Importance The Walter Index is a widely used prognostic tool for assessing 12-month mortality risk among hospitalized older adults. Developed in the US in 2001, its accuracy in contemporary non-US contexts is unclear. Objective To evaluate the external validity of the Walter Index in predicting posthospitalization mortality risk in Brazilian older adult inpatients. Design, Setting, and Participants This prognostic study used data from a cohort of adults aged 70 years or older admitted to the geriatric unit of a un…

Objective Sodium-glucose cotransporter-2 inhibitors (SGLT2is) are recommended as first-line cardiorenal protective therapy in type 2 diabetes. Because SGLT2is cause glycosuria and increase urine volume, they may exacerbate incontinence symptoms among patients with pre-existing urinary incontinence. Our objective was to determine how many adults meeting guideline indications for SGLT2i have frequent urinary incontinence. Research design and methods We conducted a cross-sectional analysis of National Health And Nutr…

ABSTRACT Background To avoid potential harms from hypoglycemia, guidelines for diabetes management in nursing home residents recommend less intensive glycemic control. However, it is unknown how often hypoglycemia and hyperglycemia co‐occur in the same resident, which may present challenges for deintensification of diabetes treatment. Methods We conducted a cross‐sectional study of insulin‐treated Veterans Affairs nursing home residents with diabetes aged ≥ 65 years from 1/1/2016 to 9/30/2019 with a nursing home s…

ABSTRACT Background To avoid potential harms from hypoglycemia, guidelines for diabetes management in nursing home residents recommend less intensive glycemic control. However, it is unknown how often hypoglycemia and hyperglycemia co‐occur in the same resident, which may present challenges for deintensification of diabetes treatment. Methods We conducted a cross‐sectional study of insulin‐treated Veterans Affairs nursing home residents with diabetes aged ≥ 65 years from 1/1/2016 to 9/30/2019 with a nursing home s…

Abstract Background Estimating mortality risk in incarcerated adults is important for identifying individuals who may benefit from palliative care and compassionate release referrals. Objective To develop and internally validate a 2-year mortality prediction model in incarcerated adults. Design Cohort study (February 1, 2018–February 1, 2020). Participants Incarcerated adults aged ≥ 18 years residing at a California Department of Corrections and Rehabilitation (CDCR) prison for ≥ 1 year. Main Measures Model predic…