This cohort study assessed the association of the use of mechanical ventilation in nursing home residents with advanced dementia and the increasing number of intensive care unit beds among claimants in the Medicare Minimum Data Set.
This cohort study examines how hospitalized patients with serious illnesses evaluate states of cognitive or functional debility relative to death.
This cohort study examines associations between medical clinician continuity and health care testing, utilization, and spending of older adults with dementia..
This cross-sectional study compares patterns of end-of-life care and family-rated quality of care for patients in the Veterans Affairs health system dying with different serious illnesses.
This Teachable Moment questions the routine use of thickened liquids to prevent pneumonia in patients with dementia.
This Teachable Moment demonstrates the cascade of events that can result from unnecessary testing for malignant disease, especially in patients with dementia.
This Teachable Moment highlights the risk of polypharmacy in the treatment of neuropsychiatric symptoms, the complexity of prognostication in dementia, and the importance of a multifaceted approach to neuropsychiatric symptoms.
This systematic review and meta-analysis suggest that the Mini-Cog test and Addenbrooke’s Cognitive Examination–Revised are the best screening tests for dementia.
This review of tools for shared decision making in serious illness finds that future randomized clinical trials are needed for further development of novel decision aids for serious diagnoses and key decisions.
This randomized clinical trial found that a Mediterranean diet supplemented with olive oil or nuts is associated with improved cognitive function in older people.
This cohort study finds that low daytime systolic blood pressure was independently associated with a greater progression of cognitive decline in older patients with dementia and mild cognitive impairment among those treated with antihypertensive drugs. See the Invited Commentary by Sabayan and Westendorp.
This prospective population-based cohort study reports an increased risk for dementia with increased total standard daily doses of anticholinergics. See the Invited Commentary by Campbell and Boustani.
Tjia et al estimate the prevalence of medications with questionable benefit used by nursing home residents with advanced dementia and identify the characteristics and costs associated with such use.
Mitchell and colleagues, in a study of nursing home residents with advanced dementia, characterize suspected infections, antimicrobial agent use, clinician counseling of proxies about antimicrobial agents, proxy preference for the goal of care, and colonization with multidrug-resistant organisms.