Chan Mi Park
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View article: Persistence of Delirium in Postacute Care at Skilled Nursing Facilities
Persistence of Delirium in Postacute Care at Skilled Nursing Facilities Open
Importance The 2014 Improving Medicare Post-Acute Care Transformation (IMPACT) Act aimed to improve postacute care quality and outcomes. This study examines changes in delirium, a key quality indicator, over 5 years following its implement…
View article: Association of Frailty Index at 66 Years of Age with Health Care Costs and Utilization Over 10 Years in Korea: Retrospective Cohort Study
Association of Frailty Index at 66 Years of Age with Health Care Costs and Utilization Over 10 Years in Korea: Retrospective Cohort Study Open
Background The long-term economic impact of frailty measured at the beginning of elderhood is unknown. Objective The objective of our study was to examine the association between an individual’s frailty index at 66 years of age and their h…
View article: CLAIMS-BASED FRAILTY INDEX AS A PREDICTOR OF POSTACUTE SKILLED NURSING FACILITY CARE OUTCOMES
CLAIMS-BASED FRAILTY INDEX AS A PREDICTOR OF POSTACUTE SKILLED NURSING FACILITY CARE OUTCOMES Open
How claims-based frailty index (CFI) predicts post-acute skilled nursing facility (SNF) care outcomes is unknown. We used the National Health and Aging Trends Study 2011-2017 survey data linked to Medicare claims. CFI and comprehensive ger…
View article: CLAIMS-BASED FRAILTY INDEX FOR IDENTIFYING MODERATE-TO-SEVERE DEMENTIA IN MEDICARE BENEFICIARIES
CLAIMS-BASED FRAILTY INDEX FOR IDENTIFYING MODERATE-TO-SEVERE DEMENTIA IN MEDICARE BENEFICIARIES Open
Identifying dementia severity from administrative claims poses challenges. This abstract discusses developing and validating a claims-based frailty index (CFI) cut-point for identifying moderate-to-severe dementia among Medicare beneficiar…
View article: INTEGRATING A FRAILTY INDEX INTO THE CMS HIERARCHICAL CONDITION CATEGORY MODEL FOR PREDICTING HEALTH CARE COSTS
INTEGRATING A FRAILTY INDEX INTO THE CMS HIERARCHICAL CONDITION CATEGORY MODEL FOR PREDICTING HEALTH CARE COSTS Open
The Centers for Medicare and Medicaid Services Hierarchical Condition Category (CMS-HCC) score is a standard risk adjustment tool to predict total Medicare costs. We examined whether a claims-based frailty index (CFI) could enhance the pre…
View article: HEALTH CARE COSTS OF MEDICARE BENEFICIARIES WITH FRAILTY AND/OR DEMENTIA
HEALTH CARE COSTS OF MEDICARE BENEFICIARIES WITH FRAILTY AND/OR DEMENTIA Open
Frailty and dementia predispose older adults to adverse health outcomes, resulting in increased health care utilization. In this study, we examined healthcare costs in a 5% sample of Medicare fee-for-service (FFS) beneficiaries using Medic…
View article: Discontinuation of Cholinesterase Inhibitors Following Initiation of Memantine and Admission to Long-Term Care Among Older Adults
Discontinuation of Cholinesterase Inhibitors Following Initiation of Memantine and Admission to Long-Term Care Among Older Adults Open
Importance Discontinuing cholinesterase inhibitors when initiating memantine in patients with dementia may be reasonable to reduce treatment burden, costs, and the risk of adverse drug events. Objective To assess the association of choline…
View article: Elevated Fracture Risks in Patients Using Inhaled Corticosteroids: A Korean Nationwide Study
Elevated Fracture Risks in Patients Using Inhaled Corticosteroids: A Korean Nationwide Study Open
Background: In this comprehensive retrospective nationwide cohort study, we examined the relationships between various asthma medications and bone health, utilizing data from the National Health Insurance Service database of South Korea.Me…
View article: Frailty in Medicare Advantage Beneficiaries and Traditional Medicare Beneficiaries
Frailty in Medicare Advantage Beneficiaries and Traditional Medicare Beneficiaries Open
Importance A growing proportion of the population is enrolling in Medicare Advantage (MA), which typically offers additional benefits compared with traditional Medicare (TM). Objective To determine whether frailty and frailty trajectories …
View article: Postoperative use of sleep aids and delirium in older adults after major surgery: A retrospective cohort study
Postoperative use of sleep aids and delirium in older adults after major surgery: A retrospective cohort study Open
Background Sleep aids are commonly prescribed to treat sleep disturbance, a modifiable risk factor for postoperative delirium in older patients. The use of melatonin receptor agonists in the postoperative period has been increasing. The co…
View article: Association between Drug Therapy and Risk of Incident Frailty: A Systematic Review
Association between Drug Therapy and Risk of Incident Frailty: A Systematic Review Open
Medication is a potential factor influencing frailty. However, the relationship between pharmaceutical treatments and frailty remains unclear. Therefore, we conducted the present systematic review to summarize the association between drug …
View article: Utilization of transitional care management service among Medicare beneficiaries at high risk of readmission
Utilization of transitional care management service among Medicare beneficiaries at high risk of readmission Open
The Center for Medicare & Medicaid Services introduced transitional care management (TCM) service in 2013 to oversee care coordination and reduce readmission during the 30 days following hospital discharge.1 TCM uptake has been low (9.3% i…
View article: UNDERUTILIZATION OF TRANSITIONAL CARE MANAGEMENT SERVICE AMONG MEDICARE BENEFICIARIES AT HIGH RISK OF READMISSION
UNDERUTILIZATION OF TRANSITIONAL CARE MANAGEMENT SERVICE AMONG MEDICARE BENEFICIARIES AT HIGH RISK OF READMISSION Open
The CMS introduced transitional care management (TCM) service in 2013 to improve care transitions from hospital to home and reduce readmission. TCM uptake has been slowly increasing over time; however, it remains uncertain whether TCM is d…
View article: Trends in use of antipsychotics and psychoactive drugs in older patients after major surgery
Trends in use of antipsychotics and psychoactive drugs in older patients after major surgery Open
Background Professional society guidelines recommend limiting the use of antipsychotics in older patients with postoperative delirium. How these recommendations affected the use of antipsychotics and other psychoactive drugs in the postope…
View article: Comparative Safety Analysis of Oral Antipsychotics for In-Hospital Adverse Clinical Events in Older Adults After Major Surgery
Comparative Safety Analysis of Oral Antipsychotics for In-Hospital Adverse Clinical Events in Older Adults After Major Surgery Open
National Institute on Aging.
View article: Unmet Needs and Barriers in Providing Hospital Care for Older Adults: A Qualitative Study Using the Age-Friendly Health System Framework
Unmet Needs and Barriers in Providing Hospital Care for Older Adults: A Qualitative Study Using the Age-Friendly Health System Framework Open
The study highlighted the need for improvements in inpatient care for older adults at an academic hospital in Korea. Identified unmet needs and barriers can be used to guide a more patient-centered approaches for an age-friendly inpatient …
View article: Claims-Based Frailty Index as a Measure of Dementia Severity in Medicare Claims Data
Claims-Based Frailty Index as a Measure of Dementia Severity in Medicare Claims Data Open
Background Dementia severity is unavailable in administrative claims data. We examined whether a claims-based frailty index (CFI) can measure dementia severity in Medicare claims. Methods This cross-sectional study included the National He…
View article: Chronic airway disease as a major risk factor for fractures in osteopenic women: Nationwide cohort study
Chronic airway disease as a major risk factor for fractures in osteopenic women: Nationwide cohort study Open
Introduction The study aimed to demonstrate the risk factors for fractures and to develop prediction models for major osteoporotic and hip fractures in osteopenic patients using the nationwide cohort study in South Korea. Methods The study…
View article: CLAIMS-BASED FRAILTY INDEX (CFI) AS A MEASURE OF DEMENTIA SEVERITY IN MEDICARE BENEFICIARIES WITH ADRD
CLAIMS-BASED FRAILTY INDEX (CFI) AS A MEASURE OF DEMENTIA SEVERITY IN MEDICARE BENEFICIARIES WITH ADRD Open
Lack of a dementia severity measure in administrative claims data is a major barrier in Alzheimer’s Disease and Related Dementias (ADRD) research using such data sources. A claims-based frailty index (CFI; range 0 to 1, higher scores indic…
View article: Effect of Parents' Parenting Attitudes on Children's Life Satisfaction: Multiple Mediating Effects of Children's Self-Esteem and Depression -Using Data From the 2018 Korean Children and Youth Panel Survey-
Effect of Parents' Parenting Attitudes on Children's Life Satisfaction: Multiple Mediating Effects of Children's Self-Esteem and Depression -Using Data From the 2018 Korean Children and Youth Panel Survey- Open
Purpose: This descriptive correlation research aimed to confirm the effect of parents’ parenting attitudes on children’s life satisfaction and the multiple mediating effects of self-esteem and depression in the relationship based on second…
View article: Perioperative Gabapentin Use and In-Hospital Adverse Clinical Events Among Older Adults After Major Surgery
Perioperative Gabapentin Use and In-Hospital Adverse Clinical Events Among Older Adults After Major Surgery Open
Importance Gabapentin has been increasingly used as part of a multimodal analgesia regimen to reduce opioid use in perioperative pain management. However, the safety of perioperative gabapentin use among older patients remains uncertain. O…
View article: Functional status recovery trajectories in hospitalised older adults with pneumonia
Functional status recovery trajectories in hospitalised older adults with pneumonia Open
Background and objectives Pneumonia is associated with significant mortality and morbidity in older adults. We investigated changes in functional status over 6 months after pneumonia hospitalisation by frailty status. Methods and measureme…
View article: Association of social determinants, multimorbidity, and functional status with mortality after hospitalization for pneumonia in South Korea
Association of social determinants, multimorbidity, and functional status with mortality after hospitalization for pneumonia in South Korea Open
Previous research found that functional status1 and unfavorable social determinants of health were associated with readmissions after pneumonia.2 Given the substantial disease burden of pneumonia in older adults, understanding how differen…
View article: Association of Serum Uric Acid with Glycemic Control in Patients with Diabetes Mellitus: Analysis of the 2016–2018 Korea National Health and Nutrition Examination Survey
Association of Serum Uric Acid with Glycemic Control in Patients with Diabetes Mellitus: Analysis of the 2016–2018 Korea National Health and Nutrition Examination Survey Open
서 론당뇨병은 만성적인 고혈당의 징후 및 증상을 보이는 질환으로, 지 난 20년