Here - American Geriatrics Society

More documents

Recommendations

Info

P OSTER A BSTRACTS categories based on Mini-Mental State Examination (MMSE) scores: >23 and those < 23. Results: The following differences were found between dementia(D) and non-dementia(ND) patients: Proportion with of twice daily brushings or more: Annual dental visits: 36% (D) vs. 54% (ND); flosses teeth: 11% (D) vs. 25% (ND); 51% (D) vs. 54% (ND); problems with teeth:16%(D) vs. 26%(ND); complaining of dental pain: 20% (D) vs.21% (ND); wear dentures: 57% (D) vs. 58% (ND); problems with dentures: 25% (D) vs. 30% (ND); Two of the comparisons attained statistical significance(p< .05): annual dental visits(r=.18) and flossing teeth (r=.18). There were no significant correlations between the dichotomized MMSE score and the dental variables. In the dementia group, having at least an annual visit to dentist was significantly associated with stage of dementia; 71% and 22% had annual visits among person with mild and moderate or severe stages, respectively (χ2 = 6.62, df=1, p=.01). However, no other sociodemographic, cognitive, or neuropsychiatric variables were associated with annual dental visits. Conclusion: Although both groups showed substandard levels of care, persons with dementia had significantly lower levels of dental care, and this worsened with the stage of the dementia. The study confirms that need for education of caregivers and increased accessibility to oral health care in older adults with dementia. Key Words: Dental care; <strong>Geriatrics</strong>; Dementia A40 Counting Pop-Drops: Emergency Department Re-Visits by Persons with Dementia. C. Clevenger, 1,2 D. Khalili, 2 Z. Yang. 3 1. Birmingham/Atlanta GRECC, Department of Veterans’ Affairs Medical Center, Grayson, GA; 2. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA; 3. Rollins School of Public Health, Emory University, Atlanta, GA. BACKGROUND: Twenty-six to forty percent of older emergency department (ED) patients are estimated to have dementia. We conducted a pilot study in which persons with dementia (PwD) had twice the number of ED visits over a one-year period compared to those without dementia. The purpose of this study is to compare the pattern of ED use, discharges, and hospital admissions between older ED re-visitors with and without dementia. METHODS: The study employed retrospective chart review of persons over the age of 70 who accessed the ED of an urban academic medical center ≥ 2 times in 2009 with chief complaints of moderate severity. We reviewed clinical notes from the ED visit as well as inpatient and outpatient records for documentation of dementia. Dates and outcomes of ED visits (admission to hospital or discharge from ED) were used to calculate interval between visits and variables of events occurring within 7, 30, 60 and 90 days. We asked the following research questions: What is the mean number of days between ED visits for PwD? How likely are PwD to re-visit the ED within 30 days compared to those without dementia? Is there a delay in hospital admission for PwD as shown by multiple ED discharges prior to hospital admission? RESULTS: The study sampled 540 ED visits made by 154 persons; 54 were PwD (35.1%). The mean number of days between ED visits was 41.5 for those without dementia and 33.7 for PwD (p=0.160). Persons with dementia made 207 of the 540 total ED visits (38.3%); 154 of the 386 re-visits (39.9%); and 95 of the 219 30-day revisits (43.4%). The likelihood ratio of an ED re-visit in = 65 years with at least 1 ED visit between 1/1/00 and 9/30/07 (N = 4,964). Latent class analysis models were estimated to identify groups (or classes) with similar numbers of (1) primary care (PC) visits; (2) outpatient ED visits (i.e. treated and released); and (3) hospital days within 12 months preceding the index S30 AGS 2012 ANNUAL MEETING
P OSTER A BSTRACTS ED visit. A multinomial logistic regression model was used to compare health care utilization measures in each class to the overall sample mean. Results: 5 groups with distinct patterns of health service use in the year preceding an index ED visit emerged. Two groups, dubbed “Wellderly,” had fewer chronic conditions than the population mean. The 1st group [“Wellderly with PC”, 39%] used less ED and hospital care, but had higher PC visits compared to the overall mean (6.2 vs 4). Members of this group were more likely to be female, live alone and have higher income (P
Page 1: Dear Annual Meeting Attendee: The A
Page 8 and 9: P APER A BSTRACTS the National Deat
Page 10 and 11: P APER A BSTRACTS two counts were u
Page 12 and 13: P APER A BSTRACTS management in col
Page 14 and 15: P APER A BSTRACTS control collagen
Page 16 and 17: P APER A BSTRACTS creating a barrie
Page 18 and 19: P APER A BSTRACTS Conclusion: This
Page 20 and 21: P APER A BSTRACTS rates for CRs wer
Page 22 and 23: P APER A BSTRACTS each definition
Page 24 and 25: P OSTER A BSTRACTS been ruled out.
Page 26 and 27: P OSTER A BSTRACTS Discussion: Angi
Page 28 and 29: P OSTER A BSTRACTS calcitriol via 1
Page 30 and 31: P OSTER A BSTRACTS ii J Clin Micrbi
Page 32 and 33: P OSTER A BSTRACTS is on the rise.
Page 34 and 35: P OSTER A BSTRACTS edema (60%), and
Page 38 and 39: P OSTER A BSTRACTS Methods: A longi
Page 40 and 41: P OSTER A BSTRACTS Design. CaMos is
Page 42 and 43: P OSTER A BSTRACTS incidents (64%)
Page 44 and 45: P OSTER A BSTRACTS TNF-R1 levels we
Page 46 and 47: P OSTER A BSTRACTS curriculum betwe
Page 48 and 49: P OSTER A BSTRACTS A75 Geriatrics a
Page 50 and 51: P OSTER A BSTRACTS Design: Based on
Page 52 and 53: P OSTER A BSTRACTS medicine fellows
Page 54 and 55: P OSTER A BSTRACTS While we were no
Page 56 and 57: P OSTER A BSTRACTS and knowledge pr
Page 58 and 59: P OSTER A BSTRACTS made more eye co
Page 60 and 61: P OSTER A BSTRACTS This study’s p
Page 62 and 63: P OSTER A BSTRACTS that a substanti
Page 64 and 65: P OSTER A BSTRACTS articulate goals
Page 66 and 67: P OSTER A BSTRACTS transitions invo
Page 68 and 69: P OSTER A BSTRACTS findings suggest
Page 70 and 71: P OSTER A BSTRACTS and its sum of b
Page 72 and 73: P OSTER A BSTRACTS NTM infection wa
Page 74 and 75: P OSTER A BSTRACTS death because
Page 76 and 77: P OSTER A BSTRACTS A158 Curved Path
Page 78 and 79: P OSTER A BSTRACTS compared to pati
Page 80 and 81: P OSTER A BSTRACTS Methods: We are
Page 82 and 83: P OSTER A BSTRACTS with only about
Page 84 and 85: P OSTER A BSTRACTS with typical ris
Page 86 and 87:
P OSTER A BSTRACTS The aim of this
Page 88 and 89:
P OSTER A BSTRACTS B27 Shared Decis
Page 90 and 91:
P OSTER A BSTRACTS SES, adiposity a
Page 92 and 93:
P OSTER A BSTRACTS care (OR 1.93, 9
Page 94 and 95:
P OSTER A BSTRACTS Conclusion: Agin
Page 96 and 97:
P OSTER A BSTRACTS B49 Prevalence a
Page 98 and 99:
P OSTER A BSTRACTS Conclusions: The
Page 100 and 101:
P OSTER A BSTRACTS B61 Losartan inc
Page 102 and 103:
P OSTER A BSTRACTS Conclusions Our
Page 104 and 105:
P OSTER A BSTRACTS Significant incr
Page 106 and 107:
P OSTER A BSTRACTS frailty have inc
Page 108 and 109:
P OSTER A BSTRACTS Conclusion: In t
Page 110 and 111:
P OSTER A BSTRACTS BMI=28.4, mean P
Page 112 and 113:
P OSTER A BSTRACTS Each subject’s
Page 114 and 115:
P OSTER A BSTRACTS There is growing
Page 116 and 117:
P OSTER A BSTRACTS variation in uti
Page 118 and 119:
P OSTER A BSTRACTS complex elders s
Page 120 and 121:
P OSTER A BSTRACTS satisfaction wit
Page 122 and 123:
P OSTER A BSTRACTS Methods: The Hon
Page 124 and 125:
P OSTER A BSTRACTS B130 Early Disco
Page 126 and 127:
P OSTER A BSTRACTS IgE antibodies i
Page 128 and 129:
P OSTER A BSTRACTS contribution by
Page 130 and 131:
P OSTER A BSTRACTS The oldest old (
Page 132 and 133:
P OSTER A BSTRACTS B153 Encore Pres
Page 134 and 135:
P OSTER A BSTRACTS B159 Accuracy of
Page 136 and 137:
P OSTER A BSTRACTS GDS and GDS apat
Page 138 and 139:
P OSTER A BSTRACTS status, procedur
Page 140 and 141:
P OSTER A BSTRACTS In this case it
Page 142 and 143:
P OSTER A BSTRACTS the episodes of
Page 144 and 145:
P OSTER A BSTRACTS paralysis is see
Page 146 and 147:
P OSTER A BSTRACTS grip strength ch
Page 148 and 149:
P OSTER A BSTRACTS Discussion/Concl
Page 150 and 151:
P OSTER A BSTRACTS Results: Of 1401
Page 152 and 153:
P OSTER A BSTRACTS Results: Regiona
Page 154 and 155:
P OSTER A BSTRACTS Conclusions: Con
Page 156 and 157:
P OSTER A BSTRACTS 2.47-25.96), and
Page 158 and 159:
P OSTER A BSTRACTS Methods: EMR ACP
Page 160 and 161:
P OSTER A BSTRACTS patient populati
Page 162 and 163:
P OSTER A BSTRACTS C71 Outpatient A
Page 164 and 165:
P OSTER A BSTRACTS IPE are generall
Page 166 and 167:
P OSTER A BSTRACTS the outpatient s
Page 168 and 169:
P OSTER A BSTRACTS 0.03). Age and s
Page 170 and 171:
P OSTER A BSTRACTS C94 Exploring th
Page 172 and 173:
P OSTER A BSTRACTS with the least e
Page 174 and 175:
P OSTER A BSTRACTS physician resist
Page 176 and 177:
P OSTER A BSTRACTS Table 1. Effect
Page 178 and 179:
P OSTER A BSTRACTS C118 Patient and
Page 180 and 181:
P OSTER A BSTRACTS We monitor the t
Page 182 and 183:
P OSTER A BSTRACTS PROGRAM STRUCTUR
Page 184 and 185:
P OSTER A BSTRACTS C135 Encore Pres
Page 186 and 187:
P OSTER A BSTRACTS C141 Contributio
Page 188 and 189:
P OSTER A BSTRACTS nal process can
Page 190 and 191:
P OSTER A BSTRACTS project, we atte
Page 192 and 193:
P OSTER A BSTRACTS Methods: Two hun
Page 194 and 195:
P OSTER A BSTRACTS Case: A 78 year-
Page 196 and 197:
P OSTER A BSTRACTS two synergistic
Page 198 and 199:
P OSTER A BSTRACTS then awoke spont
Page 200 and 201:
P OSTER A BSTRACTS cancer, non mali
Page 202 and 203:
P OSTER A BSTRACTS The diagnosis of
Page 204 and 205:
P OSTER A BSTRACTS D32 Comparison o
Page 206 and 207:
P OSTER A BSTRACTS D38 The burden o
Page 208 and 209:
P OSTER A BSTRACTS rate was 21.9% f
Page 210 and 211:
P OSTER A BSTRACTS D50 A Pilot Stud
Page 212 and 213:
P OSTER A BSTRACTS of the education
Page 214 and 215:
P OSTER A BSTRACTS and geriatrics c
Page 216 and 217:
P OSTER A BSTRACTS Care Surgery, Em
Page 218 and 219:
P OSTER A BSTRACTS survey using the
Page 220 and 221:
P OSTER A BSTRACTS & Go Test, and T
Page 222 and 223:
P OSTER A BSTRACTS binge drinking d
Page 224 and 225:
P OSTER A BSTRACTS The percentages
Page 226 and 227:
P OSTER A BSTRACTS other forms of t
Page 228 and 229:
P OSTER A BSTRACTS D102 Clinician
Page 230 and 231:
P OSTER A BSTRACTS this result repr
Page 232 and 233:
P OSTER A BSTRACTS D114 Fall Reduct
Page 234 and 235:
P OSTER A BSTRACTS D120 Geropsychia
Page 236 and 237:
P OSTER A BSTRACTS In addition to 7
Page 238 and 239:
P OSTER A BSTRACTS D132 Encore Pres
Page 240 and 241:
P OSTER A BSTRACTS Conclusions: The
Page 242 and 243:
P OSTER A BSTRACTS D144 The Use of
Page 244 and 245:
P OSTER A BSTRACTS Methods: Cross-s
Page 246 and 247:
P OSTER A BSTRACTS CONCLUSIONS: The
Page 248 and 249:
P OSTER A BSTRACTS Aggressive treat
Page 250 and 251:
A UTHOR I NDEX Azhar, G . . . . . .
Page 252 and 253:
A UTHOR I NDEX Ceimo, J . . . . . .
Page 254 and 255:
A UTHOR I NDEX Dunn, C M . . . . .
Page 256 and 257:
A UTHOR I NDEX Griebling, T L . . .
Page 258 and 259:
A UTHOR I NDEX Johnson, K . . . . .
Page 260 and 261:
A UTHOR I NDEX Levine, M . . . . .
Page 262 and 263:
A UTHOR I NDEX Mulsant, B . . . . .
Page 264 and 265:
A UTHOR I NDEX Pschirer, J P . . .
Page 266 and 267:
A UTHOR I NDEX Sheppard, K D . . .
Page 268 and 269:
A UTHOR I NDEX Ukritchon, S . . . .
Page 270 and 271:
K EYWORD 25-hydroxyvitamin D . . .
Page 272 and 273:
K EYWORD I NDEX Colorectal cancer s
Page 274 and 275:
K EYWORD I NDEX Geriatric curriculu
Page 276 and 277:
K EYWORD I NDEX Medication discrepa
Page 278 and 279:
K EYWORD I NDEX Race . . . . . . .
Page 280:
This page intentionally left blank
show all

Here - American Geriatrics Society

Create successful ePaper yourself

Delete template?

Save as template?