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
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
Orthopedics
Heather A. Hayes, Vincent Mor, Guo Wei, Angela Presson, Christine McDonough
Summary: This study aimed to determine the factors influencing the discharge destination of people poststroke with Medicare Advantage plans. Results showed that individuals poststroke are more likely to be discharged to a skilled nursing facility rather than an inpatient rehabilitation facility. Different payers have varied patterns in discharge placement for patients poststroke.
Article
Geriatrics & Gerontology
Elizabeth M. White, Elie A. Saade, Xiaofei Yang, David H. Canaday, Carolyn Blackman, Christopher M. Santostefano, Aman Nanda, Richard A. Feifer, Vincent Mor, James L. Rudolph, Stefan Gravenstein
Summary: This study found that vulnerable older adults can produce antibodies to SARS-CoV-2, with antibodies most likely to be detected within 15-30 days of diagnosis. Additionally, a large proportion of residents with no confirmed infection also showed antibody response, highlighting the complexity of identifying infecte in real time.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Rehabilitation
Alexis M. Philippe, Rez Farid
Summary: This retrospective observational study aimed to evaluate the functional outcomes of patients who received combined rehabilitation from an IRF and SNF. The findings showed that a significant proportion of patients were able to return to baseline functioning and home after their stay at an IRF followed by SNF placement.
Article
Geriatrics & Gerontology
Ashley Z. Ritter, Cyrus M. Kosar, Elizabeth M. White, Richard A. Feifer, Carolyn Blackman, Vincent Mor
Summary: This study examined the risk of contracting SARS-CoV-2 and the associated risk of death during a post-acute skilled nursing facility stay. The study found that patients with greater cognitive and functional impairment had a higher risk. Patients who contracted SARS-CoV-2 during their stay had a nearly doubled rate of death compared to those who were not infected.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(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
Medicine, General & Internal
Katja Thomsen, Anders Fournaise, Lars Erik Matzen, Karen Andersen-Ranberg, Jesper Ryg
Summary: This study examined the impact of follow-up visits by an outgoing multidisciplinary geriatric team on unplanned hospital readmission in older patients discharged to a skilled nursing facility. The results showed that patients who received the follow-up visits had a significantly lower readmission rate, indicating a positive impact on the health of older patients.
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
Gerontology
David M. Levine, Mary A. Cueva, Sandra Shi, Idriz Limaj, Bessey Wambolt, David C. Grabowski, Jeffrey L. Schnipper, Charles T. Pu
Summary: This study aimed to demonstrate the feasibility of providing rehabilitation care at home through a pilot randomized controlled trial. The results showed that home rehabilitation patients had lower episode costs, greater improvement in functional status, and better patient experience, suggesting the potential of this delivery innovation to reshape post-acute care provision.
JOURNAL OF APPLIED GERONTOLOGY
(2022)
Article
Health Care Sciences & Services
Jennifer L. Carnahan, Lev Inger, Susan M. Rawl, Tochukwu C. Iloabuchi, Daniel O. Clark, Christopher M. Callahan, Alexia M. Torke
Summary: Patients transitioning from hospital to skilled nursing facility to home face unique challenges, with the need for post-SNF in-home support to prevent adverse outcomes.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Geriatrics & Gerontology
Sarah D. Berry, Kimberly S. Johnson, Lonnita Myles, Laurie Herndon, Ana Montoya, Shekinah Fashaw, David Gifford
Summary: The study revealed that concerns among healthcare workers and staff in skilled nursing facilities mainly revolved around the rapid development of COVID-19 vaccines, potential side effects, and the post-vaccination return to normal activities. Misinformation was widespread, and sharing positive emotions and stories proved to be more effective in reducing vaccine hesitancy than data sharing.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Letter
Immunology
Monise Magro, Andrea Parriott, Tisha Mitsunaga, Erin Epson
Summary: The study estimated the real-world vaccine effectiveness among healthcare personnel in skilled nursing facilities in California from January to March 2021, showing a high effectiveness rate of 73.3% for those fully vaccinated.
EMERGING INFECTIOUS DISEASES
(2022)
Article
Geriatrics & Gerontology
Adam Simning, Jessica Orth, Thomas Caprio, Yue Li, Jinjiao Wang, Helena Temkin-Greener
Summary: The study examined the percentage of post-acute care residents in skilled nursing facilities who did not receive timely primary care provider services, with 40% found to not have a timely visit. Factors such as racial minority and rural county status were associated with lower odds of receiving timely PCP services. Additionally, female sex, surgical hospitalization, and receipt of home health services were associated with increased odds of achieving perfect 30-day home time after discharge.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Brandon P. Verdoorn, Mairead M. Bartley, Lori J. Baumbach, Anupam Chandra, Kyle M. McKenzie, Maria Mendoza De la Garza, Daniel E. Sanchez Pellecer, Tina C. Small, Gregory J. Hanson
Summary: The COVID-19 pandemic has put pressure on healthcare systems to care for acutely ill patients. A collaborative partnership between a health system and a skilled nursing facility resulted in the development of an SNF COVID-19 unit, providing expedited hospital discharge for COVID-positive older adults and an alternative to hospitalization for those requiring SNF care.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
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)