A prospective study of symptoms, function, and medication use during acute illness in nursing home residents: design, rationale and cohort description.

BMC Geriatrics
William W HungKenneth Boockvar

Abstract

Nursing home residents are at high risk for developing acute illnesses. Compared with community dwelling adults, nursing home residents are often more frail, prone to multiple medical problems and symptoms, and are at higher risk for adverse outcomes from acute illnesses. In addition, because of polypharmacy and the high burden of chronic disease, nursing home residents are particularly vulnerable to disruptions in transitions of care such as medication interruptions in the setting of acute illness. In order to better estimate the effect of acute illness on nursing home residents, we have initiated a prospective cohort which will allow us to observe patterns of acute illnesses and the consequence of acute illnesses, including symptoms and function, among nursing home residents. We also aim to examine the patterns of medication interruption, and identify patient, provider and environmental factors that influence continuity of medication prescribing at different points of care transition. This is a prospective cohort of nursing home residents residing in two nursing homes in a metropolitan area. Baseline characteristics including age, gender, race, and comorbid conditions are recorded. Participants are followed longitudinally for...Continue Reading

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Citations

Feb 9, 2013·Chemical Reviews·Akon HiguchiAkihiro Umezawa
Nov 20, 2012·Journal of Nutrition in Gerontology and Geriatrics·Roschelle Heuberger
Jul 31, 2013·Journal of the American Medical Directors Association·Kenneth BoockvarWilliam Hung
Dec 3, 2014·Clinical Therapeutics·Sarah E ReddingKenneth S Boockvar
Apr 12, 2017·Journal of Gerontological Nursing·Christine R KovachCrystal-Rae Evans
Dec 22, 2019·International Journal of Environmental Research and Public Health·Soon Ok Kim, Sun Hee Bae
Feb 13, 2021·The Journal of Nutrition, Health & Aging·V GuionY Rolland

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Methods Mentioned

BETA
MDS

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