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"tags": [], "relations": {}, "dateAdded": "2019-03-12T12:40:16Z", "dateModified": "2019-03-12T12:40:16Z" } }, { "key": "A26RJ6G8", "version": 220, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/A26RJ6G8", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/A26RJ6G8", "type": "text/html" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } }, "creatorSummary": "Kosse et al.", "parsedDate": "2015-05", "numChildren": 1 }, "data": { "key": "A26RJ6G8", "version": 220, "itemType": "journalArticle", "title": "Factors related to the high fall rate in long-term care residents with dementia", "creators": [ { "creatorType": "author", "firstName": "Nienke M.", "lastName": "Kosse" }, { "creatorType": "author", "firstName": "Maartje H.", "lastName": "de Groot" }, { "creatorType": "author", "firstName": "Nicolas", "lastName": "Vuillerme" }, { "creatorType": "author", "firstName": "Tibor", "lastName": "Hortobágyi" }, { "creatorType": "author", "firstName": "Claudine J. C.", "lastName": "Lamoth" } ], "abstractNote": "BACKGROUND: Falls in long-term care residents with dementia represent a costly but unresolved safety issue. The aim of the present study was to (1) determine the incidence of falls, fall-related injuries and fall circumstances, and (2) identify the relationship between patient characteristics and fall rate in long-term care residents with dementia.\nMETHODS: Twenty long-term care residents with dementia (80 ± 11 years; 60% male) participated. Falls were recorded on a standardized form, concerning fall injuries, time and place of fall and if the fall was witnessed. Patient characteristics (66 variables) were extracted from medical records and classified into the domains: demographics, activities of daily living, mobility, cognition and behavior, vision and hearing, medical conditions and medication use. We used partial least squares (PLS) regression to determine the relationship between patient characteristics and fall rate.\nRESULTS: A total of 115 falls (5.1 ± 6.7 falls/person/year) occurred over 19 months, with 85% of the residents experiencing a fall, 29% of falls had serious consequences and 28% was witnessed. A combination of impaired mobility, indicators of disinhibited behavior, diabetes, and use of analgesics, beta blockers and psycholeptics were associated with higher fall rates. In contrast, immobility, heart failure, and the inability to communicate were associated with lower fall rates.\nCONCLUSIONS: Falls are frequent and mostly unwitnessed events in long-term care residents with dementia, highlighting the need for more effective and individualized fall prevention. Our analytical approach determined the relationship between a high fall rate and cognitive impairment, related to disinhibited behavior, in combination with mobility disability and fall-risk-increasing-drugs (FRIDs).", "publicationTitle": "International Psychogeriatrics", "publisher": "", "place": "", "date": "May 2015", "volume": "27", "issue": "5", "section": "", "partNumber": "", "partTitle": "", "pages": "803-814", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Int Psychogeriatr", "DOI": "10.1017/S104161021400249X", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1741-203X", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 25465203", "tags": [ { "tag": "Accidental Falls", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "Aged, 80 and over", "type": 1 }, { "tag": "Dementia", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Incidence", "type": 1 }, { "tag": "Long-Term Care", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Nursing Homes", "type": 1 }, { "tag": "Risk Factors", "type": 1 }, { "tag": "partial least square analyses", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2019-03-12T12:40:14Z", "dateModified": "2019-03-12T12:40:14Z" } }, { "key": "ZMFVTGXI", "version": 218, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/ZMFVTGXI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/ZMFVTGXI", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/28814/items/CRLXP69Q", "type": "application/json" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "ZMFVTGXI", "version": 218, "parentItem": "CRLXP69Q", "itemType": "attachment", "linkMode": "imported_url", "title": "Accepted Version", "accessDate": "2019-03-12T12:36:39Z", "url": "https://europepmc.org/articles/pmc3330142?pdf=render", "note": "", "contentType": "application/pdf", "charset": "", "filename": "Berry et al. - 2012 - New loop diuretic prescriptions may be an acute ri.pdf", "md5": "48009268da8f085a68082b820e396378", "mtime": 1552394199582, "tags": [], "relations": {}, "dateAdded": "2019-03-12T12:36:39Z", "dateModified": "2019-03-12T12:36:39Z" } }, { "key": "74F2CQJ7", "version": 217, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/74F2CQJ7", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/74F2CQJ7", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/28814/items/CRLXP69Q", "type": "application/json" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } } }, "data": { "key": "74F2CQJ7", "version": 217, "parentItem": "CRLXP69Q", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2019-03-12T12:36:36Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/22422651", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2019-03-12T12:36:36Z", "dateModified": "2019-03-12T12:36:36Z" } }, { "key": "CRLXP69Q", "version": 217, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/CRLXP69Q", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/CRLXP69Q", "type": "text/html" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } }, "creatorSummary": "Berry et al.", "parsedDate": "2012-05", "numChildren": 2 }, "data": { "key": "CRLXP69Q", "version": 217, "itemType": "journalArticle", "title": "New loop diuretic prescriptions may be an acute risk factor for falls in the nursing home", "creators": [ { "creatorType": "author", "firstName": "Sarah D.", "lastName": "Berry" }, { "creatorType": "author", "firstName": "Murray A.", "lastName": "Mittleman" }, { "creatorType": "author", "firstName": "Yuqing", "lastName": "Zhang" }, { "creatorType": "author", "firstName": "Daniel H.", "lastName": "Solomon" }, { "creatorType": "author", "firstName": "Lewis A.", "lastName": "Lipsitz" }, { "creatorType": "author", "firstName": "Elizabeth", "lastName": "Mostofsky" }, { "creatorType": "author", "firstName": "Dana", "lastName": "Goldense" }, { "creatorType": "author", "firstName": "Douglas P.", "lastName": "Kiel" } ], "abstractNote": "PURPOSE: Although chronic use of diuretics has been implicated as a risk factor for falls, it is unknown whether changes in diuretic drugs are associated with an acutely elevated risk of falls. We evaluated the relationship between change in a diuretic prescription (new prescription or increased dose) and the occurrence of documented falls among nursing home residents.\nMETHODS: Participants of the cohort were 1785 long-term care residents of two large nursing homes (2005-2010; Boston, MA). A self-matched, case-crossover analysis was used to examine whether there is an acutely increased risk of falling in the day following a diuretic drug change compared with days without a diuretic drug change. Odds ratios with 95% confidence intervals were calculated using conditional logistic regression models.\nRESULTS: During a mean follow-up of 8.4 months, 1181 participants experienced an incident fall. Nine participants experienced a diuretic change on the day before the fall. The odds of falling one day following a change in a diuretic was elevated (OR = 2.08; 95% CI = 0.89, 4.86). The association was stronger and reached nominal statistical significance when loop diuretics were examined separately (OR = 2.46; 95% CI = 1.02, 5.92). We estimated that, for every 271 loop diuretic drug changes, one excess fall occurred.\nCONCLUSIONS: Nursing home residents are at an increased risk of falls in the day following a new prescription or increased dose of a loop diuretic drug. Extra precautions should be taken immediately following a loop diuretic drug change in an effort to prevent falls.", "publicationTitle": "Pharmacoepidemiology and Drug Safety", "publisher": "", "place": "", "date": "May 2012", "volume": "21", "issue": "5", "section": "", "partNumber": "", "partTitle": "", "pages": "560-563", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Pharmacoepidemiol Drug Saf", "DOI": "10.1002/pds.3256", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1099-1557", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 22422651\nPMCID: PMC3330142", "tags": [ { "tag": "Accidental Falls", "type": 1 }, { "tag": "Aged, 80 and over", "type": 1 }, { "tag": "Cohort Studies", "type": 1 }, { "tag": "Cross-Over Studies", "type": 1 }, { "tag": "Dose-Response Relationship, Drug", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Follow-Up Studies", "type": 1 }, { "tag": "Homes for the Aged", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Logistic Models", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Nursing Homes", "type": 1 }, { "tag": "Prospective Studies", "type": 1 }, { "tag": "Risk Factors", "type": 1 }, { "tag": "Sodium Potassium Chloride Symporter Inhibitors", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2019-03-12T12:36:34Z", "dateModified": "2019-03-12T12:36:34Z" } }, { "key": "USPA7TQU", "version": 215, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/USPA7TQU", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/USPA7TQU", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/28814/items/8I9UR3D3", "type": "application/json" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "USPA7TQU", "version": 215, "parentItem": "8I9UR3D3", "itemType": "attachment", "linkMode": "imported_url", "title": "Full Text", "accessDate": "2019-03-12T12:35:39Z", "url": "https://bmcgeriatr.biomedcentral.com/track/pdf/10.1186/1471-2318-13-19", "note": "", "contentType": "application/pdf", "charset": "", "filename": "Echt et al. - 2013 - Psychotropic drug initiation or increased dosage a.pdf", "md5": "c53585bcc64ae246ef9ea14510230da9", "mtime": 1552394139460, "tags": [], "relations": {}, "dateAdded": "2019-03-12T12:35:39Z", "dateModified": "2019-03-12T12:35:39Z" } }, { "key": "E3GRRFSS", "version": 214, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/E3GRRFSS", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/E3GRRFSS", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/28814/items/8I9UR3D3", "type": "application/json" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } } }, "data": { "key": "E3GRRFSS", "version": 214, "parentItem": "8I9UR3D3", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2019-03-12T12:35:37Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23432790", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2019-03-12T12:35:37Z", "dateModified": "2019-03-12T12:35:37Z" } }, { "key": "8I9UR3D3", "version": 214, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/8I9UR3D3", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/8I9UR3D3", "type": "text/html" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } }, "creatorSummary": "Echt et al.", "parsedDate": "2013-02-22", "numChildren": 2 }, "data": { "key": "8I9UR3D3", "version": 214, "itemType": "journalArticle", "title": "Psychotropic drug initiation or increased dosage and the acute risk of falls: a prospective cohort study of nursing home residents", "creators": [ { "creatorType": "author", "firstName": "Murray A.", "lastName": "Echt" }, { "creatorType": "author", "firstName": "Elizabeth J.", "lastName": "Samelson" }, { "creatorType": "author", "firstName": "Marian T.", "lastName": "Hannan" }, { "creatorType": "author", "firstName": "Alyssa B.", "lastName": "Dufour" }, { "creatorType": "author", "firstName": "Sarah D.", "lastName": "Berry" } ], "abstractNote": "BACKGROUND: Previous studies suggest that psychotropic drug changes may signal an acute period of time whereby a person is highly vulnerable to fall. It is unknown whether certain classes of psychotropic agents are less safe with respect to the acute risk of falls. Our purpose was to compare fall rates in the 7 days following a change of an antidepressant, antipsychotic, or benzodiazepine. We also identified specific times when residents are at high risk for falls with respect to a psychotropic drug change.\nMETHODS: Residents in our one-year study included 851 long term care residents from two nursing home facilities in Boston, MA, U.S.A. (May 2010 - May 2011). Drug changes (i.e., new prescriptions or increased dose of a previously used drug) were ascertained using the computerized provider order entry system, whereas falls were ascertained by incident reports. Negative binomial regression was used to compare the rate of falls following a drug change between medication classes. Further, we calculated the rate of falls for each of the 7 days before and 7 days after a psychotropic drug change.\nRESULTS: Forty-eight percent of residents were prescribed a new prescription or increased dose of a psychotropic drug during the study. The rate of falls was similar in the 7 days following a change to a SSRI versus non-SSRI antidepressant (11.9 versus 14.4 falls/1,000 person years; p = 0.58), a typical versus an atypical antipsychotic (25.4 versus 17.1 falls/1,000 person years; p = 0.10), or a short versus long acting benzodiazepine (15.2 versus 13.9 falls/1,000 person years; p = 0.23). Fall risk was highest on day 4 before the drug change (19.0 falls/1,000 person days), on the day of the drug change through 2 days after the drug change (17.6-20.3 falls/1,000 person days), and 5-6 days after the drug change (17.6-19.0 falls/1,000 person days).\nCONCLUSIONS: In the nursing home, risk of falls was similar following a psychotropic drug change of any class. We observed higher fall risk in the days before, but mostly after the drug change. We recommend that nursing home residents be closely monitored following a psychotropic drug change in an effort to reduce falls.", "publicationTitle": "BMC geriatrics", "publisher": "", "place": "", "date": "Feb 22, 2013", "volume": "13", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "19", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "BMC Geriatr", "DOI": "10.1186/1471-2318-13-19", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1471-2318", "archive": "", "archiveLocation": "", "shortTitle": "Psychotropic drug initiation or increased dosage and the acute risk of falls", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23432790\nPMCID: PMC3606594", "tags": [ { "tag": "Accidental Falls", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "Aged, 80 and over", "type": 1 }, { "tag": "Cohort Studies", "type": 1 }, { "tag": "Dose-Response Relationship, Drug", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Follow-Up Studies", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Nursing Homes", "type": 1 }, { "tag": "Prospective Studies", "type": 1 }, { "tag": "Psychotropic Drugs", "type": 1 }, { "tag": "Risk Factors", "type": 1 }, { "tag": "Time Factors", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2019-03-12T12:35:36Z", "dateModified": "2019-03-12T12:35:36Z" } }, { "key": "D547QBI3", "version": 213, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/D547QBI3", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/D547QBI3", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/28814/items/GHE4V7ZU", "type": "application/json" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } } }, "data": { "key": "D547QBI3", "version": 213, "parentItem": "GHE4V7ZU", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2019-03-12T12:33:01Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/22959730", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2019-03-12T12:33:01Z", "dateModified": "2019-03-12T12:33:01Z" } }, { "key": "GHE4V7ZU", "version": 213, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/GHE4V7ZU", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/GHE4V7ZU", "type": "text/html" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } }, "creatorSummary": "Nazir et al.", "parsedDate": "2012-11", "numChildren": 1 }, "data": { "key": "GHE4V7ZU", "version": 213, "itemType": "journalArticle", "title": "Falls and nursing home residents with cognitive impairment: new insights into quality measures and interventions", "creators": [ { "creatorType": "author", "firstName": "Arif", "lastName": "Nazir" }, { "creatorType": "author", "firstName": "Christine", "lastName": "Mueller" }, { "creatorType": "author", "firstName": "Anthony", "lastName": "Perkins" }, { "creatorType": "author", "firstName": "Greg", "lastName": "Arling" } ], "abstractNote": "OBJECTIVES: Prevention and public reporting of falls have suffered due to inadequate attention given to the association of falls and cognitive impairment (CI) among nursing home (NH) residents. This study examines the relationship between CI, residence on dementia special care units (SCUs) and other resident characteristics and likelihood of residents experiencing new falls in NHs.\nDESIGN: Retrospective cohort study.\nSETTING AND PARTICIPANTS: A total of 21,587 residents from 381 Minnesota NHs.\nMEASUREMENTS: The NH Minimum Data Set (MDS) for 21,587 residents from 381 Minnesota NHs in the first calendar quarter of 2008 were analyzed. New falls, (fall noted on a current MDS assessment but not on a prior assessment); cognitive status, (as defined by Cognitive Performance Scale); residence on an SCU, and health and functional status covariates were recorded. A random effects logistic regression model was used to examine relationships between new falls and the resident's cognitive status, type of unit, and covariates.\nRESULTS: The likelihood of a new fall had a nonlinear association with CI. Compared with residents with normal or mild CI, the likelihood of a new fall was significantly higher among residents with moderate CI (OR= 1.43). The risk decreased slightly (OR= 1.34) for residents with more advanced CI, whereas the presence of severe CI was not significantly associated with new falls. Overall the likelihood of new falls was significantly higher for residents on SCUs compared with those on conventional units (OR= 1.27).\nCONCLUSIONS: Severity of CI and residence on SCU impact fall incidence and should be accounted for in future fall- prevention interventions and quality-reporting indicators and measures.", "publicationTitle": "Journal of the American Medical Directors Association", "publisher": "", "place": "", "date": "Nov 2012", "volume": "13", "issue": "9", "section": "", "partNumber": "", "partTitle": "", "pages": "819.e1-6", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Am Med Dir Assoc", "DOI": "10.1016/j.jamda.2012.07.018", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1538-9375", "archive": "", "archiveLocation": "", "shortTitle": "Falls and nursing home residents with cognitive impairment", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 22959730", "tags": [ { "tag": "Accidental Falls", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "Aged, 80 and over", "type": 1 }, { "tag": "Cognition Disorders", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Likelihood Functions", "type": 1 }, { "tag": "Logistic Models", "type": 1 }, { "tag": "Medical Audit", "type": 1 }, { "tag": "Minnesota", "type": 1 }, { "tag": "Nursing Homes", "type": 1 }, { "tag": "Quality Indicators, Health Care", "type": 1 }, { "tag": "Retrospective Studies", "type": 1 }, { "tag": "Risk Factors", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2019-03-12T12:32:59Z", "dateModified": "2019-03-12T12:32:59Z" } }, { "key": "7C6ALPBB", "version": 210, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/7C6ALPBB", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/7C6ALPBB", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/28814/items/ZH2DTPIH", "type": "application/json" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } } }, "data": { "key": "7C6ALPBB", "version": 210, "parentItem": "ZH2DTPIH", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2019-03-12T12:30:59Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/23114551", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2019-03-12T12:30:59Z", "dateModified": "2019-03-12T12:30:59Z" } }, { "key": "ZH2DTPIH", "version": 210, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/ZH2DTPIH", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/ZH2DTPIH", "type": "text/html" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } }, "creatorSummary": "Sylliaas et al.", "parsedDate": "2012-06", "numChildren": 1 }, "data": { "key": "ZH2DTPIH", "version": 210, "itemType": "journalArticle", "title": "Do behavioral disturbances predict falls among nursing home residents?", "creators": [ { "creatorType": "author", "firstName": "Hilde", "lastName": "Sylliaas" }, { "creatorType": "author", "firstName": "Geir", "lastName": "Selbaek" }, { "creatorType": "author", "firstName": "Astrid", "lastName": "Bergland" } ], "abstractNote": "BACKGROUND AND AIMS: The purpose of our study was to examine whether severity of dementia, behavioral and psychological symptoms and depression can predict falls among nursing home residents, such as demographic variables, activities of daily living, and use of psychotropic drugs, when potential confounders are controlled for.\nMETHODS: 1147 nursing home residents were examined in this one-year follow-up study. All residents were examined with the Physical Self-Maintenance scale (Activities of Daily Living - ADL), Clinical Dementia Rating Scale (CDR), Neuropsychiatric Inventory (NPI) and Cornell Scale for Depression in Dementia. Demographic data, gender, education, physical health and use of medication were collected from medical records.\nRESULTS: 40% of participants had at least one fall during the one-year follow-up period. Bivariate survival analysis revealed that low level of education, severe dementia, severe behavioral and psychological symptoms, severe depression, greater functional impairment, age, worsening in physical health, and use of sedatives, significantly predict one or more falls. Multivariate Cox regression analyses showed that age, higher scores on NPI and CDR, use of sedatives and dependency in ADL were all, independently of each other, predictors of an increased risk of falling.\nCONCLUSIONS: Having a high NPI score was identified as a significant and independent predictor of falls. Since falling is a common event which causes considerable morbidity and mortality in older people, these findings are important for healthcare and for the individuals concerned. To prevent falling in nursing homes, special attention must be paid to residents with severe dementia, to behavioral symptoms and use of sedatives.", "publicationTitle": "Aging Clinical and Experimental Research", "publisher": "", "place": "", "date": "Jun 2012", "volume": "24", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "251-256", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Aging Clin Exp Res", "DOI": "", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1720-8319", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 23114551", "tags": [ { "tag": "Accidental Falls", "type": 1 }, { "tag": "Activities of Daily Living", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "Aged, 80 and over", "type": 1 }, { "tag": "Behavioral Symptoms", "type": 1 }, { "tag": "Cohort Studies", "type": 1 }, { "tag": "Dementia", "type": 1 }, { "tag": "Depression", "type": 1 }, { "tag": "Depressive Disorder, Major", "type": 1 }, { "tag": "Educational Status", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Follow-Up Studies", "type": 1 }, { "tag": "Health Status", "type": 1 }, { "tag": "Homes for the Aged", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Multivariate Analysis", "type": 1 }, { "tag": "Norway", "type": 1 }, { "tag": "Nursing Homes", "type": 1 }, { "tag": "Psychotropic Drugs", "type": 1 }, { "tag": "Risk Factors", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2019-03-12T12:30:58Z", "dateModified": "2019-03-12T12:30:58Z" } }, { "key": "YX7T32P4", "version": 211, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/YX7T32P4", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/YX7T32P4", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/28814/items/UQYVXBLK", "type": "application/json" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } }, "numChildren": 0 }, "data": { "key": "YX7T32P4", "version": 211, "parentItem": "UQYVXBLK", "itemType": "attachment", "linkMode": "imported_url", "title": "Accepted Version", "accessDate": "2019-03-12T12:29:47Z", "url": "https://europepmc.org/articles/pmc3854929?pdf=render", "note": "", "contentType": "application/pdf", "charset": "", "filename": "Leland et al. - 2012 - Falls in newly admitted nursing home residents a .pdf", "md5": "abec21ac48e60c2f5e914ad0f029e382", "mtime": 1552393787268, "tags": [], "relations": {}, "dateAdded": "2019-03-12T12:29:47Z", "dateModified": "2019-03-12T12:29:47Z" } }, { "key": "P4K8GFFI", "version": 210, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/P4K8GFFI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/P4K8GFFI", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/28814/items/UQYVXBLK", "type": "application/json" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } } }, "data": { "key": "P4K8GFFI", "version": 210, "parentItem": "UQYVXBLK", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2019-03-12T12:29:44Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/22587857", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2019-03-12T12:29:44Z", "dateModified": "2019-03-12T12:29:44Z" } }, { "key": "UQYVXBLK", "version": 210, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/UQYVXBLK", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/UQYVXBLK", "type": "text/html" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } }, "creatorSummary": "Leland et al.", "parsedDate": "2012-05", "numChildren": 2 }, "data": { "key": "UQYVXBLK", "version": 210, "itemType": "journalArticle", "title": "Falls in newly admitted nursing home residents: a national study", "creators": [ { "creatorType": "author", "firstName": "Natalie E.", "lastName": "Leland" }, { "creatorType": "author", "firstName": "Pedro", "lastName": "Gozalo" }, { "creatorType": "author", "firstName": "Joan", "lastName": "Teno" }, { "creatorType": "author", "firstName": "Vince", "lastName": "Mor" } ], "abstractNote": "OBJECTIVES: To examine the relationship between nursing home (NH) organizational characteristics and falls in newly admitted NH residents.\nDESIGN: Observational cross-sectional study from January 1, 2006, to December 31, 2006.\nSETTING: NHs in the United States in 2006.\nPARTICIPANTS: Individuals (n = 230,730) admitted to a NH in 2006 without a prior NH stay and with a follow-up Minimum Data Set (MDS) assessment completed 30 days or more after admission.\nMEASUREMENTS: The relationship between experiencing a fall noted on the MDS assessment and NH characteristics (e.g., staffing, profit and chain status, religious affiliation, hospital-based facility status, number of beds, presence of a special care unit, funding) was examined, adjusting for NH resident characteristics.\nRESULTS: Twenty-one percent of this cohort (n = 47,750) had experienced at least one fall in the NH at the time of the MDS assessment, which was completed for newly admitted NH residents who had at least a 30-day stay. NHs with higher certified nursing assistant (CNA) staffing had lower rates of falls (adjusted odds ratio = 0.97, 95% confidence interval = 0.95-0.99).\nCONCLUSION: For newly admitted NH residents, NHs with higher CNA staffing had a lower fall rate. In an effort to maximize fall prevention efforts, further research is needed to understand the relationship between CNA staffing and falls in this NH population.", "publicationTitle": "Journal of the American Geriatrics Society", "publisher": "", "place": "", "date": "May 2012", "volume": "60", "issue": "5", "section": "", "partNumber": "", "partTitle": "", "pages": "939-945", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Am Geriatr Soc", "DOI": "10.1111/j.1532-5415.2012.03931.x", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1532-5415", "archive": "", "archiveLocation": "", "shortTitle": "Falls in newly admitted nursing home residents", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 22587857\nPMCID: PMC3854929", "tags": [ { "tag": "Accidental Falls", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "Aged, 80 and over", "type": 1 }, { "tag": "Cross-Sectional Studies", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Homes for the Aged", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Nursing Homes", "type": 1 }, { "tag": "United States", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2019-03-12T12:29:42Z", "dateModified": "2019-03-12T12:29:42Z" } }, { "key": "WDKLFGKR", "version": 209, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/WDKLFGKR", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/WDKLFGKR", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/28814/items/MS95XRQD", "type": "application/json" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } } }, "data": { "key": "WDKLFGKR", "version": 209, "parentItem": "MS95XRQD", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2019-03-11T22:12:37Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/29786659", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2019-03-11T22:12:37Z", "dateModified": "2019-03-11T22:12:37Z" } }, { "key": "MS95XRQD", "version": 209, "library": { "type": "group", "id": 28814, "name": "antidepressants-and-nursing-home-residents", "links": { "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/28814/items/MS95XRQD", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/antidepressants-and-nursing-home-residents/items/MS95XRQD", "type": "text/html" } }, "meta": { "createdByUser": { "id": 8771, "username": "boycer", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/boycer", "type": "text/html" } } }, "creatorSummary": "Nait Aicha et al.", "parsedDate": "2018-05-22", "numChildren": 1 }, "data": { "key": "MS95XRQD", "version": 209, "itemType": "journalArticle", "title": "Deep Learning to Predict Falls in Older Adults Based on Daily-Life Trunk Accelerometry", "creators": [ { "creatorType": "author", "firstName": "Ahmed", "lastName": "Nait Aicha" }, { "creatorType": "author", "firstName": "Gwenn", "lastName": "Englebienne" }, { "creatorType": "author", "firstName": "Kimberley S.", "lastName": "van Schooten" }, { "creatorType": "author", "firstName": "Mirjam", "lastName": "Pijnappels" }, { "creatorType": "author", "firstName": "Ben", "lastName": "Kröse" } ], "abstractNote": "Early detection of high fall risk is an essential component of fall prevention in older adults. Wearable sensors can provide valuable insight into daily-life activities; biomechanical features extracted from such inertial data have been shown to be of added value for the assessment of fall risk. Body-worn sensors such as accelerometers can provide valuable insight into fall risk. Currently, biomechanical features derived from accelerometer data are used for the assessment of fall risk. Here, we studied whether deep learning methods from machine learning are suited to automatically derive features from raw accelerometer data that assess fall risk. We used an existing dataset of 296 older adults. We compared the performance of three deep learning model architectures (convolutional neural network (CNN), long short-term memory (LSTM) and a combination of these two (ConvLSTM)) to each other and to a baseline model with biomechanical features on the same dataset. The results show that the deep learning models in a single-task learning mode are strong in recognition of identity of the subject, but that these models only slightly outperform the baseline method on fall risk assessment. When using multi-task learning, with gender and age as auxiliary tasks, deep learning models perform better. We also found that preprocessing of the data resulted in the best performance (AUC = 0.75). We conclude that deep learning models, and in particular multi-task learning, effectively assess fall risk on the basis of wearable sensor data.", "publicationTitle": "Sensors (Basel, Switzerland)", "publisher": "", "place": "", "date": "May 22, 2018", "volume": "18", "issue": "5", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Sensors (Basel)", "DOI": "10.3390/s18051654", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1424-8220", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 29786659\nPMCID: PMC5981199", "tags": [ { "tag": "Accelerometry", "type": 1 }, { "tag": "Accidental Falls", "type": 1 }, { "tag": "Activities of Daily Living", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "Aged, 80 and over", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Machine Learning", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Monitoring, Ambulatory", "type": 1 }, { "tag": "Neural Networks (Computer)", "type": 1 }, { "tag": "accelerometry", "type": 1 }, { "tag": "accidental falls", "type": 1 }, { "tag": "convolutional neural network", "type": 1 }, { "tag": "long short-term memory", "type": 1 }, { "tag": "machine learning", "type": 1 }, { "tag": "neural networks", "type": 1 }, { "tag": "older adults", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2019-03-11T22:12:36Z", "dateModified": "2019-03-11T22:12:36Z" } } ]