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Search for nursing homes in all Journal Watch editions
Physician-authored summaries on the latest research on nursing homes, editorials on nursing homes, and perspectives on nursing homes - drawn from the top medical journals.
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Norovirus Infection Causes Substantial Problems in Elders Free
- November 1, 2012
- Thomas L. Schwenk, MD
- General Medicine
Hospitalization rates and mortality rose during outbreaks in nursing homes.
CME Exam- Reviewing:
- Trivedi TK et al., JAMA 2012 Oct 24/31; 308:1668.
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Effects of Norovirus Outbreaks in Nursing Homes
- October 31, 2012
- Richard T. Ellison III, MD
- Infectious Diseases
In 2009 and 2010, outbreaks were associated with significant increases in all-cause hospitalization and mortality rates among nursing home residents.- Reviewing:
- Trivedi TK et al., JAMA 2012 Oct 24; 308:1668.
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Curbing Use of Physical Restraints in Nursing Homes
- May 31, 2012
- Thomas L. Schwenk, MD
- General Medicine
Administrative and workplace culture changes reduced use by about 30%.- Reviewing:
- Köpke S et al., JAMA 2012 May 23/30; 307:2177.
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Does High-Quality Care Protect Against Litigation?
- April 12, 2011
- Abigail Zuger, MD
- General Medicine
Not much: Good nursing homes were sued only slightly less often than bad ones.- Reviewing:
- Studdert DM et al., N Engl J Med 2011 Mar 31; 364:1243.
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Reducing Antibiotic Use in Nursing Homes
- October 18, 2005
- Keith I. Marton, MD
- General Medicine
Approximately one third of prescriptions for presumed urinary tract infection (UTI) in nursing home residents are for asymptomatic bacteriuria and therefore are unnecessary. These investigators . . .- Reviewing:
- Loeb M et al., BMJ 2005 Sep 24; 331:669-72.
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Use of Hospice Services by Nursing Home Residents
- August 5, 2005
- Thomas L. Schwenk, MD
- General Medicine
More than 25% of Americans die in nursing homes, and many nursing home residents would benefit from hospice care. Of 343 nursing home residents who . . .- Reviewing:
- Casarett D et al., JAMA 2005 Jul 13; 294:211-7.
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Use of Hip Protectors in Nursing Homes Prevents Hip Fractures
- February 14, 2003
- Keith I. Marton, MD
- General Medicine
Hip protectors -- protective shields that are worn in pockets on specially designed undergarments and that cover the proximal femur - reduce hip fractures ( . . .- Reviewing:
- Meyer G et al., BMJ 2003 Jan 11; 326:76-8.
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Advance Directives in Nursing Homes Can Reduce Resource Use
- March 24, 2000
- TH Lee
- General Medicine
Completion of advance directives regarding end-of-life care is not encouraged systematically, in part because their effect on care and resource use is uncertain. In this . . .- Reviewing:
- Molloy DW et al., JAMA 2000 Mar 15; 283:
1437 1444 .
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Tacrine Rarely Used in Nursing Homes
- May 1, 1999
- KR Daffner
- Neurology
Whether new medications have an impact on patients with probable Alzheimer's disease will, in part, depend on the real-world prescribing practices of physicians. This large . . .- Reviewing:
- Gifford DR et al., Neurology 1999 Jan; 52:
238 244 .
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Nursing Homes and Antibiotic Resistance
- April 1, 1999
- R Ellison
- Infectious Diseases
Although most outbreaks of infections with antibiotic-resistant bacteria have been reported from acute care hospitals, many specialists have worried about the role of nursing homes . . .- Reviewing:
- Wiener J et al., JAMA 1999 Feb 10; 281:
517 523 .
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CHLAMYDIA PNEUMONIAE EMERGES AS AN IMPORTANT CAUSE OF INFECTION IN NURSING HOMES.
- April 25, 1997
- TH Lee
- General Medicine
Chlamydia pneumoniae is now recognized as a cause of about 10 percent of community-acquired pneumonia, with the highest incidence among the elderly. To determine the . . .- Reviewing:
- Troy CJ et al., JAMA 1997 Apr 16; 277:
1214 1218 .
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Excess Risk for Hip Fracture Among Nursing Home Residents Who Take Nonbenzodiazepine Hypnotics
- March 28, 2013
- Thomas L. Schwenk, MD
- General Medicine
Risk was particularly elevated among new users.- Reviewing:
- Berry SD et al., JAMA Intern Med 2013 Mar 4;:
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Antipsychotic Prescribing in U.S. Nursing Homes Continues at High Levels
- February 12, 2013
- Thomas L. Schwenk, MD
- General Medicine
Some geographic variation exists, but prescribing rates in all regions are higher than guidelines support.- Reviewing:
- Briesacher BA et al., JAMA 2013 Feb 6; 309:440.
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Norovirus Outbreaks in Nursing Homes Lead to Increases in Hospitalizations, Mortality Free
- October 19, 2012
- Physician's First Watch
All-cause hospitalizations and deaths increase among nursing home residents during norovirus outbreaks, according to a JAMA study.CDC researchers examined more than 300 Medicare... -
Pressure Ulcers Occur More Often in Black Nursing Home Residents
- July 28, 2011
- Thomas L. Schwenk, MD
- General Medicine
Prevalence has declined among all nursing home residents, but racial differences persist.- Reviewing:
- Li Y et al., JAMA 2011 Jul 13; 306:179.
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Feeding Tube Placement in Hospitalized Nursing Home Patients Free
- February 18, 2010
- Allan S. Brett, MD
- General Medicine
Tubes were placed in 7 per 100 hospitalized patients with advanced cognitive impairment.- Reviewing:
- Teno JM et al., JAMA 2010 Feb 10; 303:544.
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Extranasal MRSA Colonization in Nursing Home Residents
- April 23, 2008
- Neil M. Ampel, MD
- Infectious Diseases
Colonization with MRSA at groin and perianal sites was significantly more common in residents with indwelling catheters than in those without such devices.- Reviewing:
- Mody L et al., Clin Infect Dis 2008 May 1; 46:1368.
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New York Times Focuses on Downside of Investor-Owned Nursing Homes Free
- September 24, 2007
- Physician's First Watch
Quality of care often suffers when large private investment groups acquire nursing homes, a New York Times analysis concludes. The article examines more than 1200... -
Hip Protectors Fail to Prevent Hip Fractures in Nursing Home Patients
- August 24, 2007
- John A. Marx, MD, FAAEM, FACEP
- Emergency Medicine
This well-designed trial was stopped early because of lack of efficacy.- Reviewing:
- Kiel DP et al., JAMA 2007 Jul 25; 298:413-22. Kannus P and Parkkari J., JAMA 2007 Jul 25; 298:454-5.
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Do Hip Protectors Prevent Hip Fracture in Nursing Home Residents?
- July 31, 2007
- Thomas L. Schwenk, MD
- General Medicine
A novel randomized trial shows no benefit.- Reviewing:
- Kiel DP et al., JAMA 2007 Jul 25; 298:413-22.
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