Objective To estimate the minimal important change (MIC) and the minimal detectable change (MDC) of the Katz-activities of daily living (ADL) index score and the Lawton instrumental activities of daily living (IADL) scale. Design Data from a cluster-randomized clinical trial and a cohort study. Setting …

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 …

from the repository of Utrecht University: "OBJECTIVES: Antipsychotic drugs are frequently prescribed to elderly patients, but they are associated with serious adverse effects. The objective of the current study was to investigate the association between use of antipsychotics by elderly women and the …

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, …

De uitkomsten van het in 2008 gestarte onderzoek PREvention Decline in Older Cardiac Surgery patients (PREDOCS) waren positief. Daarom is in 2016 een implementatiestudie van start gegaan in twaalf hartoperatiecentra in Nederland. In dit artikel zetten de auteurs eerst uiteen wat dit programma ter voorbereiding …

In clinical practice, identifying positive and negative attitudes toward older patients is very important to improve quality of care provided to them. The Older People in Acute Care Survey – United States (OPACS-US) is an instrument measuring hospital nurses attitudes regarding older patients. However, …

Aim: Research has revealed higher risks of somatic problems among patients with non-affective psychotic disorders (NAPD) compared to the general population. The aim of this study was to examine whether NAPD patients also show increased somatic health care utilization compared to personally-matched controls …

Aim: Research has revealed higher risks of somatic problems among patients with non-affective psychotic disorders (NAPD) compared to the general population. The aim of this study was to examine whether NAPD patients also show increased somatic health care utilization compared to personally-matched controls …

Abstract: Due to rapidly aging human populations, frailty has become an essential concept, as it identifies older people who have higher risk of adverse outcomes, such as disability, institutionalization, lower quality of life, and premature death. The Tilburg Frailty Indicator (TFI) is a user-friendly …

Many intensive care unit (ICU) patients do not achieve target protein intakes particularly in the early days following admittance. This period of iatrogenic protein undernutrition contributes to a rapid loss of lean, in particular muscle, mass in the ICU. The loss of muscle in older (aged >60 years) …