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Structural validity and reliability of the Dutch Older Patient in Acute Care Survey (OPACS), measuring nurses’ attitude towards older patients

Jeroen Dikken (Lid Lectoraat); Jita G. Hoogerduijn (Lid Lectoraat); Sharon Klaassen; Marieke Schuurmans (Lector)

Background: In clinical practice, nurses’ attitudes regarding older patients are important in relation to quality of care. The Older People in Acute Care Survey (OPACS) is an instrument measuring hospital nurses attitudes regarding older patients and is validated in Australia and the USA. The OPACS …

2017GezondheidArtikel

HELP! Problems in executing a pragmatic, randomized, stepped wedge trial on the Hospital Elder Life Program to prevent delirium in older patients

Noor Heim; Henk F. van Stel; Roelof Ettema (Lid Lectoraat); Roos C. van der Mast; Sharon K. Inouye; Marieke Schuurmans (Lector)

Background: A pragmatic, stepped wedge trial design can be an appealing design to evaluate complex interventions in real-life settings. However, there are certain pitfalls that need to be considered. This paper reports on the experiences and lessons learned from the conduct of a cluster randomized, …

2017GezondheidArtikel

Pressure ulcer development in trauma patients with suspected spinal injury

Lisette Schoonhoven; Marieke Schuurmans (Lector); Luke Leenen; Wietske Blom-Ham (Onderzoeker)

Objectives To explore the influence of risk factors present at Emergency Department admission on pressure ulcer development in trauma patients with suspected spinal injury, admitted to the hospital for evaluation and treatment of acute traumatic injuries. Design Prospective cohort study setting level …

2017GezondheidArtikel

Hip fractures in older patients

Aarden, J.J. (Faculteit Gezondheid); van der Esch, M.; Engelbert, R.H.H. (Faculteit Gezondheid); van der Schaaf, M. (Faculteit Gezondheid); de Rooij, S.E.; Buurman, B.M.

Abstract: Background: Hip fracture in older patients often lead to permanent disabilities and can result in mortality. Objective: To identify distinct disability trajectories from admission to one-year post-discharge in acutely hospitalized older patients after hip fracture. Design: Prospective cohort …

2017AlgemeenArtikel

Examining the construct and known-group validity of a composite endpoint for The Older Persons and Informal Caregivers Survey Minimum Data Set (TOPICS-MDS); A large-scale data sharing initiative

Hofman, Cynthia S.; Lutomski, Jennifer E.; Boter, Han; Buurman, Bianca M.; de Craen, Anton J. M.; Donders, Rogier; Olde Rikkert, Marcel G. M.; Makai, Peter; Melis, René J. F.

Background Preference-weighted multi-faceted endpoints have the potential to facilitate comparative effectiveness research that incorporates patient preferences. The Older Persons and Informal Caregivers Survey—Composite endpoint (TOPICS-CEP) is potentially a valuable outcome measure for evaluating interventions …

2017AlgemeenArtikel

Improving handoff communication from hospital to home: the development, implementation and evaluation of a personalized patient discharge letter

Buurman, Bianca M.; Verhaegh, Kim J.; Smeulers, Marian; Vermeulen, Hester; Geerlings, Suzanne E.; Smorenburg, Susanne; de Rooij, Sophia E.

Objective To develop, implement and evaluate a personalized patient discharge letter (PPDL) to improve the quality of handoff communication from hospital to home. Design From the end of 2006–09 we conducted a quality improvement project; consisting of a before–after evaluation design, and a process evaluation. …

2016-06AlgemeenArtikel

Comprehensive Geriatric Assessment and Transitional Care in Acutely Hospitalized Patients

Buurman, Bianca M.; Parlevliet, Juliette L.; Allore, Heather G.; Blok, Willem; van Deelen, Bob A. J.; Moll van Charante, Eric P.; de Haan, Rob J.; de Rooij, Sophia E.

Importance Older adults acutely hospitalized are at risk of disability. Trials on comprehensive geriatric assessment (CGA) and transitional care present inconsistent results. Objective To test whether an intervention of systematic CGA, followed by the transitional care bridge program, improved activities …

2016-03AlgemeenArtikel

Association of proton pump inhibitor use with recurrent falls and risk of fractures in older women: a study of medication use in older fallers

H.W. Thaler; C.S. Sterke; T.J.M. van der Cammen

Objectives To examine the association between Proton pump inhibitors (PPIs) use and falls and fractures. Design A cross-sectional study. Setting and participants 400 female patients aged 70 years or older who were consecutively admitted to the Trauma Center Meidling, Vienna, after a fall and who required …

2016-01-08GezondheidArtikel

End-of-life care during and after an acute hospitalization in older patients with cancer, end-stage organ failure, or frailty: A sub-analysis of a prospective cohort study

Huijberts, Sanne; Buurman, Bianca M; de Rooij, Sophia E

Background: Many patients show deterioration in functioning and increased care needs in the last year of life. End-of-life care needs and health care utilization might differ between groups of acutely hospitalized older patients. Aim: To investigate differences in geriatric conditions, advance care planning, …

2016-01AlgemeenArtikel

Changes in the in-hospital mortality and 30-day post-discharge mortality in acutely admitted older patients: retrospective observational study

van Rijn, Marjon; Buurman, Bianca M.; Macneil Vroomen, Janet L.; Suijker, Jacqueline J.; ter Riet, Gerben (Lectoraat Voeding En Beweging); Moll van Charante, Eric P.; de Rooij, Sophia E.

Objectives: to compare changes over time in the in-hospital mortality and the mortality from discharge to 30 days post-discharge for six highly prevalent discharge diagnoses in acutely admitted older patients as well as to assess the effect of separately analysing the in-hospital mortality and the mortality …

2016-01AlgemeenArtikel

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