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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. Physical restraint is a procedure used frequently in long-term care. It is a controversial practice because its use is associated with numerous complications and also affects freedom and individual autonomy. T...

    Authors: Gabriel J. Estévez-Guerra, Emilio Fariña-López, Eduardo Núñez-González, Manuel Gandoy-Crego, Fernando Calvo-Francés and Elizabeth A. Capezuti

    Citation: BMC Geriatrics 2017 17:29

    Content type: Research Article

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  2. Dementia care is predominantly provided by carers in home settings. We aimed to identify the priorities for homecare safety of people with dementia according to dementia health and social care professionals us...

    Authors: Lorainne Tudor Car, Mona El-Khatib, Robert Perneczky, Nikolaos Papachristou, Rifat Atun, Igor Rudan, Josip Car, Charles Vincent and Azeem Majeed

    Citation: BMC Geriatrics 2017 17:26

    Content type: Research Article

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  3. Pharmacotherapy in residents of nursing homes is critical due to the special vulnerability of this population. Medical care and interprofessional communication in nursing homes are often uncoordinated. As a co...

    Authors: Angelika Mahlknecht, Nadja Nestler, Ulrike Bauer, Nadine Schüßler, Jochen Schuler, Sebastian Scharer, Ralf Becker, Isabel Waltering, Georg Hempel, Oliver Schwalbe, Maria Flamm and Jürgen Osterbrink

    Citation: BMC Geriatrics 2017 17:24

    Content type: Study protocol

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  4. The literature suggests that person-centred care can contribute to quality of life and wellbeing of nursing home residents, relatives and staff. However, there is sparse research evidence on how person-centred...

    Authors: David Edvardsson, Karin Sjögren, Qarin Lood, Ådel Bergland, Marit Kirkevold and Per-Olof Sandman

    Citation: BMC Geriatrics 2017 17:22

    Content type: Study protocol

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  5. Many elders struggle with the decision to remain at home or to move to an alternative location of care. A person’s location of care can influence health and wellbeing. Healthcare organizations and policy maker...

    Authors: Laura Boland, France Légaré, Maria Margarita Becerra Perez, Matthew Menear, Mirjam Marjolein Garvelink, Daniel I. McIsaac, Geneviève Painchaud Guérard, Julie Emond, Nathalie Brière and Dawn Stacey

    Citation: BMC Geriatrics 2017 17:20

    Content type: Research Article

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  6. Nursing home residents are mainly inactive. Nursing staff can encourage residents to perform functional activities during daily care activities. This study examines 1) the extent to which nursing staff perceiv...

    Authors: Nienke O. Kuk, Mirre den Ouden, G. A. Rixt Zijlstra, Jan P. H. Hamers, Gertrudis I. J. M. Kempen and Gerrie J. J. W. Bours

    Citation: BMC Geriatrics 2017 17:18

    Content type: Research Article

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  7. Older adults living in long term care (LTC) homes are nutritionally vulnerable, often consuming insufficient energy, macro- and micronutrients to sustain their health and function. Multiple factors are propose...

    Authors: Heather H. Keller, Natalie Carrier, Susan Slaughter, Christina Lengyel, Catriona M. Steele, Lisa Duizer, K. Steve Brown, Habib Chaudhury, Minn N. Yoon, Alison M. Duncan, Veronique M. Boscart, George Heckman and Lita Villalon

    Citation: BMC Geriatrics 2017 17:15

    Content type: Study protocol

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  8. Older inpatients are at risk of hospital-associated geriatric syndromes including delirium, functional decline, incontinence, falls and pressure injuries. These contribute to longer hospital stays, loss of ind...

    Authors: Alison M. Mudge, Merrilyn D. Banks, Adrian G. Barnett, Irene Blackberry, Nicholas Graves, Theresa Green, Gillian Harvey, Ruth E. Hubbard, Sharon K. Inouye, Sue Kurrle, Kwang Lim, Prue McRae, Nancye M. Peel, Jessica Suna and Adrienne M. Young

    Citation: BMC Geriatrics 2017 17:11

    Content type: Study protocol

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  9. Evidence regarding outcomes in the Geriatric Day Hospital (GDH) model of care has been largely inconclusive, possibly due to measurement issues. This prospective cohort study aims to determine whether treatmen...

    Authors: Paige Moorhouse, Olga Theou, Sherri Fay, Miranda McMillan, Heather Moffatt and Kenneth Rockwood

    Citation: BMC Geriatrics 2017 17:9

    Content type: Research Article

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  10. Dementia is one of the most challenging age-related illnesses for family caregivers, whose care-related burden is well known. Research indicates that day care centres (DCCs) can reduce the caregiver burden and...

    Authors: Signe Tretteteig, Solfrid Vatne and Anne Marie Mork Rokstad

    Citation: BMC Geriatrics 2017 17:5

    Content type: Research Article

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  11. Fall incidents are the third cause of chronic disablement in elderly according to the World Health Organization (WHO). Recent meta-analyses shows that a multifactorial falls risk assessment and management prog...

    Authors: Alessandro Giordano, Gian Pietro Bonometti, Fabio Vanoglio, Mara Paneroni, Palmira Bernocchi, Laura Comini and Amerigo Giordano

    Citation: BMC Geriatrics 2016 16:209

    Content type: Study protocol

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  12. Pressures on informal caregivers are likely to increase due to increasing life expectancy and health care costs, which stresses the importance of prevention of subjective burden. The present study examined the...

    Authors: Marloes Oldenkamp, Mariët Hagedoorn, Joris Slaets, Ronald Stolk, Rafael Wittek and Nynke Smidt

    Citation: BMC Geriatrics 2016 16:208

    Content type: Research Article

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  13. Clostridium difficile (C. difficile) infection (CDI) is the leading cause of nosocomial diarrhea in the United States. This study aimed to examine the incidence of CDI and evaluate mortality and economic burden o...

    Authors: Holly Yu, Onur Baser and Li Wang

    Citation: BMC Geriatrics 2016 16:193

    Content type: Research Article

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  14. The concept of frailty, a relative state of weakness reflecting multiple functional and health domains, continues to receive attention within the geriatrics field. It offers a summary of key personal character...

    Authors: John N. Morris, Elizabeth P. Howard and Knight R. Steel

    Citation: BMC Geriatrics 2016 16:188

    Content type: Research Article

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  15. Clostridium difficile infections (CDI) are the most frequent cause of diarrhoea in hospitals. Geriatric patients are more often affected by the condition, by a relapse and complications. Therefore, a crucial ques...

    Authors: Klaus Nissle, Daniel Kopf and Alexander Rösler

    Citation: BMC Geriatrics 2016 16:185

    Content type: Research article

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  16. Patients with dementia have increased healthcare utilization and often have comorbid chronic conditions. It is not clear if the increase in utilization is driven by dementia, the comorbidities or both. The obj...

    Authors: Lauren E. Griffith, Andrea Gruneir, Kathryn Fisher, Dilzayn Panjwani, Sima Gandhi, Li Sheng, Amiram Gafni, Christopher Patterson, Maureen Markle-Reid and Jenny Ploeg

    Citation: BMC Geriatrics 2016 16:177

    Content type: Research Article

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  17. The population of people with dementia is not homogeneous. People with dementia exhibit a wide range of needs, each characterized by diverse factors including age, sex, ethnicity, and place of residence. These...

    Authors: Stephen Czarnuch, Rose Ricciardelli and Alex Mihailidis

    Citation: BMC Geriatrics 2016 16:143

    Content type: Research article

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  18. It is unknown to what extent General Practitioners (GPs) manage hypertension (HT) differently in older patients, as compared to younger age groups. The purpose of our study was to compare HT management in olde...

    Authors: C. G. H. Blok, M. A. J. de Ridder, K. M. C. Verhamme and P. W. Moorman

    Citation: BMC Geriatrics 2016 16:142

    Content type: Research article

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  19. The Hospital Elder Life Program (HELP) has been shown to effectively prevent delirium and functional decline in older patients in acute care, but has not been examined in a rehabilitation setting. This pilot s...

    Authors: Kelsey Huson, Paul Stolee, Nancy Pearce, Corrie Bradfield and George A. Heckman

    Citation: BMC Geriatrics 2016 16:140

    Content type: Research Article

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  20. It is not known if there is a differential impact on Alzheimer’s disease (AD) diagnosis and outcomes if/when patients are diagnosed with cognitive decline by specialists versus non-specialists. This study exam...

    Authors: Noam Y. Kirson, Urvi Desai, Ljubica Ristovska, Alice Kate G. Cummings, Howard G. Birnbaum, Wenyu Ye, J. Scott Andrews, Daniel Ball and Kristin Kahle-Wrobleski

    Citation: BMC Geriatrics 2016 16:138

    Content type: Research article

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  21. Older patients undergoing surgery tend to have a higher frequency of delirium. Delirium is strongly associated with poor surgical outcomes. This study evaluated the association between pre-operative medication...

    Authors: Young Mi Jeong, Eunsook Lee, Kwang-Il Kim, Jee Eun Chung, Hae In Park, Byung Koo Lee and Hye Sun Gwak

    Citation: BMC Geriatrics 2016 16:134

    Content type: Research Article

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  22. Evaluating different approaches to identifying frail home care clients at heightened risk for adverse health outcomes is an important but understudied area. Our objectives were to determine the prevalence and ...

    Authors: Michael A. Campitelli, Susan E. Bronskill, David B. Hogan, Christina Diong, Joseph E. Amuah, Sudeep Gill, Dallas Seitz, Kednapa Thavorn, Walter P. Wodchis and Colleen J. Maxwell

    Citation: BMC Geriatrics 2016 16:133

    Content type: Research Article

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  23. In Sweden the national fundamental values for care of older people state that care should ensure that they can live in dignity and with a sense of well-being. Our hypothesis was that a caregiver intervention t...

    Authors: Charlotte Roos, Marit Silén, Bernice Skytt and Maria Engström

    Citation: BMC Geriatrics 2016 16:130

    Content type: Research article

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  24. The QUALIDEM is a dementia-specific Quality of life (Qol) instrument that is recommended for longitudinal studies and advanced stages of dementia. Our study aimed to develop a user guide for the German version...

    Authors: Martin Nikolaus Dichter, Christian G. G. Schwab, Gabriele Meyer, Sabine Bartholomeyczik and Margareta Halek

    Citation: BMC Geriatrics 2016 16:126

    Content type: Research article

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  25. Communication skills are known to decrease with advancing cognitive impairment. Analgesic treatment in long-term care may be deficient due to the residents’ impaired ability to communicate their pain and needs...

    Authors: Ulrike Bauer, Stefan Pitzer, Maria Magdalena Schreier, Jürgen Osterbrink, Reinhard Alzner and Bernhard Iglseder

    Citation: BMC Geriatrics 2016 16:124

    Content type: Research article

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  26. Admission to an acute hospital can be distressing and disorientating for a person with dementia, and is associated with decline in cognitive and functional ability. The objective of this audit was to assess th...

    Authors: Suzanne Timmons, Emma O’Shea, Desmond O’Neill, Paul Gallagher, Anna de Siún, Denise McArdle, Patricia Gibbons and Sean Kennelly

    Citation: BMC Geriatrics 2016 16:113

    Content type: Research article

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  27. Multiple factors influence the end-of-life (EoL) care and experience of poor quality services by culturally- and spiritually-diverse groups. Access to EoL services e.g. health and social supports at home or in...

    Authors: Mei Lan Fang, Judith Sixsmith, Shane Sinclair and Glen Horst

    Citation: BMC Geriatrics 2016 16:107

    Content type: Research article

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  28. Older people living in Residential Aged Care Facilities (RACF) are a vulnerable, frail and complex population. They are more likely than people who reside in the community to become acutely unwell, present to ...

    Authors: Carolyn Hullick, Jane Conway, Isabel Higgins, Jacqueline Hewitt, Sophie Dilworth, Elizabeth Holliday and John Attia

    Citation: BMC Geriatrics 2016 16:102

    Content type: Research article

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  29. Frailty can be defined as a progressive loss of reserve and adaptive capacity associated with an overall deterioration in health that can result in disability, loss of independence, hospitalisation, extensive ...

    Authors: Ana Diez-Ruiz, Antonio Bueno-Errandonea, Jazmina Nuñez-Barrio, Inmaculada Sanchez-Martín, Kalliopi Vrotsou and Itziar Vergara

    Citation: BMC Geriatrics 2016 16:91

    Content type: Research article

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  30. Admission to hospital can lead to persistent deterioration in physical functioning, particularly for the more vulnerable older population. As a result of this physical deterioration, older people who have been...

    Authors: I. Farag, K. Howard, S. O’Rourke, M. L. Ferreira, S. R. Lord, J. C. T. Close, C. Vogler, C. M. Dean, R. G. Cumming and C. Sherrington

    Citation: BMC Geriatrics 2016 16:82

    Content type: Research article

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  31. Antibiotics are highly utilized in nursing homes. The aim of the study was to test the effectiveness of a decision-making aid for urinary tract infection management on reducing antibiotic prescriptions for sus...

    Authors: Darcy K. McMaughan, Obioma Nwaiwu, Hongwei Zhao, Elizabeth Frentzel, David Mehr, Sara Imanpour, Steven Garfinkel and Charles D. Phillips

    Citation: BMC Geriatrics 2016 16:81

    Content type: Research article

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  32. Frameworks exist to evaluate the appropriateness of medication regimens for older patients with multiple medical conditions (MCCs). Less is known about how to translate the concepts of the frameworks into spec...

    Authors: Terri R. Fried, Kristina Niehoff, Jennifer Tjia, Nancy Redeker and Mary K. Goldstein

    Citation: BMC Geriatrics 2016 16:67

    Content type: Research article

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    The Erratum to this article has been published in BMC Geriatrics 2016 16:123

  33. In the Netherlands, various organisational models of dementia case management exist. In this study the following four models are distinguished, based on differences in the availability of the service and in th...

    Authors: José M. Peeters, Anne Margriet Pot, Jacomine de Lange, Peter M. Spreeuwenberg and Anneke L. Francke

    Citation: BMC Geriatrics 2016 16:65

    Content type: Research article

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  34. Person-centredness is promoted as a central feature of the long-term care of older adults. Measures are needed to assist researchers, service planners and regulators in assessing this feature of quality. Howev...

    Authors: Mark Wilberforce, David Challis, Linda Davies, Michael P. Kelly, Chris Roberts and Nik Loynes

    Citation: BMC Geriatrics 2016 16:63

    Content type: Research article

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  35. In nursing home residents, it is not possible to distinguish pneumonia and aspiration pneumonia clinically. International literature reveals no consensus on which and how many characteristics and risk indicato...

    Authors: Vanessa Hollaar, Claar van der Maarel-Wierink, Gert-Jan van der Putten, Wil van der Sanden, Bert de Swart and Cees de Baat

    Citation: BMC Geriatrics 2016 16:60

    Content type: Research article

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  36. In France, for patients aged 75 or older, it has been estimated that the hospital readmission rate within 30 days is 14 %, a quarter being avoidable. Some evidence suggests that interventions “bridging” the tr...

    Authors: Pauline Occelli, Sandrine Touzet, Muriel Rabilloud, Christell Ganne, Stéphanie Poupon Bourdy, Béatrice Galamand, Matthieu Debray, André Dartiguepeyrou, Michel Chuzeville, Brigitte Comte, Basile Turkie, Magali Tardy, Jean-Stéphane Luiggi, Thierry Jacquet-Francillon, Thomas Gilbert and Marc Bonnefoy

    Citation: BMC Geriatrics 2016 16:57

    Content type: Study protocol

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  37. This study explored the effectiveness of a pro-active, integrated care model for community-dwelling frail older people compared to care as usual by evaluating the effects on a comprehensive set of outcomes: he...

    Authors: Wilhelmina Mijntje Looman, Isabelle Natalina Fabbricotti, Ruben de Kuyper and Robbert Huijsman

    Citation: BMC Geriatrics 2016 16:43

    Content type: Research article

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  38. The involvement of users is recommended in the development of health related technologies, in order to address their needs and preferences and to improve the daily usage of these technologies.

    Authors: Friederike JS Thilo, Barbara Hürlimann, Sabine Hahn, Selina Bilger, Jos MGA Schols and Ruud JG Halfens

    Citation: BMC Geriatrics 2016 16:42

    Content type: Research article

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  39. Residential aged care is an increasingly important health setting due to population ageing and the increase in age-related conditions, such as dementia. However, medical education has limited engagement with t...

    Authors: Michael J. Annear, Emma Lea, Amanda Lo, Laura Tierney and Andrew Robinson

    Citation: BMC Geriatrics 2016 16:38

    Content type: Research article

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  40. In European countries, knowledge about availability and utilization of support for informal caregivers caring for older persons (≥65 years) with dementia (PwD) is lacking. To be able to evaluate and develop th...

    Authors: Connie Lethin, Helena Leino-Kilpi, Brenda Roe, Maria Martin Soto, Kai Saks, Astrid Stephan, Sandra Zwakhalen, Adelaida Zabalegui and Staffan Karlsson

    Citation: BMC Geriatrics 2016 16:32

    Content type: Research article

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  41. Nursing home (NH) patients have complex health problems, disabilities and needs for Advance Care Planning (ACP). The implementation of ACP in NHs is a neglected research topic, yet it may optimize the interven...

    Authors: E. Flo, B. S. Husebo, P. Bruusgaard, E. Gjerberg, L. Thoresen, L. Lillemoen and R. Pedersen

    Citation: BMC Geriatrics 2016 16:24

    Content type: Research article

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  42. One of the primary reasons for hospitalisation among elderly individuals with heart failure (HF) is poor self-care. Self-awareness of having HF may be a key-element in successful self-care. The prevalence of s...

    Authors: Suzana Selan, Arkadiusz Siennicki-Lantz, Johan Berglund and Cecilia Fagerström

    Citation: BMC Geriatrics 2016 16:23

    Content type: Research article

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  43. Because the demand for government-subsidized nursing homes in Hong Kong outstrips the supply, the number of for-profit private nursing homes has been increasing rapidly. However, the standard of care in such h...

    Authors: Enid Wai-yung Kwong, Paul Hong Lee and Kwan-mo Yeung

    Citation: BMC Geriatrics 2016 16:20

    Content type: Study protocol

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  44. Worldwide, there is a growing population of older people who develop dementia in a country other than that of their origin. When their dementia has reached an advanced stage, residential care is most often nee...

    Authors: Sirpa Pietilä Rosendahl, Mirkka Söderman and Monir Mazaheri

    Citation: BMC Geriatrics 2016 16:18

    Content type: Research article

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  45. The co-administration of multiple drugs (polypharmacy) is the single most common cause of adverse drug events in the older population, and residents of long-term care facilities (LTCFs) are at particularly hig...

    Authors: Anna Palagyi, Lisa Keay, Jessica Harper, Jan Potter and Richard I. Lindley

    Citation: BMC Geriatrics 2016 16:15

    Content type: Research article

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  46. Wrist fractures are the most common arm fractures in older adults. The impact of wrist fractures on daily functionality has been less studied than that of other types and so, less is known about the complexity...

    Authors: Itziar Vergara, Kalliopi Vrotsou, Miren Orive, Susana Garcia-Gutierrez, Nerea Gonzalez, Carlota Las Hayas and Jose M. Quintana

    Citation: BMC Geriatrics 2016 16:11

    Content type: Research article

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  47. Although rehabilitation for older patients has the potential to improve function and prevent admission to nursing homes, returning home after discharge is not possible for all patients. Better understanding of...

    Authors: Irma H. J. Everink, Jolanda C. M. van Haastregt, Sofie J. M. van Hoof, Jos M. G. A. Schols and Gertrudis I. J. M. Kempen

    Citation: BMC Geriatrics 2016 16:5

    Content type: Research article

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