L Z Rubenstein
- Falls and their prevention in elderly people: what does the evidence show?Laurence Z Rubenstein
Department of Medicine, David Geffen School of Medicine at UCLA, 10945 Le Conte Ave, Los Angeles, CA 90095, USA
Med Clin North Am 90:807-24. 2006..Incorporating these intervention strategies whenever feasible into a fall prevention program seems to be the most effective means for fall prevention in older adults...
- Editorial: a view from the USA on the Alzheimer's disease international position paperL Z Rubenstein
L Z Rubenstein, UCLA School of Medicine, VA Medical Center, Geriatric Research Education and Clinical Center, 16111 Plummer Street, Sepulveda, CA 91343, USA
J Nutr Health Aging 14:104. 2010..The present international position paper is consistent with these US task force and specialty group reports, and its international consensus does much to furthering the cause of improved diagnosis and care for AD patients...
- Fall risk assessment measures: an analytic reviewK L Perell
Physical Medicine and Rehabilitation Service, VA Greater Los Angeles Healthcare System West Los Angeles Healthcare Center, California 90073, USA
J Gerontol A Biol Sci Med Sci 56:M761-6. 2001..Our purpose was to summarize existing fall risk assessment scales to enable more informed choices regarding their use...
- Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly menL Z Rubenstein
Geriatric Research Education and Clinical Center, VA Greater Los Angeles Healthcare System, Sepulveda, California 91343, USA
J Gerontol A Biol Sci Med Sci 55:M317-21. 2000..This randomized controlled trial studied the effects of a low- to moderate-intensity group exercise program on strength, endurance, mobility, and fall rates in fall-prone elderly men with chronic impairments...
- A randomized trial of a screening, case finding, and referral system for older veterans in primary careLaurence Z Rubenstein
Geriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, North Hills, California 91343, USA
J Am Geriatr Soc 55:166-74. 2007..To test whether a system of screening, assessment, referral, and follow-up provided within primary care for high-risk older outpatients improves recognition of geriatric conditions and healthcare outcomes...
- Appetite assessment: simple appetite questionnaire predicts weight loss in community-dwelling adults and nursing home residentsMargaret Mary G Wilson
Division of Geriatric Medicine, Saint Louis University, St Louis, MO 63104, USA
Am J Clin Nutr 82:1074-81. 2005..Without a simple tool to evaluate appetite, health care providers often use inaccurate surrogates, such as measurement of energy consumption and nutritional risk, to reflect appetite...
- Home-based comprehensive assessment of rural elderly persons: the CARE projectDavid D Cravens
Department of Family and Community Medicine, University of Missouri Columbia School of Medicine, Columbia, MO 65212, USA
J Rural Health 21:322-8. 2005..We sought to develop and pilot a model of rural home-based CGA to determine whether successful urban models can be adapted to rural areas...
- Using administrative data to track fall-related ambulatory care services in the Veterans Administration Healthcare systemStephen L Luther
Veterans Integrated Service Network 8, Patient Safety Center of Inquiry, James A Haley Veterans Administration Medical Center, Tampa, Florida 33612, USA
Aging Clin Exp Res 17:412-8. 2005....
- Depression in older patients admitted for postacute nursing home rehabilitationAdam P Webber
Geriatric Research, Education and Clinical Center, Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, California, USA
J Am Geriatr Soc 53:1017-22. 2005..To describe the prevalence, recognition, and persistence of depression in older adults undergoing postacute rehabilitation in a nursing home (NH) setting and to explore the effect of depression on rehabilitation outcomes...
- Orthostatic hypotension in the nursing home settingLukasz Iwanczyk
UCLA Multicampus Geriatrics Fellowship Program, Sepulveda, CA 91343, USA
J Am Med Dir Assoc 7:163-7. 2006..This article discusses a commonsense approach to diagnosis, evaluation, and treatment of patients with this disorder, with an emphasis on nonpharmacological interventions, such as patient and staff education...
- National Veterans Health Administration hospitalizations for syncope compared to acute myocardial infarction, fracture, or pneumonia in community-dwelling elders: outpatient medication and comorbidity profilesDustin D French
VISN 8 Patient Safety Center, 13000 Bruce B Downs Blvd 118M, Tampa, FL 33612, USA
J Clin Pharmacol 46:613-9. 2006..Studies linking national outpatient medications to hospitalizations for specific conditions can foster the development of more proactive pharmacovigilance systems...
- Promoting physical activity and exercise in older adultsEdward Kwok Ho Hui
Division of Geriatrics, Department of Medicine, University of California, Los Angeles, CA 90095 1692, USA
J Am Med Dir Assoc 7:310-4. 2006..In this article, we offer to the reader a brief overview of the field as well as our own thoughts on how clinicians might help individual patients at a more practical level...
- Rehospitalization after hip fracture: predictors and prognosis from a national veterans studyDustin D French
Veterans Integrated Service Network 8 Patient Safety Center of Inquiry, James A Haley Veterans Affairs Medical Center, Tampa, Florida 33612, USA
J Am Geriatr Soc 56:705-10. 2008..To estimate the risk and long-term prognostic significance of 30-day readmission postdischarge of a 4-year cohort of elderly veterans first admitted to Medicare hospitals for treatment of hip fractures (HFx), controlling for comorbidities...
- National outpatient medication profiling: medications associated with outpatient fractures in community-dwelling elderly veteransDustin D French
VISN 8 Patient Safety Center of Inquiry, James A Haley Hospital, Tampa, FL 33612, USA
Br J Clin Pharmacol 63:238-44. 2007....
- A multivariate fall risk assessment model for VHA nursing homes using the minimum data setDustin D French
VISN 8 Patient Safety Center of Inquiry, James A Haley VAMC, Tampa, FL 33612, USA
J Am Med Dir Assoc 8:115-22. 2007..The purpose of this study was to develop a multivariate fall risk assessment model beyond the current fall Resident Assessment Protocol (RAP) triggers for nursing home residents using the Minimum Data Set (MDS)...
- Risk-adjusted mortality rates of elderly veterans with hip fracturesElizabeth Bass
VISN 8 Patient Safety Center of Inquiry, James A Haley Veterans Affairs Medical Center, Tampa, FL 33612, USA
Ann Epidemiol 17:514-9. 2007..The goal of this research was to estimate 12-month survival rates for a large sample of elderly veterans after hip fracture with a risk-adjusted model and to compare the results of men to those of women...
- Falls in older people: epidemiology, risk factors and strategies for preventionLaurence Z Rubenstein
UCLA School of Medicine and Geriatric Research Education and Clinical Center, VA Medical Center, Sepulveda, CA 91343, USA
Age Ageing 35:ii37-ii41. 2006..Optimal approaches involve interdisciplinary collaboration in assessment and interventions, particularly exercise, attention to co-existing medical conditions and environmental inspection and hazard abatement...
- Falls in the nursing home: Are they preventable?Man Quang Vu
UCLA Multicampus Program in Geriatrics and Gerontology, Los Angeles, CA, USA
J Am Med Dir Assoc 6:S82-7. 2005..Interventions have been demonstrated to be successful in reducing falls in community-dwelling elderly patients. However, less evidence supports the efficacy of fall prevention in nursing home residents...
- The yield, reliability, and validity of a postal survey for screening community-dwelling older peopleCathy A Alessi
Geriatric Research, Education and Clinical Center, VeteransAffairs Greater Los Angeles Healthcare System, Sepulveda, California 91343, USA
J Am Geriatr Soc 51:194-202. 2003..To assess the yield, reliability, and validity of a postal survey developed to identify older persons in need of outpatient geriatric assessment and follow-up services...
- The epidemiology of falls and syncopeLaurence Z Rubenstein
Department of Medicine, UCLA School of Medicine, Los Angeles, CA, USA
Clin Geriatr Med 18:141-58. 2002..The epidemiology of these syndromes can provide extremely helpful insights for developing falls-prevention strategies...
- Risk factors for early and late mortality in hospitalized older patients: the continuing importance of functional statusMaria Ponzetto
Medical and Surgical Department, Geriatric Section, University of Torino, Italy
J Gerontol A Biol Sci Med Sci 58:1049-54. 2003..The aim of our study was to identify admission risk factors for in-hospital and postdischarge mortality...
- Drug costs and use in VHA nursing homes: a national overview of long-stay residentsDustin D French
VISN 8 Patient Safety Center of Inquiry, James A Haley VAMC, Tampa, FL 33612, USA
J Am Med Dir Assoc 8:515-8. 2007..The aim of this study was to provide national annualized estimates of drug costs and use by drug classes for long-stay nursing home (NH) residents...
- Detection and management of falls and instability in vulnerable elders by community physiciansLaurence Z Rubenstein
UCLA School of Medicine, Los Angeles, California, USA
J Am Geriatr Soc 52:1527-31. 2004..To investigate quality of care for falls and instability provided to vulnerable elders...
- Falls in the nursing home: are they preventable?Man Quang Vu
UCLA Multicampus Program in Geriatrics and Gerontology, Los Angeles, CA, USA
J Am Med Dir Assoc 5:401-6. 2004..Interventions have been demonstrated to be successful in reducing falls in community-dwelling elderly patients. However, less evidence supports the efficacy of fall prevention in nursing home residents...
- Multidimensional preventive home visit programs for community-dwelling older adults: a systematic review and meta-analysis of randomized controlled trialsAnke Huss
Department of Geriatrics, Inselspital University of Bern Hospital, Bern, Switzerland
J Gerontol A Biol Sci Med Sci 63:298-307. 2008..Our objective was to systematically review RCTs examining the effect of home visit programs on mortality, nursing home admissions, and functional status decline...
- Interventions that increase use of adult immunization and cancer screening services: a meta-analysisErin G Stone
Southern California Evidence Based Practice Center, Santa Monica, Cedars Sinai Medical Center, Los Angeles, USA
Ann Intern Med 136:641-51. 2002..Thus, we quantitatively assessed the relative effectiveness of previously studied approaches for improving adherence to adult immunization and cancer screening guidelines...
- Caring for patients with dementia: how good is the quality of care? Results from three health systemsJoshua Chodosh
Department of Veterans Affairs, Greater Los Angeles Geriatric Research Education and Clinical Center, Los Angeles, California 90073, USA
J Am Geriatr Soc 55:1260-8. 2007..To describe the quality of dementia care within one U.S. metropolitan area and to investigate associations between variations in quality and patient, caregiver, and health system characteristics...
- Memory impairment among primary care veteransJoshua Chodosh
VA Greater Los Angeles Geriatric Research Education and Clinical Center, Sepulveda, CA, USA
Aging Ment Health 11:444-50. 2007..Memory impairment is common among older primary care patients without diagnosed dementia. Knowing patients' concerns about memory impairment and their desire to discuss these concerns may facilitate cognitive screening in this setting...
- Hip protectors in long-term care: another confirmatory trialLaurence Z Rubenstein
J Am Med Dir Assoc 9:289-90. 2008
- Understanding clinical dehydration and its treatmentDavid R Thomas
Division of Geriatric Medicine, Saint Louis University School of Medicine, St Louis, MO 63104, USA
J Am Med Dir Assoc 9:292-301. 2008..With the availability of recombinant hyaluronidase, subcutaneous infusion of fluids (hypodermoclysis) provides a better opportunity to treat mild to moderate dehydration in the nursing home and at home...
- Preventing falls in elderly personsJames P LoGerfo
N Engl J Med 348:1816-8; author reply 1816-8. 2003
- The quality of medical care provided to vulnerable community-dwelling older patientsNeil S Wenger
RAND Health, Santa Monica, California, USA
Ann Intern Med 139:740-7. 2003..Previous studies have focused on general medical conditions aimed at prolonging life, not on geriatric issues important for quality of life...
- Effect of preventive home visits for ambulatory housebound elders in Japan: a pilot studyAyumi Kono
Sepulveda VA GRECC, School of Medicine, UCLA, Los Angeles, 91343, USA
Aging Clin Exp Res 16:293-9. 2004..Programs of preventive home visits for ambulatory housebound elders have not yet become established in Japan. The aim of this randomized pilot study was to investigate effects of such visits by public health nurses in Japan...
- Developing quality indicators for elderly patients undergoing abdominal operationsMarcia L McGory
Department of Surgery, David Geffen School of Medicine at University of California, Los Angeles, CA 90095 6904, USA
J Am Coll Surg 201:870-83. 2005..We sought to develop process-based quality indicators for elderly patients undergoing abdominal operations to identify necessary and meaningful ways to improve care in this cohort...
- Development and evaluation of a patient self-report case-finding method for rheumatoid arthritisAndrew L Wong
Olive View UCLA Medical Center, Sylmar, CA 91342, USA
Semin Arthritis Rheum 34:484-99. 2004..To describe the development and evaluation of a patient self-report case-finding method for rheumatoid arthritis (RA) not dependent on direct contact with the treating physicians...
- Joseph T. Freeman award lecture: comprehensive geriatric assessment: from miracle to realityLaurence Z Rubenstein
Geriatric Research, Education and Clinical Center, Sepulveda and Greater Los Angeles VA Medical Center, Los Angeles, California 91343, USA
J Gerontol A Biol Sci Med Sci 59:473-7. 2004
- Frequency of going outdoors: a predictor of functional and psychosocial change among ambulatory frail elders living at homeAyumi Kono
Sepulveda VA GRECC, and UCLA School of Medicine, Los Angeles, CA, USA
J Gerontol A Biol Sci Med Sci 59:275-80. 2004..This study investigated the relationship between the frequency of going outdoors among ambulatory frail elders living at home and subsequent functional and psychosocial changes...
- Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trialsJohn T Chang
Department of Medicine, Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California at Los Angeles, CA 90095, USA
BMJ 328:680. 2004..To assess the relative effectiveness of interventions to prevent falls in older adults to either a usual care group or control group...
- Monitoring falls in cohort studies of community-dwelling older people: effect of the recall intervalDavid A Ganz
Robert Wood Johnson Clinical Scholars Program, Los Angeles, California 90024, USA
J Am Geriatr Soc 53:2190-4. 2005..To determine whether the interval over which patients are asked to remember their falls affects fall reporting...
- Will my patient fall?David A Ganz
Veterans Affairs Greater Los Angeles Health Care System, Los Angeles, Calif 90073, USA
JAMA 297:77-86. 2007..However, clinical consensus suggests reserving these interventions for high-risk patients. Limiting fall prevention programs to high-risk patients implies that clinicians must recognize features that predict future falls...
- The complexity of care for patients with rheumatoid arthritis: metrics for better understanding chronic disease careKatherine L Kahn
University of California at Los Angeles, Greater Los Angeles VA Healthcare System, Los Angeles, California 90095 1736, USA
Med Care 45:55-65. 2007..Patients with rheumatoid arthritis (RA) provide an important opportunity for understanding care of patients with a serious chronic condition...
- Frequency of going outdoors predicts long-range functional change among ambulatory frail elders living at homeAyumi Kono
School of Nursing, Osaka City University, 1 5 17 Asahi Abeno, Osaka 545 0051, Japan
Arch Gerontol Geriatr 45:233-42. 2007..048). These results suggest that the frequency of going outdoors can predict changes in ADLs over at least a 20-month period...