To determine the trend of elderly hospitalization rates in Italy, following the economic rationalization of health systems in Western countries, and to evaluate which alternatives to acute hospitalization have been developed during the period 1996-2006 an ecological observational study has been carried out. Data from the Italian Hospital-Discharge Registries (HDRs) of the years 1996, 2001, and ...

Patients 568 patients (mean age 79 y, 56% men, 96% white) who were >70 years of age, community dwelling, fee for service Medicare beneficiaries, and at high risk for hospital admission and functional decline. Exclusion criteria included residence in a nursing home, illness requiring frequent physician visits, and communication barriers. Study participants (96%) or their proxies (4%) completed 9...

BACKGROUND While hip fractures are an important cause of disability, dependency and death in older adults, the benefit of multi-disciplinary rehabilitation for people who have sustained hip fracture has not been demonstrated. METHODS Systematic review of randomized controlled trials which compare co-ordinated multi-disciplinary rehabilitation with usual orthopaedic care in older people who ha...

OBJECTIVE To investigate whether angiotensin receptor blockers protect against Alzheimer's disease and dementia or reduce the progression of both diseases. DESIGN Prospective cohort analysis. SETTING Administrative database of the US Veteran Affairs, 2002-6. Population 819 491 predominantly male participants (98%) aged 65 or more with cardiovascular disease. MAIN OUTCOME MEASURES Time to ...

this study was initiated to assess the effectiveness of designating smoking rooms to control environmental tobacco smoke in nursing homes. of the 39 nursing homes located in toledo (a city in ohio, usa) included in the preliminary survey, 33 facilities (85%) allowed smoking, 14 facilities (36%) allowed indoor smoking, and 13 facilities (33%) provided a designated smoking area. three of these 13...

conclusions the results showed that the elderlies living in daycare centers had better qualities of lives physically and mentally. therefore, to improve their qualities of lives in two general physical and mental domains, items such as providing family communications inside or outside the nursing homes as well as planning to fulfill mental and psychological needs besides physical issues like mo...

objectives: the aim of this study was to determine the effect of reminiscence abstract therapy on elderly mental health. methods & materials: this was a quasi-experimental study .the sample was consisted of 57 elderly men and women who were residing in the hashemi nejad institution, were selected by stratified random sampling. inclusion criteria were: 1) 65 years of age or more 2) mental health...

BACKGROUND Older adults are at greatest risk of medication errors during the transition period of the first 7 days after admission and readmission to a skilled nursing facility (SNF). PURPOSE The aim of this study was to evaluate structure- and process-related factors that contribute to medication errors and harm during transition periods at a SNF. METHODOLOGY/APPROACH Data for medication e...