Article
Rehabilitation
Kent P. Simmonds, James Burke, Allan J. Kozlowski, Michael Andary, Zhehui Luo, Mathew J. Reeves
Summary: This study emulated three trials comparing patient-level outcomes after stroke rehabilitation at inpatient rehabilitation facilities (IRFs) with skilled nursing facilities (SNFs). The results showed that IRF patients had superior outcomes, but the differences were attenuated when comparing IRFs and SNFs from larger rehabilitation networks. The vulnerability of the findings to unmeasured confounding supports the need for a randomized controlled trial (RCT).
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Emily Evans, Cyrus M. Kosar, Kali S. Thomas
Summary: Patients' beliefs about their capability to increase independence with activities of daily living significantly affect the probability of successful discharge, particularly when staff hold positive beliefs as well. Understanding patients' beliefs is crucial for appropriate goal-setting, discharge planning, and quality skilled nursing facility care.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2021)
Article
Rehabilitation
Julie A. Stutzbach, Allison M. Gustavson, Danielle L. Derlein, Jeri E. Forster, Rebecca S. Boxer, Jennifer E. Stevens-Lapsley
Summary: This study aimed to quantify physical activity and sedentary time among older adults during a skilled nursing facility stay and after transitioning home. Participants showed differences in upright time and steps between the SNF and home, but subjective perceptions of physical activity were higher than objective measurements.
DISABILITY AND REHABILITATION
(2022)
Article
Geriatrics & Gerontology
Rachel Prusynski
Summary: The article introduces an adapted framework based on Donabedian's model for evaluating quality of care and applies it to decades of Medicare payment policy to provide a historical view of how payment policy changes have impacted rehabilitation processes and patient outcomes for Medicare beneficiaries in SNFs. The review demonstrates how SNF responses to Medicare payment policy have historically varied based on organizational factors, highlighting the importance of considering such organizational factors in monitoring policy response and patient outcomes. This historical perspective underscores the mixed success of previous Medicare policies impacting rehabilitation and patient outcomes for older adults receiving care in SNFs, which can help in predicting SNF industry response to current and future Medicare policy changes.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Rehabilitation
Kent P. Simmonds, James Burke, Allan J. Kozlowski, Michael Andary, Zhehui Luo, Mathew J. Reeves
Summary: This article discusses the choice between inpatient rehabilitation facilities (IRFs) and skilled nursing facilities (SNFs) for acute stroke patients in the United States, as well as the factors influencing this choice. The authors highlight the lack of high-quality evidence on the comparative effectiveness of IRF- vs SNF-based stroke rehabilitation and emphasize the need for a randomized controlled trial to address this issue.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Rehabilitation
Janet K. Freburger, Amy M. Pastva, Sylvia W. Coleman, Kennedy M. Peter, Anna M. Kucharska-Newton, Anna M. Johnson, Matthew A. Psioda, Pamela W. Duncan, Cheryl D. Bushnell, Wayne D. Rosamond, Sara B. Jones
Summary: The study aims to examine the impact of a comprehensive transitional care model on the utilization of skilled nursing facility (SNF) and inpatient rehabilitation facility (IRF) care for stroke patients in the 12 months following discharge home, as well as identify predictors for SNF or IRF admission after discharge home.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2022)
Article
Cardiac & Cardiovascular Systems
Jacob Lafo, Mriganka Singh, Lan Jiang, Stephen Correia, Caroline Madrigal, Rachel Clements, Wen-Chih Wu, Sebhat Erqou, James L. Rudolph
Summary: This study aimed to explore the influence of dementia and delirium on hospital readmission and mortality rates in heart failure patients discharged to skilled nursing facilities. The results showed that patients with delirium alone had significantly increased mortality rates at 30 and 365 days, as well as higher readmission rates. Patients with dementia but without delirium did not show significant differences in mortality and readmission rates compared to the reference group.
Article
Rehabilitation
Priyadarshini Pattath, Erika C. Odom, Xin Tong, Xiaoping Yin, Sallyann M. Coleman King
Summary: This study aimed to compare the factors associated with discharge of acute ischemic stroke survivors to inpatient rehabilitation (IRF) and skilled nursing facility (SNF) rehabilitation services. The results showed that patients discharged to SNF had longer hospital stays, more comorbidities, and higher modified Rankin scores compared to patients discharged to IRF. Nine characteristics were associated with a decreased likelihood of being discharged to IRF, while four characteristics were associated with an increased likelihood of being discharged to IRF. The study findings highlight the differences in demographic, clinical, and hospital characteristics between AIS patients receiving rehabilitation services in IRF and SNF.
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
(2023)
Article
Clinical Neurology
Emily Evans, Roee Gutman, Linda Resnik, Mark R. Zonfrillo, Stephanie N. Lueckel, Raj G. Kumar, Frank DeVone, Kristen Dams-O'Connor, Kali S. Thomas
Summary: Medicaid enrollment, incontinence, decreased independence with activities of daily living, and cognitive impairment were associated with lower odds of successful discharge, whereas race other was associated with higher odds of successful discharge. Injury factors including worse injury severity (Glasgow Coma Scale and Abbreviated Injury Scale scores) and fall-related injury mechanism were not associated with successful discharge.
JOURNAL OF HEAD TRAUMA REHABILITATION
(2021)
Article
Geriatrics & Gerontology
Shilpa Krishnan, Ickpyo Hong, Grace Couture, Yi-Ting Tzen, Timothy Reistetter
Summary: This study examines the prevalence, comorbidities, and rehabilitation utilization of pressure injuries (PrIs) among older adults with stroke at skilled nursing facilities (SNFs). The findings suggest that individuals with a longer hospital stay, lower socioeconomic status, higher proportions of comorbidities, and higher functional impairments are more likely to present with PrIs at SNF admission assessment. Deep PrIs are associated with younger age, non-Hispanic Black ethnicity, lower socioeconomic status, shorter hospital stay, intensive care unit stay, higher functional impairments, skin integrity issues, system failure, and infections. The study also reveals differences in therapy utilization between individuals with different stages of PrIs.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Gerontology
Rachel A. Prusynski, Bianca K. Frogner, Susan M. Skillman, Arati Dahal, Tracy M. Mroz
Summary: The study found that therapy assistant staffing does not directly impact patient functional improvement but is associated with more community discharges. Higher intensity physical therapy is linked to better patient outcomes.
JOURNAL OF APPLIED GERONTOLOGY
(2022)
Article
Health Care Sciences & Services
Caroline Strickland, Nancy Chi, Laura Ditz, Luisa Gomez, Brittin Wagner, Stanley Wang, Daniel J. Lizotte
Summary: This study provides a comprehensive analysis of the factors that impact whether a patient referral to a skilled nursing facility (SNF) is accepted or denied. The key drivers found include the patient's primary diagnosis and insurance type, as well as the facility's overall 5-star rating and urban versus rural status. Understanding these factors is essential for improving decision-making processes and achieving appropriate occupancy levels.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Geriatrics & Gerontology
Becky A. Briesacher, Brianne L. Olivieri-Mui, Benjamin Koethe, Jane S. Saczynski, Donna Marie Fick, John W. Devlin, Edward R. Marcantonio
Summary: A positive delirium screen at skilled-nursing facility (SNF) admission is associated with an increased risk of receiving psychoactive medication within 7 days, particularly in patients with incident dementia. Future research should explore strategies to reduce inappropriate psychoactive medication prescribing in older adults admitted with delirium to SNFs.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Geriatrics & Gerontology
Terry Hawk, Elizabeth M. White, Courtney Bishnoi, Lindsay B. Schwartz, Rosa R. Baier, David R. Gifford
Summary: This study examined the nurse staffing levels in skilled nursing facilities (SNFs) in the United States and estimated the costs and personnel needed to meet proposed minimum levels. The findings showed that only a small percentage of SNFs met the proposed standards, and achieving the minimum staffing levels would require substantial financial investment and targeted support for low-resource facilities. Rural SNFs in particular faced challenges in meeting all categories, primarily due to fierce competition at the county level.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2022)
Article
Orthopedics
Emma H. Beisheim-Ryan, Katie A. Butera, Lauren A. Hinrichs, Danielle L. Derlein, Daniel J. Malone, Jodi S. Holtrop, Jeri E. Forster, Donna Diedrich, Allison M. Gustavson, Jennifer E. Stevens-Lapsley
Summary: This study aims to compare the effectiveness of skilled nursing facilities utilizing i-STRONGER principles with usual care facilities in improving patient outcomes. The study will use an effectiveness-implementation hybrid type 1 design and evaluate the implementation of i-STRONGER in real-world clinical settings.
Article
Psychology, Clinical
Raymond T. C. M. Koopmans, Hilde Verbeek, Annemiek Bielderman, Meriam M. Janssen, Anke Persoon, Ivonne Lesman-Leegte, Eefje M. Sizoo, Jan P. H. Hamers, Debby L. Gerritsen
Summary: This study aimed to investigate the impact of the reopening of nursing homes in the Netherlands on the well-being of residents, visitors, and healthcare professionals. The results showed that allowing visitors had a positive impact on the well-being of all stakeholders, although some residents with dementia showed negative effects. The study also found that maintaining social distance and correctly wearing face masks was challenging for care staff. The conclusion highlighted the substantial impact of the reopening on resident well-being and the ongoing challenge of balancing infection control and well-being.
INTERNATIONAL PSYCHOGERIATRICS
(2022)
Article
Geriatrics & Gerontology
Dennis van de Veen, Christian Bakker, Kirsten Peetoom, Yolande Pijnenburg, Janne Papma, Marjolein de Vugt, Raymond Koopmans
Summary: This study aims to reach consensus on the terminology and operational definition of dementia at a young age through a classical Delphi technique. The survey results show that there is consensus on some statements, but further discussion is needed for some details. Therefore, it is recommended to organize an in person consensus meeting to address these issues.
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
(2022)
Article
Clinical Neurology
Berno U. H. Overbeek, Jan C. M. Lavrijsen, Simon van Gaal, Daniel Kondziella, Henk J. Eilander, Raymond T. C. M. Koopmans
Summary: This Delphi study provides consensus on the definition and assessment factors of VP and VF in patients with disorders of consciousness.
JOURNAL OF NEUROLOGY
(2022)
Article
Geriatrics & Gerontology
Talitha Vrijmoeth, Annelies Wassenaar, Raymond T. C. M. Koopmans, Minke S. Nieuwboer, Marieke Perry
Summary: To achieve successful generalist-specialist collaboration, it is important to clarify roles and expectations, build trust and familiarity, ensure regular communication, and have support from government, payers, and organizations.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Geriatrics & Gerontology
Christian Bakker, Marjon Verboom, Raymond Koopmans
Summary: Although dementia has a profound impact in general, young-onset dementia requires specific care and support. The establishment of an appropriate infrastructure, care centers, and training programs, as well as the development of care standards and quality hallmarks, have improved postdiagnostic care and support for young-onset dementia in the Netherlands.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Editorial Material
Geriatrics & Gerontology
Raymond T. C. M. Koopmans, Bas Leerink, Dederieke A. M. Festen
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Geriatrics & Gerontology
Inge A. H. Knippenberg, Ruslan Leontjevas, Johanna M. H. Nijsten, Christian Bakker, Raymond T. C. M. Koopmans, Debby L. Gerritsen
Summary: This study explored the observed effects of changes in stimuli during the COVID-19 pandemic in nursing homes. The findings suggest that reductions in untargeted stimuli may have different effects on specific resident groups. The study highlights the importance of considering stimuli, whether targeted or untargeted, when analyzing and treating challenging behavior in nursing home residents.
Article
Geriatrics & Gerontology
Jiamin Du, Sarah Janus, Brenda Voorthuis, Jeannette van Manen, Wilco Achterberg, Martin Smalbrugge, Sandra Zwijsen, Debby Gerritsen, Raymond Koopmans, Sytse Zuidema
Summary: The trends in psychotropic drug prescriptions and anti-dementia drug prescriptions among Dutch nursing home residents with dementia have changed over the past years, with a decrease in antipsychotics prescriptions and an increase in anti-dementia drug prescriptions. Although the overall prescription rate of psychotropic drugs has declined, it remains high.
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
(2022)
Article
Neurosciences
Stevie Hendriks, Kirsten Peetoom, Huibert Tange, Marloes A. van Bokhoven, Wiesje M. van der Flier, Christian Bakker, Janne M. Papma, Raymond Koopmans, Frans Verhey, Sebastian Kohler, Marjolein de Vugt
Summary: Young-onset dementia (YOD) has heterogeneous early symptoms, with different symptoms appearing at different time points. The combination of symptoms can increase the likelihood of diagnosing YOD.
JOURNAL OF ALZHEIMERS DISEASE
(2022)
Review
Clinical Neurology
Stevie Hendriks, Kirsten Peetoom, Christian Bakker, Raymond Koopmans, Wiesje van der Flier, Janne Papma, Frans Verhey, Marjolein de Vugt, Sebastian Kohler
Summary: Reliable data on the incidence rates for young-onset dementia are lacking, but this study provides the current best estimate. The global age-standardized incidence rate for the age group of 30 to 64 is 11 per 100,000, with 370,000 new cases occurring annually.
ALZHEIMERS & DEMENTIA
(2023)
Article
Geriatrics & Gerontology
Johannes A. Booij, Julie C. H. Q. van de Haterd, Sanne N. Huttjes, Rogier H. P. D. van Deijck, Raymond T. C. M. Koopmans
Summary: This study investigates the short- and long-term mortality and risk factors in nursing home patients with COVID-19 infection. The results show that COVID-19 infection increases the risk of death in the short and long term among nursing home patients. However, surviving COVID-19 infection does not lead to increased mortality in the long term within this population.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Geriatrics & Gerontology
Annelies E. Veldwijk-Rouwenhorst, Sytse U. Zuidema, Martin Smalbrugge, Anke Persoon, Raymond T. C. M. Koopmans, Debby L. Gerritsen
Summary: This study explores situations of extreme challenging behavior in nursing home residents with dementia and provides targets for improving care, treatment, and interdisciplinary collaboration.
Article
Geriatrics & Gerontology
Gerrie van Voorden, Raymond T. C. M. Koopmans, Martin Smalbrugge, Sytse U. Zuidema, Anne M. A. van den Brink, Anke Persoon, Richard Oude C. Voshaar, Debby L. Gerritsen
Summary: This study identified successful treatment of persons with dementia and severe challenging behavior, focusing on the well-being of all people involved. Multidisciplinary analysis and treatment as well as the attitudes and skills of those involved are essential to achieving successful treatment outcomes.
AGING & MENTAL HEALTH
(2023)
Article
Neurosciences
Stevie Hendriks, Kirsten Peetoom, Huibert Tange, Janne Papma, Wiesje M. van der Flier, Raymond Koopmans, Christian Bakker, Sebastian Kohler, Marjolein de Vugt
Summary: This study investigated the healthcare use of 75 persons with young-onset dementia (YOD) and identified factors influencing care use. The main reason for general practitioners (GPs) to refer for diagnosis was concerns of caregivers. After diagnosis, a majority of persons received care services, such as case management, day care, and admission to a long-term care facility. However, the presence of a case manager was associated with a lower rate of admission to a long-term care facility. Reasons for not initiating care included reluctance of the persons with YOD or their caregivers, patient death, or lack of GP referral. In conclusion, care use varied among persons with YOD due to different needs and factors, suggesting room for improvement in the care system.
JOURNAL OF ALZHEIMERS DISEASE
(2023)
Article
Psychology, Clinical
Maud Daemen, Jeroen Bruinsma, Christian Bakker, Rob Groot Zwaaftink, Raymond Koopmans, Andrea Oostijen, Bernard Loose, Frans Verhey, Marjolein de Vugt, Kirsten Peetoom
Summary: This study evaluates the Dutch version of the web-based information and support program for caregivers of persons with young-onset dementia (YOD). The program showed good user acceptability, usability, and satisfaction. Participants found the program to be useful and usable in daily life, and emphasized the need for a central platform providing educational and practical information about YOD.
INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH
(2022)
