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183 records – page 1 of 19.

[Accidental falls in nursing homes. A study of the extent and circumstances of accidental falls in nursing homes]

https://arctichealth.org/en/permalink/ahliterature8144
Source
Ugeskr Laeger. 1992 Oct 19;154(43):2950-5
Publication Type
Article
Date
Oct-19-1992
Author
B. Viskum
Author Affiliation
Embedslaegeinstitutionen for Vejle Amt.
Source
Ugeskr Laeger. 1992 Oct 19;154(43):2950-5
Date
Oct-19-1992
Language
Danish
Publication Type
Article
Keywords
Accidental Falls - prevention & control - statistics & numerical data
Aged
Cohort Studies
Denmark - epidemiology
English Abstract
Female
Homes for the Aged - statistics & numerical data
Humans
Male
Nursing Homes - statistics & numerical data
Research Support, Non-U.S. Gov't
Abstract
Accidental falls in 54 nursing homes with 2228 elderly residents aged 65 years and over were registered during a period of seven months. During the seven months, 512 of the elderly residents fell on a total of 934 occasions. Forty-two fractures of the neck of the femur occurred. The risk of falls for elderly residents of nursing homes is very high, but the majority of falls do not result in permanent damage. In this investigation, no differences could be demonstrated between staff groups or circumstances concerning falls with and without resultant damage. All falls should be regarded as warnings and result in detailed investigation of the circumstances of the fall in view of prophylactic measures. Accidental falls are caused by a complex interaction between a series of health, therapy, furnishing and attitudes. Various circumstances are emphasized in this investigation which are connected with an increased risk of falling, e.g. vertigo, problems of balance, certain aids and activities in connection with toileting.
PubMed ID
1462381 View in PubMed
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[Accidental falls in nursing homes. A study on the role of drugs in accidental falls in nursing homes].

https://arctichealth.org/en/permalink/ahliterature222882
Source
Ugeskr Laeger. 1992 Oct 19;154(43):2955-8
Publication Type
Article
Date
Oct-19-1992
Author
B. Viskum
S. Juul
Author Affiliation
Embedslaegeinstitutionen for Vejle Amt.
Source
Ugeskr Laeger. 1992 Oct 19;154(43):2955-8
Date
Oct-19-1992
Language
Danish
Publication Type
Article
Keywords
Accidental Falls - prevention & control - statistics & numerical data
Aged
Antiparkinson Agents - adverse effects
Cohort Studies
Denmark - epidemiology
Diuretics - adverse effects
Drug Utilization
Drug-Related Side Effects and Adverse Reactions
Female
Homes for the Aged - statistics & numerical data
Humans
Hypnotics and Sedatives - adverse effects
Male
Nursing Homes - statistics & numerical data
Psychotropic Drugs - adverse effects
Risk factors
Abstract
The drug consumptions of 2228 residents in nursing homes aged 65 years and over were investigated and related to accidental falls during a period of seven months. 95% of the residents received treatment with one or more drugs and 33% with six or more drugs. The risk of accidental falls was significantly increased in persons receiving hypnotics, psychomarmaca and anti-Parkinson medicine. Individuals receiving diuretics, particularly thiazides, were less at risk for accidental falls. This investigation revealed an increased risk of falls particularly when residents were receiving treatment with a short-term hypnotic (Triazolam). It is recommended that this finding should be investigated further.
PubMed ID
1462382 View in PubMed
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Source
Tidsskr Nor Laegeforen. 1991 Aug 20;111(19):2401-3
Publication Type
Article
Date
Aug-20-1991
Author
I B Mediås
R. Fiskerud
Author Affiliation
Aurskog-Høland sykehjem.
Source
Tidsskr Nor Laegeforen. 1991 Aug 20;111(19):2401-3
Date
Aug-20-1991
Language
Norwegian
Publication Type
Article
Keywords
Accidental Falls - statistics & numerical data
Aged
Female
Humans
Male
Norway - epidemiology
Nursing Homes - statistics & numerical data
Risk factors
Abstract
169 "injury situations" involving 61 patients were registered in a nursing home during one year. Four patients were sent to hospital. A few patients had several falls. Men were more prone to injury than women. Age itself seemed to be of no importance. Patients on shortterm admittance were at high risk. In general patients with dementia were not at higher risk but suffered the more serious injuries and were also involved in various episodes of patient violence. The risk of injuries is generally high in nursing homes. A certain risk must be accepted, but it is important to introduce prophylactic measures. A larger nursing staff might have prevented some of the situations.
Notes
Comment In: Tidsskr Nor Laegeforen. 1991 Oct 10;111(24):29991948912
PubMed ID
1926073 View in PubMed
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Acute hospital admission for nursing home residents without cognitive impairment with a diagnosis of cancer.

https://arctichealth.org/en/permalink/ahliterature277759
Source
Eur J Cancer Care (Engl). 2015 Mar;24(2):147-54
Publication Type
Article
Date
Mar-2015
Author
J. Drageset
G E Eide
C. Harrington
A H Ranhoff
Source
Eur J Cancer Care (Engl). 2015 Mar;24(2):147-54
Date
Mar-2015
Language
English
Publication Type
Article
Keywords
Acute Disease
Aged
Aged, 80 and over
Cognition
Cross-Sectional Studies
Female
Hospitalization - statistics & numerical data
Humans
Male
Neoplasms - therapy
Norway
Nursing Homes - statistics & numerical data
Prospective Studies
Risk factors
Social Support
Socioeconomic Factors
Abstract
Studies of hospitalisation of cognitively intact nursing home (NH) residents with cancer are scarce. Knowledge about associations between socio-demographic, medical and social support variables and hospital admissions aids in preventing unnecessary admissions. This is part of a prospective study from 2004 to 2005 with follow-up to 2010 for admission rates. We studied whether residents with cancer have more admissions and whether socio-demographic and medical variables and social support subdimensions are associated with admission among cognitively intact NH residents with (n = 60) and without (n = 167) cancer aged =65 years scoring =0.5 on the Clinical Dementia Rating Scale and residing =6 months. We measured social support by face-to-face interview. We identified all respondents through NH medical records for hospital admission, linking their identification numbers to the hospital record system to register all admissions. We examined whether socio-demographic and medical variables (medical records) and social support subscales were associated with the time between inclusion and first admission. Residents with cancer had more admissions (25/60) than those without (53/167) (odds ratio 1.7). Social integration was correlated with admission (P = 0.04) regardless of cancer diagnosis. Residents with cancer had more hospital admissions than those without. Higher social integration gave more admissions independent of cancer diagnosis.
PubMed ID
24754568 View in PubMed
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Acute hospital admissions among nursing home residents: a population-based observational study.

https://arctichealth.org/en/permalink/ahliterature134159
Source
BMC Health Serv Res. 2011;11:126
Publication Type
Article
Date
2011
Author
Birgitte Graverholt
Trond Riise
Gro Jamtvedt
Anette H Ranhoff
Kjell Krüger
Monica W Nortvedt
Author Affiliation
Centre for Evidence-Based Practice, Bergen University College, N-5020 Bergen, Norway. bgra@hib.no
Source
BMC Health Serv Res. 2011;11:126
Date
2011
Language
English
Publication Type
Article
Keywords
Acute Disease
Aged
Aged, 80 and over
Confidence Intervals
Female
Hospital Information Systems - statistics & numerical data
Hospital Mortality
Hospitalization - statistics & numerical data
Humans
Length of Stay - statistics & numerical data
Long-Term Care - statistics & numerical data
Male
Norway
Nursing Homes - statistics & numerical data
Poisson Distribution
Residence Characteristics - statistics & numerical data
Risk assessment
Abstract
Nursing home residents are prone to acute illness due to their high age, underlying illnesses and immobility. We examined the incidence of acute hospital admissions among nursing home residents versus the age-matched community dwelling population in a geographically defined area during a two years period. The hospital stays of the nursing home population are described according to diagnosis, length of stay and mortality. Similar studies have previously not been reported in Scandinavia.
The acute hospitalisations of the nursing home residents were identified through ambulance records. These were linked to hospital patient records for inclusion of demographics, diagnosis at discharge, length of stay and mortality. Incidence of hospitalisation was calculated based on patient-time at risk.
The annual hospital admission incidence was 0.62 admissions per person-year among the nursing home residents and 0.26 among the community dwellers. In the nursing home population we found that dominant diagnoses were respiratory diseases, falls-related and circulatory diseases, accounting for 55% of the cases. The median length of stay was 3 days (interquartile range = 4). The in-hospital mortality rate was 16% and 30 day mortality after discharge 30%.
Acute hospital admission rate among nursing home residents was high in this Scandinavian setting. The pattern of diagnoses causing the admissions appears to be consistent with previous research. The in-hospital and 30 day mortality rates are high.
Notes
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PubMed ID
21615911 View in PubMed
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Acute hospital admissions from nursing homes: predictors of unwarranted variation?

https://arctichealth.org/en/permalink/ahliterature114995
Source
Scand J Public Health. 2013 Jun;41(4):359-65
Publication Type
Article
Date
Jun-2013
Author
Birgitte Graverholt
Trond Riise
Gro Jamtvedt
Bettina S Husebo
Monica W Nortvedt
Author Affiliation
Centre for Evidence-Based Practice, Bergen University College, Bergen, Norway. bgra@hib.no
Source
Scand J Public Health. 2013 Jun;41(4):359-65
Date
Jun-2013
Language
English
Publication Type
Article
Keywords
Aged, 80 and over
Beds - statistics & numerical data
Health Facility Size - statistics & numerical data
Homes for the Aged - statistics & numerical data
Hospitalization - statistics & numerical data
Humans
Long-Term Care - statistics & numerical data
Norway
Nursing Homes - statistics & numerical data
Ownership - statistics & numerical data
Risk factors
Suburban Health Services - statistics & numerical data
Abstract
The geriatric nursing home population is frail and vulnerable to sudden changes in their health condition. Very often, these incidents lead to hospitalization, in which many cases represent an unfavourable discontinuity of care. Analysis of variation in hospitalization rates among nursing homes where similar rates are expected may identify factors associated with unwarranted variation.
To 1) quantify the overall and diagnosis specific variation in hospitalization rates among nursing homes in a well-defined area over a two-year period, and 2) estimate the associations between the hospitalization rates and characteristics of the nursing homes.
The acute hospital admissions from 38 nursing homes to two hospitals were identified through ambulance records and linked to hospital patient journals (n = 2451). Overall variation in hospitalization rates for 2 consecutive years was tested using chi-square and diagnosis-specific variation using Systematic Component of Variation. Associations between rates and nursing home characteristics were tested using multiple regression and ANOVA.
Annual hospitalization rates varied significantly between 0.16 and 1.49 per nursing home. Diagnoses at discharge varied significantly between the nursing homes. The annual hospitalization rates correlated significantly with size (r = -0.38) and percentage short-term beds (r = 0.41), explaining 32% of the variation observed (R (2) = 0.319). No association was found for ownership status (r = 0.05) or location of the nursing home (p = 0.52).
A more than nine-fold variation in annual hospitalization rates among the nursing homes in one municipality suggests the presence of unwarranted variation. This finding demands for political action to improve the premises for a more uniform practice in nursing homes.
PubMed ID
23554388 View in PubMed
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Antibiotic prescribing in nursing homes in an area with low prevalence of antibiotic resistance: compliance with national guidelines.

https://arctichealth.org/en/permalink/ahliterature128584
Source
Scand J Prim Health Care. 2012 Mar;30(1):10-5
Publication Type
Article
Date
Mar-2012
Author
Mark Fagan
Marthe Mæhlen
Morten Lindbæk
Dag Berild
Author Affiliation
Department of General Practice and Community Medicine, University of Oslo, Oslo, Norway. markfagannor@gmail.com
Source
Scand J Prim Health Care. 2012 Mar;30(1):10-5
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Drug Resistance, Microbial
Female
Guideline Adherence - statistics & numerical data
Humans
Infection - drug therapy
Male
Norway
Nursing Homes - statistics & numerical data
Physician's Practice Patterns - standards
Practice Guidelines as Topic
Retrospective Studies
Abstract
To examine antibiotic prescribing in nursing homes and determine to what degree the prescribing was in accordance with the national guidelines for antibiotic prescribing.
Retrospective examination of patients' records who were prescribed antibiotics in the period 1 March 2007 to 28 February 2008.
Patients residing in the nursing homes of Arendal, Norway.
Choice of antibiotic in respect of the recommendations in the national guidelines for antibiotic prescribing.
A total of 714 antibiotic courses were prescribed to 327 patients yielding a prevalence of 6.6%. Compliant prescribing was 77% for urinary tract infections (UTI), 79% for respiratory tract infections (RTI), and 76% for skin and soft tissue infections (SSTI). Ciprofloxacin was responsible for 63% of non-compliant prescribing. On the respite wards there was a higher rate of total prescribing, non-compliant prescribing, and prescribing by physicians employed at the local hospital.
Guidelines for antibiotic use must be implemented actively and efforts to improve antibiotic prescribing in nursing homes must be aimed at both nursing home and hospital physicians.
Notes
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Comment In: J Urol. 2013 Jan;189(1):15623235224
PubMed ID
22188479 View in PubMed
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Antibiotic resistance patterns of bacteria causing urinary tract infections in the elderly living in nursing homes versus the elderly living at home: an observational study.

https://arctichealth.org/en/permalink/ahliterature269775
Source
BMC Geriatr. 2015;15:98
Publication Type
Article
Date
2015
Author
Mark Fagan
Morten Lindbæk
Nils Grude
Harald Reiso
Maria Romøren
Dagfinn Skaare
Dag Berild
Source
BMC Geriatr. 2015;15:98
Date
2015
Language
English
Publication Type
Article
Keywords
Aged
Aged, 80 and over
Anti-Infective Agents, Urinary - classification - pharmacology
Cross-Sectional Studies
Drug Resistance, Bacterial
Escherichia coli - drug effects
Escherichia coli Infections - diagnosis - drug therapy - epidemiology
Female
Homes for the Aged - statistics & numerical data
Humans
Independent Living - statistics & numerical data
Male
Norway - epidemiology
Nursing Homes - statistics & numerical data
Practice Guidelines as Topic
Proteus Infections - diagnosis - drug therapy - epidemiology
Proteus mirabilis - drug effects
Sex Factors
Urinalysis - methods
Urinary Tract Infections - diagnosis - drug therapy - epidemiology - microbiology
Abstract
Antibiotic resistance is a problem in nursing homes. Presumed urinary tract infections (UTI) are the most common infection. This study examines urine culture results from elderly patients to see if specific guidelines based on gender or whether the patient resides in a nursing home (NH) are warranted.
This is a cross sectional observation study comparing urine cultures from NH patients with urine cultures from patients in the same age group living in the community.
There were 232 positive urine cultures in the NH group and 3554 in the community group. Escherichia coli was isolated in 145 urines in the NH group (64%) and 2275 (64%) in the community group. There were no clinically significant differences in resistance. Combined, there were 3016 positive urine cultures from females and 770 from males. Escherichia coli was significantly more common in females 2120 (70%) than in males 303 (39%) (p?
Notes
Cites: Intern Med J. 2012 Jul;42(7):e157-6421241444
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PubMed ID
26238248 View in PubMed
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Anxiety, Anxiety Symptoms, and Their Correlates in Persons with Dementia in Norwegian Nursing Homes: A Cause for Concern.

https://arctichealth.org/en/permalink/ahliterature292510
Source
Dement Geriatr Cogn Disord. 2017; 43(5-6):294-305
Publication Type
Journal Article
Date
2017
Author
Alka Rani Goyal
Sverre Bergh
Knut Engedal
Marit Kirkevold
Øyvind Kirkevold
Author Affiliation
Centre of Old Age Psychiatry Research, Innlandet Hospital Trust, Ottestad, Norway.
Source
Dement Geriatr Cogn Disord. 2017; 43(5-6):294-305
Date
2017
Language
English
Publication Type
Journal Article
Keywords
Aged
Aged, 80 and over
Anti-Anxiety Agents - therapeutic use
Anxiety - diagnosis - drug therapy - etiology - psychology
Dementia - complications - diagnosis - epidemiology - psychology
Female
Homes for the Aged - statistics & numerical data
Humans
Male
Norway - epidemiology
Nursing Homes - statistics & numerical data
Patient Care Management - methods
Psychomotor Agitation - etiology - prevention & control - psychology
Abstract
Little is known about anxiety and its associations among persons with dementia in nursing homes. This study aims to examine anxiety, anxiety symptoms, and their correlates in persons with dementia in Norwegian nursing homes.
In all, 298 participants with dementia =65 years old from 17 nursing homes were assessed with a validated Norwegian version of the Rating Anxiety in Dementia scale (RAID-N). Associations between anxiety (RAID-N score) and demographic and clinical characteristics were analyzed with linear regression models.
Anxiety, according to a cutoff of =12 on the RAID-N, was found in 34.2% (n = 102) of the participants. Irritability (59.7%) and restlessness (53.0%) were the most frequent anxiety symptoms. The participants' general physical health, a wide range of neuropsychiatric symptoms, and anxiolytic use were significant correlates of higher RAID-N scores.
Knowledge about anxiety, anxiety symptoms, and their correlates may enhance early detection of anxiety and planning of necessary treatment and proactive measures among this population residing in nursing homes.
PubMed ID
28463828 View in PubMed
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Are elderly HUNT participants healthier than before?

https://arctichealth.org/en/permalink/ahliterature287786
Source
Tidsskr Nor Laegeforen. 2017 09 19;137(17)
Publication Type
Article
Date
09-19-2017
Author
Ragnhild Holmberg Aunsmo
Jostein Holmen
Source
Tidsskr Nor Laegeforen. 2017 09 19;137(17)
Date
09-19-2017
Language
English
Norwegian
Publication Type
Article
Keywords
Activities of Daily Living
Aged
Aged, 80 and over
Cross-Sectional Studies
Exercise
Female
Follow-Up Studies
General Practice - statistics & numerical data
Health Services for the Aged - utilization
Health status
Health Surveys
Home Care Services - utilization
Homemaker Services - utilization
Humans
Male
Norway - epidemiology
Nursing Homes - statistics & numerical data
Quality of Life
Self Report
Abstract
Since the number of elderly people will rise in the years to come, knowledge about their health trends is important for social planning. The objective of this study was to investigate trends in health development among elderly people over 70 years in Nord-Trøndelag county.
In the Nord-Trøndelag Health Study (HUNT) we have collected health data over three rounds: HUNT1 (1984?–?86), HUNT2 (1995?–?97) and HUNT3 (2006?–?08). Using cross-sectional analyses, we have studied changes in self-reported health, level of functioning and the use of health services. The material includes 12 391 persons (85?% participation) in HUNT1, 11 069 (69.3?% participation) in HUNT2 and 8 194 in HUNT3 (54.7?% participation).
Subjective health and activities of daily living (ADL functions) were assessed as better in HUNT3 than in HUNT2. Self-reported physical activity increased from HUNT1 to HUNT3. The use of home-help services decreased from HUNT2 to HUNT3, while the use of nursing homes and home nursing services remained unchanged. The use of general practitioner services increased in all periods, while the use of outpatient services increased strongly from HUNT1 to HUNT2.
It appears that the elderly inhabitants of Nord-Trøndelag county feel that their health has improved and that they have become more self-reliant and more physically active in the period from 1984 to 2008, but the findings need to be interpreted with some caution due to the decline in the participation rate from HUNT1 to HUNT3.
PubMed ID
28925230 View in PubMed
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183 records – page 1 of 19.