Minimum Data Set for Home Care

Landi, Francesco; Tua, Ennio; Onder, Graziano; Carrara, Benigno; Sgadari, Antonio; Rinaldi, Carmela; Gambassi, Giovanni; Lattanzio, Fabrizia; Bernabei, Roberto

doi:10.1097/00005650-200012000-00005

Cited by 391 publications

(111 citation statements)

References 18 publications

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“…Scores range from 0 to 28 with higher scores indicating greater functional diffi-culty. The MDS-based ADL score has been found to have good interrater reliability ranging from .75 to .94 and demonstrated a good criterion validity ranging from .50 to .98 (range ¼ .50-.98) against other standar-dized instruments (Carpenter, Hastie, Morris, Fries, & Ankri, 2006;Landi et al, 2000;Morris, Fries, & Morris, 1999). Cronbach's a for the ADL score in this study was .88.…”

Section: Methodsmentioning

confidence: 98%

Factors Associated With Daytime Sleep in Nursing Home Residents

Chang

Porock

2014

Res Aging

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A retrospective, cross-sectional study was conducted to describe the occurrence of daytime sleep (DS) and to examine factors associated with DS in nursing home residents. We used the Minimum Data Set 2.0 records of 300 residents in a nursing home from January 2005 to March 2010. Descriptive statistics, independent t-test, chi-square, Pearson correlations, and logistic regression were utilized in analysis. About 71.3% of the residents slept more than 2 hours during the day, and this was significantly associated with residents' comorbidity (t ¼ 2.0, p ¼ .04), cognitive performance (t ¼ 7.3, p ¼ .01), activities of daily living (t ¼ 3.7, p ¼ .01), and social involvement (t ¼ -7.6, p ¼ .01). Cognitive performance and social involvement significantly predicted the occurrence of DS with social involvement being the strongest predictor (odds ratio: .58; 95% confidence interval: [.45, .75

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Section: Methodsmentioning

confidence: 98%

Factors Associated With Daytime Sleep in Nursing Home Residents

Chang

Porock

2014

Res Aging

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“…Moreover, the MDS-HC includes information about an extensive array of signs, symptoms, syndromes, and treatments (17, 18). The MDS items have shown an excellent inter-rater and test-retest reliability when completed by nurses performing usual assessment duties (average weighted Kappa = 0.8) (18, 20). Additional information about family history, lifestyle, physical activity and behavioral factors were collected using specific questionnaires shared with the “Invecchiare in Chianti Study”(21).…”

Section: Methodsmentioning

confidence: 99%

Interleukin‐6, C‐Reactive Protein, and Tumor Necrosis Factor‐Alpha as Predictors of Mortality in Frail, Community‐Living Elderly Individuals

Giovannini

Onder

Liperoti

et al. 2011

J American Geriatrics Society

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186

114

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Background Aging is characterized by a chronic low-grade inflammation that has been found to be related to mortality risk in older persons. Objectives The aim of the present study was to investigate whether interleukin-6 (IL-6), C-reactive protein (CRP) and Tumor Necrosis Factor-alpha (TNF-α) protein levels predict all-cause mortality in a sample of older persons living in the community. Design and Setting Data are from the Aging and Longevity Study in the Sirente Geographic Area (ilSIRENTE Study), a prospective cohort study that collected information on individuals aged 80 years and older living in an Italian mountain community (n=362). The main outcome was the hazard ratio of death after four years of follow-up. Participants and measurements Participants were classified according to the median value of the 3 inflammatory markers (IL-6: 2.08 pg/mL; TNF-α: 1.43 pg/mL and CRP: 3.08 mg/L). In addition, a composite summary score of inflammation was created. Results A total of 150 deaths occurred during a 4-year follow-up. In the unadjusted model, high levels of each of the 3 markers were associated with increased mortality. After adjusting for potential confounders, high levels of IL-6 and CRP were associated with a significantly increased risk of death (HR, 2.18; 95% CI 1.29–3.69 and 2.58; 95% CI 1.52–4.40, respectively); whereas the association between TNF-α protein levels and mortality lost significance (1.26; 95% CI: 0.74 to 2.15). The composite summary score of inflammation was strongly associated with mortality, with the highest risk estimated for individuals with all three inflammatory markers above the median. Conclusions Low levels of inflammatory markers are associated with better survival in elderly, independently of age and other clinical and functional variables.

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“…These actions are driven by the presence of problem conditions, risk factors or potential for improvement. Finally, interRAI instruments are undergoing extensive development and are continuously being tested for validity and reliability by numerous clinicians [21222324]. …”

Section: Interrai Instruments and The Potential For Integrationmentioning

confidence: 99%

Implementation of a Standardized Comprehensive Assessment Tool in France: A Case Using the InterRAI Instruments

Stampa

Cerase²,

Bagaragaza

et al. 2018

International Journal of Integrated Care

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Background:The improvement of quality of care requires a standardized and comprehensive assessment tool but implementation is challenging.Purpose:We have reported on the development of the interRAI instruments in France from the onset to the mandatory use at the national level. We also have identified in the literature and in practices, incentives and barriers for the implementation of this integrated clinical information system in long term care.Results:Three periods in the interRAI instruments development were identified over the last twenty years. The first one was a research approach about improving quality of long term care. The second one was an experimental clinical use into an integrated care model with case management. The third one was a call for tenders issued by a French national agency, and the choice to use the interRAI-HC (Home Care) for all case managers. The main incentives and barriers that were identified include the national context, the target population, the providers involved and the impact on their practice, the interRAI instrument characteristics, training and leadership.Conclusion:This historical overview of the development of interRAI instruments in France gives health care organizations pertinent information to guide the implementation of a standardized and comprehensive assessment tool.

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Minimum Data Set for Home Care

Cited by 391 publications

References 18 publications

Factors Associated With Daytime Sleep in Nursing Home Residents

Factors Associated With Daytime Sleep in Nursing Home Residents

Interleukin‐6, C‐Reactive Protein, and Tumor Necrosis Factor‐Alpha as Predictors of Mortality in Frail, Community‐Living Elderly Individuals

Implementation of a Standardized Comprehensive Assessment Tool in France: A Case Using the InterRAI Instruments

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