Norbert Specht-Leible

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OBJECTIVE to prove the effectiveness of geriatric evaluation and management for elderly, hospitalized patients, combined with post-discharge home intervention by an interdisciplinary team. DESIGN randomized controlled trial with outcome and costs assessed for 12 months after the date of admission. SETTING university-affiliated geriatric hospital and the(More)
OBJECTIVES To examine medication problems during a stay in hospital and after discharge and to identify risk factors that contribute to poor compliance with medication a prospective observational study was carried out in an university-affiliated geriatric hospital and a patients' home. PATIENTS One hundred and nineteen patients admitted from home to the(More)
The competent handling of money is an essential basis for living independently. Seventy-eight consecutively admitted patients to a geriatric hospital underwent the Timed Test of Money Counting (TTMC) which measures patients' ability to open a purse, take out all the money and count it. Further assessment included Mini-Mental State Examination (MMSE),(More)
Zur Überprüfung eines Zusammenhangs zwischen Medikamentenverordnungen und Sturzereignissen wurden ältere, multimorbide Menschen, die zu Hause leben, untersucht. 360 Patienten erhielten während eines Aufenthaltes in einer geriatrischen Klinik ein umfassendes geriatrisches Assessment. Nach Entlassung wurde über ein Jahr die Sturzhäufigkeit erfaßt und am Ende(More)
The high rates of hospitalization in nursing home residents are as well known as the hazards of in-hospital treatment especially in this group of frail older people. Moreover, hospital admissions cause considerable costs. The objective of the study was to analyze why nursing home residents are admitted for in-hospital geriatric care, and to form hypotheses(More)
To evaluate social aspects of elderly patients which are important for diagnosis and therapy within geriatric assessment, a questionnaire was developed and validated. Raters showed a high degree of agreement on the scale, which contains social contacts and support, activities, economic situation, and housing conditions (0.92-0.97; p < 0.05). Compared to the(More)
BACKGROUND To describe hospitalisations of nursing home (NH) residents in Germany during their last months of life. METHODS Retrospective cohort study on 792 NH residents in the Rhine-Neckar region in South-West Germany, newly institutionalized in the year 2000, who died until the study end (December 2001). Baseline variables were derived from a(More)
BACKGROUND Persons with dementia hospitalized for an acute illness have a high risk of poor outcomes and add to the burden on acute care systems. We developed a segregated Special Care Unit (SCU) in a somatic hospital for patients with challenging behavior resulting from dementia and/or delirium. This pilot study evaluates the feasibility and patient(More)
Ziel der Untersuchung war eine Ist-Analyse der Inzidenz, Art und Dauer der Primärversorgung und Nachbehandlung (klinisches “Case-Management”) sowie der funktionellen Ergebnisse nach proximaler Femurfraktur (PFF) im höheren Lebensalter. In einer prospektiven Beobachtungsstudie (“Frakturen im höheren Lebensalter” – FRAIL) wurden alle über 65-Jährigen(More)