Journal of the American Medical Directors Association最新文献

{"title":"Public Health Impact of Adjuvanted RSVPreF3 Vaccination Among US Adults Aged ≥60 Years Residing in Long-Term Care Settings.","authors":"Elizabeth M La, Jonathan Graham, Mei Grace, Eleftherios Zarkadoulas, Neha Shah","doi":"10.1016/j.jamda.2026.106406","DOIUrl":"https://doi.org/10.1016/j.jamda.2026.106406","url":null,"abstract":"<p><strong>Objectives: </strong>Adults aged ≥60 years and adults with certain health conditions are at increased risk for severe respiratory syncytial virus (RSV) disease, which can have a substantial clinical burden. Residents in long-term care settings often have multiple risk factors, including age ≥60 years, underlying health conditions, and/or frailty, compounding risk for severe RSV disease. This study evaluated the public health impact of adjuvanted RSV prefusion F3 (RSVPreF3) vaccination on averted RSV disease burden.</p><p><strong>Design: </strong>Public health impact analysis using a static, multicohort Markov model.</p><p><strong>Setting and participants: </strong>United States (US) adults aged ≥60 years residing in long-term care settings.</p><p><strong>Methods: </strong>Adjuvanted RSVPreF3 vaccination vs no vaccination was simulated over 5 years using real-world RSV vaccination uptake data. Other model inputs have been previously validated and reported. This analysis estimated avoided RSV-related health outcomes due to vaccination, as well as the number needed to vaccinate (NNV) to avoid RSV-related outcomes.</p><p><strong>Results: </strong>Among the modeled 2,113,600 US adults aged ≥60 years residing in long-term care settings, 378,656 were simulated to receive 1 dose of adjuvanted RSVPreF3. RSV vaccination resulted in 33,989 fewer RSV cases, including 7688 fewer RSV-upper respiratory tract disease cases and 26,302 fewer RSV-lower respiratory tract disease cases (RSV-LRTD). Avoided healthcare resource use included 19,639 fewer outpatient visits, 1556 fewer emergency department visits, and 11,634 fewer hospitalizations. RSV-related deaths declined by 1355 over 5 years, alongside 7221 and 6043 fewer discounted life years and quality-adjusted life years lost, respectively. To avoid 1 RSV-LRTD case, the estimated NNV was 14 individuals.</p><p><strong>Conclusions and implications: </strong>Adjuvanted RSVPreF3 vaccination avoided a substantial number of negative health outcomes among US adults aged ≥60 years residing in long-term care settings, providing evidence of its impact as a prevention strategy. Future efforts are needed to ensure that long-term care residents have access to RSV vaccination.</p>","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 11","pages":"106406"},"PeriodicalIF":3.4,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilot Evaluation of the REAL-HEART Structured Telemedicine Program in Very Old Patients With Heart Failure","authors":"Nicola Confortin MD,&nbsp;Giovanni Paolo Daniele MD,&nbsp;Annalisa Graceffa MD,&nbsp;Leonardo Melchiori MD,&nbsp;Assunta Langellotto MD,&nbsp;Serena Commissati MD,&nbsp;Alessandro Zorzi MD,&nbsp;Riccardo Adami MD,&nbsp;Marco Trevisin MD,&nbsp;Ming Yang MD, PhD,&nbsp;Andrea P. Rossi MD, PhD","doi":"10.1016/j.jamda.2026.106419","DOIUrl":"10.1016/j.jamda.2026.106419","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 10","pages":"Article 106419"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PALTmed Events and Product","authors":"","doi":"10.1016/S1525-8610(26)00423-8","DOIUrl":"10.1016/S1525-8610(26)00423-8","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 10","pages":"Article 106533"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Social History Becomes the Intervention: A Case-Based Analysis of Social Determinants of Health in Geriatric Care","authors":"Connor Chidsey BA,&nbsp;Fatima Sheikh MD, MPH, CMD","doi":"10.1016/j.jamda.2026.106404","DOIUrl":"10.1016/j.jamda.2026.106404","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 10","pages":"Article 106404"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148604466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Keeping a Rehabilitation Philosophy of Care in Post-Acute and Long-Term Care","authors":"Barbara Resnick PhD, CRNP","doi":"10.1016/j.jamda.2026.106456","DOIUrl":"10.1016/j.jamda.2026.106456","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 10","pages":"Article 106456"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on: “Stage of Disease Among Hospitalized Persons Living With Dementia: A Multisite Study”","authors":"İbrahim Kuran MD,&nbsp;Burcu Balam Doğu MD","doi":"10.1016/j.jamda.2026.106401","DOIUrl":"10.1016/j.jamda.2026.106401","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 10","pages":"Article 106401"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148620626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Duty to Act","authors":"Emily Sickbert-Bennett,&nbsp;Philip J. Rosenthal,&nbsp;Cesar A. Arias,&nbsp;Gonzalo M. Bearman,&nbsp;Paul E. Sax,&nbsp;Graeme Forrest,&nbsp;David P. Calfee,&nbsp;Romney M. Humphries,&nbsp;Stanley Maloy,&nbsp;Ravi Jhaveri,&nbsp;Ira Blader,&nbsp;Ashley Shade,&nbsp;Roger Bedimo,&nbsp;Cynthia L. Sears,&nbsp;Paul Katz,&nbsp;Barbara Resnick","doi":"10.1016/j.jamda.2026.106494","DOIUrl":"10.1016/j.jamda.2026.106494","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 10","pages":"Article 106494"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148969429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Safety Policy Becomes the Hazard: Mobility Restriction and Unexamined Harm in Nursing Home Falls Prevention","authors":"Neha Sabharwal DPT","doi":"10.1016/j.jamda.2026.106380","DOIUrl":"10.1016/j.jamda.2026.106380","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 10","pages":"Article 106380"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to Letter to the Editor Regarding “Stage of Disease Among Hospitalized Persons Living With Dementia: A Multisite Study”","authors":"David H. Lynch BMBS,&nbsp;Laura C. Hanson MD, MPH","doi":"10.1016/j.jamda.2026.106402","DOIUrl":"10.1016/j.jamda.2026.106402","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 10","pages":"Article 106402"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reframing Equity in Poststroke Discharge: Methodological Considerations and a Call for Equity-Adjusted Models","authors":"Cherdpong Choenklang MD,&nbsp;Nav La MD, PhD,&nbsp;Schawanya K. Rattanapitoon MD,&nbsp;Nathkapach K. Rattanapitoon PhD","doi":"10.1016/j.jamda.2026.106364","DOIUrl":"10.1016/j.jamda.2026.106364","url":null,"abstract":"","PeriodicalId":17180,"journal":{"name":"Journal of the American Medical Directors Association","volume":"27 10","pages":"Article 106364"},"PeriodicalIF":3.4,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}