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Self-reported functional impairment and frailty improve the prediction of healthcare expenditures

1. In this retrospective cohort study, the inclusion of functional impairment and phenotypic frailty more accurately predicted healthcare costs in Medicare patients than claims-based indicators alone. 2. A greater number of self-reported functional impairments were associated with more significant incremental costs compared to those without functional impairments. Evidence Rating Level: 3 (Average) Study Rundown: Older ....

Minute Medicine Inc , Rating Level , Medicaid Services Hierarchical Condition Category , Confidence Interval , Chronic Disease , Geriatric Medicine , Healthcare Expenditure , Healthcare Expenditures , Predicting Healthcare Expenditures , Public Health ,

"Dehydration in geriatrics: Consequences and practical guidelines" by Kelly Lambert and Sharon Carey

Purpose of reviewGeriatric dehydration is a widespread and under recognized problem. The purpose of this review was to examine the latest evidence regarding geriatric dehydration and provide practical guidance for health professionals.Recent findingsThis review covers evidence from the past 2 years and shows that geriatric dehydration is not benign and is associated with significant personal distress, as well as negative economic and health system consequences. New guidance on nutrition and hydration in the elderly recommend against the use of skin turgor, dry mouth, urine colour or specific gravity to determine hydration status in the elderly. Instead, serum osmolality is considered the gold standard.SummaryStrategies to prevent and manage geriatric dehydration should differ depending on aetiology (low intake, volume depletion or both). Widespread dissemination and implementation of innovative strategies that target improved access to fluids, and systems change to enable rapid and acc ....

Long Term Care ,