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All Outputs (166)

Impact of the COVID-19 pandemic on hospital episodes for falls and fractures associated with new-onset disability and frailty in England: a national cohort study (2024)
Journal Article
Thomas, S., Littleboy, K., Foubert, J., Nafilyan, V., Bannister, N., Routen, A., …Gordon, A. L. (in press). Impact of the COVID-19 pandemic on hospital episodes for falls and fractures associated with new-onset disability and frailty in England: a national cohort study. Age and Ageing,

Background Older people with frailty are at risk of harm from immobility or isolation, yet data about how COVID- 19 lockdowns affected them are limited. Falls and fractures are easily measurable adverse outcomes correlated with frailty. We invest... Read More about Impact of the COVID-19 pandemic on hospital episodes for falls and fractures associated with new-onset disability and frailty in England: a national cohort study.

Exploratory factor analysis and Rasch analysis to assess the structural validity of the Adult Social Care Outcomes Toolkit Proxy version (ASCOT-Proxy) completed by care home staff Authors (2024)
Journal Article
Rand, S., Towers, A., Allan, S., Webster, L., Palmer, S., Carroll, R., …Goodman, C. (in press). Exploratory factor analysis and Rasch analysis to assess the structural validity of the Adult Social Care Outcomes Toolkit Proxy version (ASCOT-Proxy) completed by care home staff Authors. Quality of Life Research,

Purpose. Rasch analysis and exploratory factor analysis (EFA) were used to evaluate the structural validity of the ASCOT-Proxy measures completed by staff on behalf of older adults resident in care homes, by comparison to the ASCOT-SCT4, the meas... Read More about Exploratory factor analysis and Rasch analysis to assess the structural validity of the Adult Social Care Outcomes Toolkit Proxy version (ASCOT-Proxy) completed by care home staff Authors.

The effects of neuromuscular electrical stimulation on hospitalised adults: systematic review and meta-analysis of randomised controlled trials (2023)
Journal Article
Alqurashi, H. B., Robinson, K., O’Connor, D., Piasecki, M., Gladman, J. R. F., Gordon, A. L., & Masud, T. (2023). The effects of neuromuscular electrical stimulation on hospitalised adults: systematic review and meta-analysis of randomised controlled trials. Age and Ageing, 52(12), Article afad236. https://doi.org/10.1093/ageing/afad236

Introduction Neuromuscular electrical stimulation (NMES) is a treatment to prevent or reverse acquired disability in hospitalised adults. We conducted a systematic review and meta-analysis of its effectiveness. Method We searched MEDLINE, EMBASE, Cum... Read More about The effects of neuromuscular electrical stimulation on hospitalised adults: systematic review and meta-analysis of randomised controlled trials.

COVID-19 in a Dutch Nursing Home: A Longitudinal Retrospective Care-Home-Level Case Study on Infection Rate, Survival Rate, and Daily Functioning (2023)
Journal Article
de Vries, D., Röhlinger, D., Everink, I., Winkens, B., Heffels, J., Gordon, A., & Schols, J. (2024). COVID-19 in a Dutch Nursing Home: A Longitudinal Retrospective Care-Home-Level Case Study on Infection Rate, Survival Rate, and Daily Functioning. Journal of Clinical Medicine, 13(1), Article 149. https://doi.org/10.3390/jcm13010149

During the pandemic, nursing homes in the Netherlands were heavily affected by COVID-19. This study assesses the impact of COVID-19 on infection rate, survival rate, and daily functioning over the course of two years among residents of a nursing home... Read More about COVID-19 in a Dutch Nursing Home: A Longitudinal Retrospective Care-Home-Level Case Study on Infection Rate, Survival Rate, and Daily Functioning.

‘Smart’ BLE wearables for digital contact tracing in care homes during the COVID-19 pandemic—a process evaluation of the CONTACT feasibility study (2023)
Journal Article
Thompson, C. A., Daffu-O’Reilly, A., Willis, T., Gordon, A., Noakes, C., Khaliq, K., …Spilsbury, K. (2023). ‘Smart’ BLE wearables for digital contact tracing in care homes during the COVID-19 pandemic—a process evaluation of the CONTACT feasibility study. Implementation Science Communications, 4(1), Article 155. https://doi.org/10.1186/s43058-023-00533-0

Background: Rapid and mass transmission of the SARS-CoV-2 virus amongst vulnerable people led to devastating effects from COVID-19 in care homes. The CONTACT intervention introduced Bluetooth Low Energy ‘smart’ wearable devices (BLE wearables) as a b... Read More about ‘Smart’ BLE wearables for digital contact tracing in care homes during the COVID-19 pandemic—a process evaluation of the CONTACT feasibility study.

Developing a list of core competencies for medical aspects of healthcare delivery in care homes: scoping review and Delphi process (2023)
Journal Article
McCarthy, L., Borley, K., Ancelin, T., Carroll, R., Chadborn, N., Blundell, A. G., & Gordon, A. L. (2023). Developing a list of core competencies for medical aspects of healthcare delivery in care homes: scoping review and Delphi process. Age and Ageing, 52(12), Article afad237. https://doi.org/10.1093/ageing/afad237

Background Care Home residents live with frailty and multiple long-term conditions. Their medical management is complex and specialised. We set out to develop a list of core competencies for doctors providing medical care in long-term care homes. M... Read More about Developing a list of core competencies for medical aspects of healthcare delivery in care homes: scoping review and Delphi process.

Spotlight on the academic multidisciplinary team: proposals from the 3rd NIHR Newcastle BRC Academic Geriatric Medicine Workshop (2023)
Journal Article
Witham, M. D., Bridges, J., Gladman, J., Gordon, A. L., Kay, S., Manthorpe, J., …Sayer, A. A. (2023). Spotlight on the academic multidisciplinary team: proposals from the 3rd NIHR Newcastle BRC Academic Geriatric Medicine Workshop. Clinical Medicine Journal, 23(6), 611-614. https://doi.org/10.7861/clinmed.2023-0389

High-quality care for older people is best delivered by multidisciplinary teams involving a range of professions. Similarly, if research evidence is to effectively inform practice, it needs to be designed and executed by teams that are both multidisc... Read More about Spotlight on the academic multidisciplinary team: proposals from the 3rd NIHR Newcastle BRC Academic Geriatric Medicine Workshop.

Data collection in care homes for older adults: A national survey in England (2023)
Journal Article
Hanratty, B., Wolters, A. T., Towers, A., Spilsbury, K., Meyer, J., Killett, A., …Goodman, C. (2023). Data collection in care homes for older adults: A national survey in England. Journal of Long-Term Care, 288-296. https://doi.org/10.31389/jltc.199

Context: In many countries, there is a specification for information that should be collected by care homes. So-called 'minimum data-sets' (MDS) are often lengthy, and report on resident health and wellbeing, staff and facilities. In the UK, the abse... Read More about Data collection in care homes for older adults: A national survey in England.

Whether from a position of strength or weakness, geriatric medicine has work to do to drive up standards in health care for older people (2023)
Journal Article
Gordon, A. L., Martin, F., Mistry, S., Harwood, R. H., & Dhesi, J. (2023). Whether from a position of strength or weakness, geriatric medicine has work to do to drive up standards in health care for older people. Age and Ageing, 52(11), Article afad208. https://doi.org/10.1093/ageing/afad208

• Geriatric medicine is the largest physicianly specialty in the UK, with high levels of competition for available training posts. • Improving care of older people has been the focus of multiple national policy initiatives in the UK over the past dec... Read More about Whether from a position of strength or weakness, geriatric medicine has work to do to drive up standards in health care for older people.

Identifying and Managing Frailty: A Survey of UK Healthcare Professionals (2023)
Journal Article
Frost, R., Robinson, K., Gordon, A., Caldeira de Melo, R., Villas-Boas, P. J. F., Azevedo, P. S., …Gavin, J. P. (2024). Identifying and Managing Frailty: A Survey of UK Healthcare Professionals. Journal of Applied Gerontology, 43(4), 402-412. https://doi.org/10.1177/07334648231206321

Frailty is a common condition that leads to multiple adverse outcomes. Frailty should be identified and managed in a holistic, evidence-based and patient-centered way. We aimed to understand how UK healthcare professionals (HCPs) identify and manage... Read More about Identifying and Managing Frailty: A Survey of UK Healthcare Professionals.

ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults with sarcopenia: Results from the LACE trial (2023)
Journal Article
Rossios, C., Bashir, T., Achison, M., Adamson, S., Akpan, A., Aspray, T., …Kemp, P. R. (in press). ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults with sarcopenia: Results from the LACE trial. PLoS ONE, 18(10), Article e0292402. https://doi.org/10.1371/journal.pone.0292402

Background: Angiotensin II (AII), has been suggested to promote muscle loss. Reducing AII synthesis, by inhibiting angiotensin converting enzyme (ACE) activity has been proposed as a method to inhibit muscle loss. The LACE clinical trial was designed... Read More about ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults with sarcopenia: Results from the LACE trial.

ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults 2 with sarcopenia: Results from the LACE trial (2023)
Journal Article
Rossios, C., Bashir, T., Achison, M., Adamson, S., Akpan, A., Aspray, T., …Kemp, P. R. (2023). ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults 2 with sarcopenia: Results from the LACE trial. PLoS ONE, 18(10), Article e0292402. https://doi.org/10.1371/journal.pone.0292402

Background Angiotensin II (AII), has been suggested to promote muscle loss. Reducing AII synthesis, by inhibiting angiotensin converting enzyme (ACE) activity has been proposed as a method to inhibit muscle loss. The LACE clinical trial was designe... Read More about ACE I/D genotype associates with strength in sarcopenic men but not with response to ACE inhibitor therapy in older adults 2 with sarcopenia: Results from the LACE trial.

"Crack on": a qualitative study of care home managers experiences and responses to system-led setbacks during the crisis of the COVID- 19 Pandemic in England (2023)
Journal Article
Marshall, F., Gordon, A. L., Gladman, J. R., & Bishop, S. (2023). "Crack on": a qualitative study of care home managers experiences and responses to system-led setbacks during the crisis of the COVID- 19 Pandemic in England. European Geriatric Medicine, 14(4), 811-821. https://doi.org/10.1007/s41999-023-00804-y

Objectives: To explore care home managers’ experiences of systems working with various organisations, including statutory, third sector and private, during the second wave of the COVID-19 pandemic from Sept 2020 to April 2021 Design: An exploratory q... Read More about "Crack on": a qualitative study of care home managers experiences and responses to system-led setbacks during the crisis of the COVID- 19 Pandemic in England.

Study protocol for the use of time series forecasting and risk analyses to investigate the effect of the COVID-19 pandemic on hospital admissions associated with new-onset disability and frailty in a national, linked electronic health data setting (2023)
Journal Article
Thomas, S., Machuel, P., Foubert, J., Nafilyan, V., Bannister, N., Colvin, H., …Gordon, A. (2023). Study protocol for the use of time series forecasting and risk analyses to investigate the effect of the COVID-19 pandemic on hospital admissions associated with new-onset disability and frailty in a national, linked electronic health data setting. BMJ Open, 13(5), Article e067786. https://doi.org/10.1136/bmjopen-2022-067786

INTRODUCTION: Older people were at particular risk of morbidity and mortality during COVID-19. Consequently, they experienced formal (externally imposed) and informal (self-imposed) periods of social isolation and quarantine. This is hypothesised to... Read More about Study protocol for the use of time series forecasting and risk analyses to investigate the effect of the COVID-19 pandemic on hospital admissions associated with new-onset disability and frailty in a national, linked electronic health data setting.

Obesity and its associated factors in older nursing home residents in three European countries—Secondary data analyses from the “International Prevalence Measurement of Care Quality” (2023)
Journal Article
Großschädl, F., Schoberer, D., Eglseer, D., Lohrmann, C., Everink, I., Gordon, A. L., …Bauer, S. (2023). Obesity and its associated factors in older nursing home residents in three European countries—Secondary data analyses from the “International Prevalence Measurement of Care Quality”. International Journal of Older People Nursing, 18(3), Article e12530. https://doi.org/10.1111/opn.12530

Background: The prevalence of obesity has risen in recent decades and reached epidemic proportions worldwide. The proportion of those living with obesity is also increasing in nursing homes. This could impact the nursing care required, equipment and... Read More about Obesity and its associated factors in older nursing home residents in three European countries—Secondary data analyses from the “International Prevalence Measurement of Care Quality”.

National Early Warning Scores Following Emergency Hospital Transfer: Implications for Care Home Residents (2023)
Journal Article
Barker, R. O., Atkin, C., Hanratty, B., Kingston, A., Cooksley, T., Gordon, A. L., …Lasserson, D. S. (2023). National Early Warning Scores Following Emergency Hospital Transfer: Implications for Care Home Residents. Journal of the American Medical Directors Association, 24(5), 653-656. https://doi.org/10.1016/j.jamda.2023.01.013

Objective: Care home residents have high rates of hospital admission. The UK National Early Warning Score (NEWS2) standardizes the secondary care response to acute illness. However, the ability of NEWS2 to predict adverse health outcomes specifically... Read More about National Early Warning Scores Following Emergency Hospital Transfer: Implications for Care Home Residents.

How to Conduct International Geriatric Rehabilitation Research? (2023)
Journal Article
Haaksma, M. L., Gordon, A. L., van Dam van Isselt, E. F., Schols, J. M., Everink, I. H., Cameron, I. D., …Achterberg, W. P. (2023). How to Conduct International Geriatric Rehabilitation Research?. Journal of Clinical Medicine, 12(3), Article 951. https://doi.org/10.3390/jcm12030951

With an ageing global population and an increasing focus on aging in place, the number of people in need of geriatric rehabilitation (GR) is rapidly increasing. As current GR practice is very heterogenous, cross-country comparisons could allow us to... Read More about How to Conduct International Geriatric Rehabilitation Research?.

COVID-19 vaccine hesitancy in care home staff: A survey of Liverpool care homes (2023)
Journal Article
Tulloch, J. S., Lawrenson, K., Gordon, A. L., Ghebrehewet, S., Ashton, M., Peddie, S., & Parvulescu, P. (2023). COVID-19 vaccine hesitancy in care home staff: A survey of Liverpool care homes. Vaccine, 41(7), 1290-1294. https://doi.org/10.1016/j.vaccine.2023.01.009

Uptake of COVID-19 vaccine first doses in UK care homes has been higher among residents compared to staff. We aimed to identify causes of lower COVID-19 vaccine uptake amongst care home staff within Liverpool. An anonymised online survey was distribu... Read More about COVID-19 vaccine hesitancy in care home staff: A survey of Liverpool care homes.

A realist evaluation of a multifactorial falls prevention programme in care homes (2022)
Journal Article
Leighton, P. A., Darby, J., Allen, F., Cook, M., Evley, R., Fox, C., …Logan, P. (2022). A realist evaluation of a multifactorial falls prevention programme in care homes. Age and Ageing, 51(12), Article afac263. https://doi.org/10.1093/ageing/afac263

BACKGROUND: falls in care homes are common, costly and hard to prevent.Multifactorial falls programmes demonstrate clinical and cost-effectiveness, but the heterogeneity of the care home sector is a barrier to their implementation. A fuller appreciat... Read More about A realist evaluation of a multifactorial falls prevention programme in care homes.

Dietary nitrate supplementation for preventing and reducing the severity of winter infections, including COVID-19, in care homes (BEET-Winter)-a randomised placebo-controlled feasibility trial (2022)
Journal Article
Bath, P. M., Skinner, C. J. C., Bath, C. S., Woodhouse, L. J., Areti, A., Korovesi, K., …Gordon, A. L. (2022). Dietary nitrate supplementation for preventing and reducing the severity of winter infections, including COVID-19, in care homes (BEET-Winter)-a randomised placebo-controlled feasibility trial. European Geriatric Medicine, 13, 1343-1355. https://doi.org/10.1007/s41999-022-00714-5

Purpose Infections cause considerable care home morbidity and mortality. Nitric oxide (NO) has broad-spectrum anti-viral, bacterial and yeast activity in vitro. We assessed the feasibility of supplementing dietary nitrate (NO substrate) intake in ca... Read More about Dietary nitrate supplementation for preventing and reducing the severity of winter infections, including COVID-19, in care homes (BEET-Winter)-a randomised placebo-controlled feasibility trial.