Canadian Geriatrics Journal最新文献

{"title":"Step-Count Distribution as an Indicator of Walking Reserve in People with Gait Vulnerabilities.","authors":"Ahmed Abou-Sharkh, Suzanne N Morin, Kedar K V Mate, Nancy E Mayo","doi":"10.5770/cgj.28.763","DOIUrl":"10.5770/cgj.28.763","url":null,"abstract":"<p><strong>Background: </strong>Steps per day can provide a lot of information about the activity of the average person whose main source of activity is derived from walking. This study looks at the distribution of step-count data to identify different subgroups of people which could be used to indicate walking reserve.</p><p><strong>Methods: </strong>A time series design of a secondary data analysis was conducted to track the variability of daily step count for 44 seniors post-fracture. The mean age was 75.8 years (SD: 9.75). The full percentile distribution was used in a cluster analysis and group-based trajectory analysis was used for the longitudinal data. Ordinal regression was used to identify factors associated with cluster membership.</p><p><strong>Results: </strong>Four clusters best represented the distribution of reserve in this sample, hypothesized to be defined as the difference between the median and 90^th percentile of the step-count distribution. Cluster 1, with the lowest reserve would also be classified as sedentary based on median step count (1,555 step count; 1,314 reserve). Cluster 2 represented people with limited activity with low reserve (4,081 step count; 2,439 reserve). Cluster 3 represented active people with high reserve (7,197 step count; 4,370 reserve). Cluster 4, was very active with very high reserve (9,202 step count, 6,964 reserve).The factors associated with cluster membership were gait speed, sit-to-stand, and depression.</p><p><strong>Conclusions: </strong>The median and 90^th percentile over a longer period indicates the potential \"reserve\" for participating in activities that demand additional walking.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"28 2","pages":"115-124"},"PeriodicalIF":1.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and Utility of the CanMEDS \"Resident as Teacher Multisource Feedback\" Assessment Tool for Resident-led Structured Teaching.","authors":"Janice C L Lee, Yu Qing Huang, Camilla L Wong","doi":"10.5770/cgj.28.795","DOIUrl":"10.5770/cgj.28.795","url":null,"abstract":"<p><p>We evaluated the validity of using the CanMEDS Resident as Teacher Multisource Feedback (RaTMSF) assessment tool to gather learner feedback from structured resident-led teaching within the University of Toronto's postgraduate geriatric medicine residency program. The RaTMSF consists of 10 rated items and narrative comments. Completed RaTMSF evaluations from resident teachers were analyzed by descriptive statistics for internal consistency and inter-rater reliability, and narrative comments were reviewed for thematic content. Resident teachers were surveyed on the acceptability of the tool to develop teaching competencies. A total of 132 evaluations were collected prospectively from 11 residents from April 2021 to April 2022, and retrospectively from seven graduates from 2016 to 2019. The overall performance rating, 4.75 (SD 0.47), was very positive for all resident teachers. The RaTMSF demonstrated high internal consistency with Cronbach's alpha of 0.97, 95% CI 0.89-0.99 between all 10 items, and good inter-rater reliability with Fleiss kappa of 0.73 (95% CI 0.13-0.80). The most common themes of narrative comments also captured in the rated items were organization to teach (n=53) and openness to questions (n=36). Written comments regarding delivery style (n=52) and audience interactivity (n=44) were not captured on the rated items. While most resident teachers surveyed found the RaTMSF acceptable to use, we suggest opportunities to improve the RaTMSF by restructuring focus onto written feedback and revising rated items to better reflect themes found in narrative comments. The RaTMSF can be a valuable feedback tool to help residents gather high-quality feedback on their teaching skills.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"28 2","pages":"154-160"},"PeriodicalIF":1.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Experience of Caregivers of Older Adults With Dementia in Using Telemedicine in a Primary Care Setting of Canada During COVID-19.","authors":"Joel Shyam Klinton, Rebecca Zhao, María Alejandra Rodríguez, Ana Gabriela Saavedra Ruiz, Isabelle Vedel, Vladimir Khanassov","doi":"10.5770/cgj.28.825","DOIUrl":"10.5770/cgj.28.825","url":null,"abstract":"<p><strong>Background: </strong>Primary care is essential in dementia management, offering diagnosis, treatment, and support for people living with dementia (PLWD) and their caregivers. Telemedicine became a key advancement during the COVID-19 pandemic, offering crucial access to care. This study explores the pros and cons of telemedicine for dementia care during the pandemic to guide future improvements.</p><p><strong>Methods: </strong>Data collection involved semi-structured interviews with caregivers recruited from a Montreal memory clinic and secondary analysis of two other studies related to dementia and telemedicine, focusing on the educational needs of patients and the impact of the pandemic on health-care services. Data analysis employed the framework method, combining inductive and deductive approaches to code the data and develop categories aligned with Chang's framework, providing insights into caregivers' experiences and the challenges and benefits of telemedicine.</p><p><strong>Results: </strong>The study involved interviews with four caregivers of people with dementia, complemented by secondary analysis from two Canadian studies. Through framework analysis, four themes were developed: relationship and communication; the advantages and selective suitability of telemedicine (TM) in dementia care; preferences for in-person consultations; and the need to improve awareness and technical confidence in TM.</p><p><strong>Conclusion: </strong>This study highlights the potential of telemedicine (TM) as an effective modality for dementia care, particularly during situations like the COVID-19 pandemic, but emphasizes that it cannot fully replace in-person consultations due to the enduring preference for face-to-face interactions.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"28 2","pages":"125-135"},"PeriodicalIF":1.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frailty Focused Enhancements to Seniors' Hospital Care (FrESH): a Mixed Methods Study Reporting the Efficacy of Specialized Education for Front-line Staff.","authors":"Jennifer E Peterson, Samantha A Fowler, Karla J Faig, Linda M Yetman, Patrick J G Feltmate","doi":"10.5770/cgj.28.823","DOIUrl":"10.5770/cgj.28.823","url":null,"abstract":"<p><strong>Background: </strong>Acute care hospital stays often lead to increased frailty and functional decline in older adults. Interventions such as specialized education for nurses can improve health outcomes and decrease lengths of stay for these patients. This study aimed to identify the facilitators and barriers to providing care to older adults in acute care, and the efficacy of specialized education for front-line staff.</p><p><strong>Methods: </strong>A specialized education program for front-line staff, Frailty Focused Enhancements to Seniors' Hospital Care (FrESH), was developed and delivered across five family medicine units in New Brunswick (NB). A mixed methods approach was used to assess the knowledge, attitudes, and experiences of staff caring for hospitalized older adults, and evaluate the impact of providing specialized education. Patient-level data on delirium, mobility, and medications pre- and post-specialized education intervention were collected and analyzed.</p><p><strong>Results: </strong>Sixty-three front-line staff participated. Analysis of questionnaires demonstrated that staff had positive attitudes and beliefs about caring for older adults; however, knowledge of geriatric care principles was limited and remained unchanged. There was no significant change in patient-level measures post-intervention. Environmental constraints hindered staff from implementing best practices, leading to practical challenges to care delivery. While respondents expressed satisfaction with the education, their capacity to deliver the type of care presented in the education sessions was not achievable.</p><p><strong>Conclusion: </strong>Staff identified the need for specialized education; however, there was no impact on care after participation. Results will inform changes to the specialized education programs targeting care for hospitalized older adults in acute care.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"28 2","pages":"145-153"},"PeriodicalIF":1.6,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neuropsychiatric Symptoms and Psychotropic Medication Use Following SARS-Cov-2 Infection Among Elderly Residents in Long-Term Care Facilities.","authors":"Diana Cruz-Santiago, Xiangfei Meng, Michelle Canac-Marquis, Avik Sengupta, Jean-Philippe Brassard, Erik Pavey, Hélène Girouard, Donald C Vinh, Jean-Philippe Gouin","doi":"10.5770/cgj.28.770","DOIUrl":"10.5770/cgj.28.770","url":null,"abstract":"<p><strong>Background: </strong>SARS-CoV-2 infection can lead to persistent post-acute neuropsychiatric symptoms. Older adults with multimorbidity may be at increased risk of post-acute symptoms after COVID-19. The goals of the present study were to assess the associations of SARS-CoV-2 infection with neuropsychiatric symptoms and psychotropic medication prescription among older adults living in long-term care facilities.</p><p><strong>Methods: </strong>Nursing home residents (n=111) participated in this three-month longitudinal study. Nurse ratings of neuropsychiatric symptoms were conducted at baseline and at the three-month follow-up. SARS-CoV-2 infection status and psychotropic medication prescription were extracted from a medical chart review.</p><p><strong>Results: </strong>About 73.9% of participants were infected with SARS-CoV-2 on average 480.49 (SD= 228) days before study enrollment. There were no significant changes in neuropsychiatric symptoms during the study follow-up period. Participants with a SARS-CoV-2 infection had more agitation compared to those who were never infected. However, this effect disappeared after adjusting for age, sex, history of psychiatric disorder, neurocognitive status, and multimorbidity. Participants with SARS-CoV-2 had a higher number of psychotropic medication prescription. This effect was driven by increased use of antidepressants and antipsychotic medications.</p><p><strong>Conclusion: </strong>Both acute and short-term neuropsychiatric symptoms associated with COVID-19 may contribute to long-term psychoactive polypharmacy among older adults living in long-term facilities.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"28 1","pages":"67-72"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variations in Prescribing Rates of End-of-Life Medications Among Long-Term Care Residents in Alberta Compared with Ontario-a Retrospective Cohort Study.","authors":"Jessica E Simon, Asmita Bhattarai, Zhi-Yun Apoint-Hao, Rhiannon L Roberts, Christina Milani, Colleen Webber, Vivian Ewa, Anna E Clarke, Sarina R Isenberg, Daniel Kobewka, Danial Qureshi, Shirley H Bush, Kaitlyn Boese, Amit Arya, Benoit Robert, James Downar, Peter Tanuseputro, Aynharan Sinnarajah","doi":"10.5770/cgj.28.811","DOIUrl":"10.5770/cgj.28.811","url":null,"abstract":"<p><strong>Background: </strong>Prescribing rates for subcutaneous medications may be an indicator of quality of end-of-life care in long-term care (LTC). It is not known if this system level measure is valid across jurisdictions. We compared prescribing rates of medications used for end-of-life symptom relief among LTC residents in Alberta and Ontario.</p><p><strong>Methods: </strong>This retrospective cohort study of LTC residents compared those who died between January 1, 2017, and March 17, 2020 in Alberta, with a published cohort from Ontario. Prescribed end-of-life medications during a resident's last 14 days of life were extracted from administrative dispensation records. LTC homes were ranked into quintiles based on prescribing rates within each home, and the home characteristics were described. The proportion of residents who transferred out of LTC in the last 14 days of life was also determined, as another quality measure.</p><p><strong>Results: </strong>We identified 10,038 decedents in 117 LTC homes. Among LTC decedents, 16.9% were prescribed ≥1 injectable end-of-life medication and 44.9% were prescribed at least one end-of-life medication by any route of administration, within the last 14 days of life. Across prescribing quintiles, there were no associations with transfer rates prior to death. Comparing Alberta to Ontario, there were markedly lower rates of injectable medicine prescribing (16.9% vs. 64.7%). Potential reasons and data limitations were explored.</p><p><strong>Conclusions: </strong>Rates of injectable end-of life medication prescribing differed across Alberta LTC homes; however, current provincial data limitations impact the validity of using these rates as a comparative indicator of the quality of end-of-life care.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"28 1","pages":"31-40"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual Goals of Care Consultation for Advanced Frailty: a Qualitative Implementation Study Providing Insights from the Pandemic.","authors":"Nabha Shetty, Tanya MacLeod, Ashley Paige Miller, Melissa Buckler, Laurie Mallery, Anne-Marie Krueger-Naug, Maia von Maltzahn, Paige Moorhouse","doi":"10.5770/cgj.28.759","DOIUrl":"10.5770/cgj.28.759","url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, long-term care (LTC) facilities faced challenges in establishing appropriate goals of care (GoC) for residents during health crises. To address this, a virtual specialist consultation program was implemented to align care interventions with residents' frailty and expected outcomes.</p><p><strong>Methods: </strong>We explored barriers and enablers to the implementation and sustainability of the program using structured interviews (n=20) with LTC leadership, health-care staff, and members of the program. Data were coded according to the constructs of the Consolidated Framework for Implementation Research (CFIR) using thematic analysis.</p><p><strong>Results: </strong>Participants described how the program improved care and reduced unnecessary transfers. Implementation was enabled by a high degree of tension for change, relative priority, relative advantage, and the team's shared mental model of frailty-care. Inconsistencies in GoC approaches and information silos between LTC and acute-care challenged implementation. Sustainability was hindered by decreased pandemic urgency, resulting in reallocation of resources to usual care. The need for a specialized GoC service in LTC became less obvious outside of a crisis.</p><p><strong>Conclusions: </strong>This implementation study provides important insights for future spread and scale of embedding virtual specialist consultation services into LTC. The findings underscore the importance of collegial relationships and shared care philosophies to effectively implement frailty-informed care initiatives during crises. However, sustaining cross-sectoral GoC services may be challenging amidst evolving workloads and prevailing cultural perceptions of end-of-life care needs.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"28 1","pages":"1-15"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The COVID-19 Pandemic and Dementia: a Multijurisdictional Meta-Analysis of the Impact of the First Two Pandemic Waves on Acute Health-care Utilization and Mortality in Canada.","authors":"Deniz Cetin-Sahin, Claire Godard-Sebillotte, Susan E Bronskill, Dallas Seitz, Debra G Morgan, Laura C Maclagan, Nadia Sourial, Jacqueline Quail, Andrea Gruneir, Machelle Wilchesky, Louis Rochette, Victoria Kubuta Massamba, Erik Youngson, Christina Diong, Eric E Smith, Geneviève Arsenault-Lapierre, Mélanie Le Berre, Colleen J Maxwell, Julie Kosteniuk, Delphine Bosson-Rieutort, Ting Wang, Kori Miskucza, Isabelle Vedel","doi":"10.5770/cgj.28.776","DOIUrl":"10.5770/cgj.28.776","url":null,"abstract":"<p><strong>Background: </strong>Previous studies on the impact of the coronavirus disease 2019 (COVID-19) pandemic on persons living with dementia (PLWD) were mostly conducted in a single jurisdiction or focused on a limited number of outcomes. Our study estimates the impact of the first two pandemic waves on emergency department (ED) visits (all-cause/ambulatory care sensitive conditions), hospitalizations (all-cause/30-day readmissions), and all-cause mortality in four Canadian jurisdictions.</p><p><strong>Methods: </strong>Using administrative databases from Alberta, Ontario, Saskatchewan, and Quebec, we assembled two closed retrospective cohorts (2019/pre-pandemic control and 2020/pandemic) of PLWD aged 65+. Within community and nursing home settings, the rates of the above-mentioned outcomes in three pandemic periods (first wave, interim period, second wave) were compared to the corresponding pre-pandemic periods. We performed random effects meta-analyses on the provincial incident rate ratios.</p><p><strong>Results: </strong>Pre-pandemic and pandemic cohorts included 167,095 vs. 173,240 (community) and 93,374 vs. 92,434 (nursing home) individuals, respectively. During the first wave, community and nursing home populations experienced significant declines in the rates of all-cause ED visits (36% vs. 40%) and hospitalizations (25% vs. 22%), which persisted in the following periods in the community. These declines were greater for the rates of ambulatory care sensitive condition ED visits and 30-day readmissions. Mortality was 36% higher in nursing homes (first wave) and 13% higher in the community (second wave).</p><p><strong>Conclusions: </strong>It is key to prepare for future health crises and ensure that PLWD receive necessary care and services and do not have such a high mortality rate. Attention should be equally given to PLWD living in their homes and nursing homes.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"28 1","pages":"16-30"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To What Extent are Alberta Nursing Homes and Supportive Living Facilities Integrated with Their Community? A Sequential Quantitative-Qualitative Study.","authors":"Michelle C Gao, Saima Rajabali, Adrian Wagg","doi":"10.5770/cgj.28.783","DOIUrl":"10.5770/cgj.28.783","url":null,"abstract":"<p><strong>Background: </strong>Nursing homes and supportive living facilities (continuing care homes [CCH]) are often regarded as separate from their communities. Although occasional studies highlight volunteering or intergenerational activities, there is little systematic evaluation of the existence of activities in CCH that may promote community integration.</p><p><strong>Methods: </strong>Study Design: The study utilized a sequential quantitative-qualitative approach: cross-sectional survey followed by semi-structured interviews. Setting: All registered long-term care (nursing home) and supportive living facilities (Levels 3, 4, and 4 Dementia) within Alberta. Subjects: The survey and interviews were conducted with directors of care. The survey was distributed to 334 facilities. Data saturation in the interviews was reached with seven participants.</p><p><strong>Results: </strong>140 responses were received; 116 were analyzable (34.7% response rate). The range of activities varied widely. Prior to Covid-19, the most common were spiritual activities entering CCH (96.5%) and volunteers entering CCH (93.0%); CCH rarely had activities such as child daycare (5.2%). 12.9% of spiritual activities entering CCH had not been restarted following the pandemic, but homes were planning to restart this activity (16) or start it as a new activity (1). There was no statistically significant relationship between any activity and facility owner-operator model, size, type, or geography (urban/rural) at any survey time category. Four themes emerged from the interviews: resident quality of life and well-being, home's capacity and openness, sources of support, and planning and programming for implementation.</p><p><strong>Conclusions: </strong>This study addresses a knowledge gap regarding community integration in CCH and provides insight on the types of community-integrated activities occurring in Alberta's CCH.</p>","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"28 1","pages":"53-66"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thank You to Our Reviewers in 2024.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":56182,"journal":{"name":"Canadian Geriatrics Journal","volume":"28 1","pages":"105"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}