštić, Donata Kurpas…

    Citation: BMC Geriatrics 2017 17:93

    Content type: Research Article

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  31. Limited evidence exists on the effectiveness of the chronic care model for people with multimorbidity. This study aims to evaluate the effectiveness of an information and communication technology- (ICT-)enhanc...

    Authors: Hongsoo Kim, Yeon-Hwan Park, Young-il Jung, Hyoungshim Choi, Seyune Lee, Gi-Soo Kim, Dong-wook Yang, Myunghee Cho Paik and Tae-Jin Lee

    Citation: BMC Geriatrics 2017 17:88

    Content type: Study protocol

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    The Erratum to this article has been published in BMC Geriatrics 2017 17:106

  32. Accompanying the unprecedented growth in the older adult population worldwide is an increase in the prevalence of frailty, an age-related clinical state of increased vulnerability to stressor events. This incr...

    Authors: Mandy M. Archibald, Rachel Ambagtsheer, Justin Beilby, Mellick J. Chehade, Tiffany K. Gill, Renuka Visvanathan and Alison L. Kitson

    Citation: BMC Geriatrics 2017 17:87

    Content type: Study protocol

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  33. Understanding the difficulties and needs of the family carers in taking care of a person with ID can facilitate the development of appropriate intervention programmes and services to strengthen their caring ca...

    Authors: Lisa Pau Le Low, Wai Tong Chien, Lai Wah Lam and Kayla Ka Yin Wong

    Citation: BMC Geriatrics 2017 17:81

    Content type: Study protocol

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  34. Emergency departments are chaotic environments in which complex, frail older persons living in the community and residential aged care facilities are sometimes subjected to prolonged emergency department lengt...

    Authors: Elizabeth Marsden, Andrea Taylor, Marianne Wallis, Alison Craswell, Marc Broadbent, Adrian Barnett, Kim-Huong Nguyen, Julia Crilly, Colleen Johnston and Amanda Glenwright

    Citation: BMC Geriatrics 2017 17:76

    Content type: Study protocol

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  35. Prospective external validation of the Vulnerable Elder’s Survey (VES-13) in primary care remains limited. The aim of this study is to externally validate the VES-13 in predicting mortality and emergency admis...

    Authors: Emma Wallace, Ronald McDowell, Kathleen Bennett, Tom Fahey and Susan M. Smith

    Citation: BMC Geriatrics 2017 17:69

    Content type: Research Article

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  36. Older people in the emergency department (ED) represent a growing population and increasing proportion of the workload in the ED. This study investigated the support for frail older people in the ED, by explor...

    Authors: Els Devriendt, Isabelle De Brauwer, Lies Vandersaenen, Pieter Heeren, Simon Conroy, Benoit Boland, Johan Flamaing, Marc Sabbe and Koen Milisen

    Citation: BMC Geriatrics 2017 17:68

    Content type: Research Article

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  37. Despite the positive evaluation of various caregiver interventions over the past 3 decades, only very few intervention protocols have been translated to delivery in service contexts. The purpose of this study ...

    Authors: Klaus Pfeiffer, Martin Hautzinger, Margarete Patak, Julia Grünwald, Clemens Becker and Diana Albrecht

    Citation: BMC Geriatrics 2017 17:64

    Content type: Study protocol

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  38. Ambulatory geriatric rehabilitation (AGR) is a community based outpatient intervention which aims to improve physical function, maintain independent living of geriatric patients, avoiding hospitalisation and i...

    Authors: Simone Kiel, Carolin Zimak, Jean-François Chenot and Carsten Oliver Schmidt

    Citation: BMC Geriatrics 2017 17:63

    Content type: Study protocol

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  39. Chronic pain affects nursing home residents’ daily life. Pain assessment is central to adequate pain management. The overall aim was to investigate effects of a pain management intervention on nursing homes re...

    Authors: Anna-Greta Mamhidir, Britt-Marie Sjölund, Birgitta Fläckman, Anders Wimo, Anders Sköldunger and Maria Engström

    Citation: BMC Geriatrics 2017 17:61

    Content type: Research Article

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  40. The literature indicates that current home care service are largely task oriented with limited focus on the involvement of the older people themselves, and studies show that lack of involvement might reduce ol...

    Authors: Karin Bölenius, Kristina Lämås, Per-Olof Sandman and David Edvardsson

    Citation: BMC Geriatrics 2017 17:57

    Content type: Study protocol

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  41. Studies indicate that people with dementia do not receive the same amount of analgesia after a hip or pelvic fracture compared to those without cognitive impairment. However, there is no systematic review that...

    Authors: Kai Moschinski, Silke Kuske, Silke Andrich, Astrid Stephan, Irmela Gnass, Erika Sirsch and Andrea Icks

    Citation: BMC Geriatrics 2017 17:54

    Content type: Research Article

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  42. Care of frail and dependent older adults with multiple chronic conditions is a major challenge for health care systems. The study objective was to test the efficacy of providing integrated care at home to redu...

    Authors: Laura Di Pollina, Idris Guessous, Véronique Petoud, Christophe Combescure, Bertrand Buchs, Philippe Schaller, Michel Kossovsky and Jean-Michel Gaspoz

    Citation: BMC Geriatrics 2017 17:53

    Content type: Research Article

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  43. The proportion of older people among the general population has risen. Staphylococcus aureus (SA) constitutes a significant problem. Underlying disease and functional debility, predispose the older adult to staph...

    Authors: Monika Pomorska-Wesołowska, Anna Różańska, Joanna Natkaniec, Barbara Gryglewska, Anna Szczypta, Mirosława Dzikowska, Agnieszka Chmielarczyk and Jadwiga Wójkowska-Mach

    Citation: BMC Geriatrics 2017 17:51

    Content type: Research Article

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  44. The prevalence of multiple chronic conditions (MCC) among older persons is increasing worldwide and is associated with poor health status and high rates of healthcare utilization and costs. Current health and ...

    Authors: Jenny Ploeg, Nancy Matthew-Maich, Kimberly Fraser, Sinéad Dufour, Carrie McAiney, Sharon Kaasalainen, Maureen Markle-Reid, Ross Upshur, Laura Cleghorn and Anna Emili

    Citation: BMC Geriatrics 2017 17:40

    Content type: Research article

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  45. Alongside changes in society and the economy, the family’s function of taking care of older people is weakening and the formal care mode is becoming more accepted. Older Chinese people are facing diverse choic...

    Authors: Yuan Yuan Fu, Yu Guo, Xue Bai and Ernest Wing Tak Chui

    Citation: BMC Geriatrics 2017 17:38

    Content type: Research Article

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  46. In the nursing home population, it is estimated that 1 in every 3 patients is polymedicated and given their considerable frailty, these patients are especially prone to adverse drug reactions. Clinical pharmac...

    Authors: Carlota Mestres Gonzalvo, Hugo A. J. M. de Wit, Brigit P. C. van Oijen, Kim P. G. M. Hurkens, Rob Janknegt, Jos M. G. A. Schols, Wubbo J. Mulder, Frans R. Verhey, Bjorn Winkens and Paul-Hugo M. van der Kuy

    Citation: BMC Geriatrics 2017 17:35

    Content type: Study protocol

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  47. The use of antipsychotic medications (APMs) in nursing home residents in the U.S. is an increasingly prominent issue and has been associated with increased risk of hospitalization, cardiovascular events, hip f...

    Authors: Hannah Cioltan, Samah Alshehri, Carol Howe, Jeannie Lee, Mindy Fain, Howard Eng, Kenneth Schachter and Jane Mohler

    Citation: BMC Geriatrics 2017 17:32

    Content type: Research Article

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  48. For immobile patients, a body wash in bed is sometimes the only bathing option. Traditionally, the bed bath is performed with water and soap. However, alternatives are increasingly used in health care. Washing...

    Authors: Fabian M. V. Groven, Sandra M. G. Zwakhalen, Gaby Odekerken-Schröder, Erik J. T. Joosten and Jan P. H. Hamers

    Citation: BMC Geriatrics 2017 17:31

    Content type: Research Article

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