Length of stay and therapeutic intervention allow estimation of in-hospital resource use independent of site and inflation.

Abstract:

OBJECTIVES:To develop and evaluate a model to estimate inpatient resource utilization for seriously ill patients using periodic medical record abstraction and hospital length of stay. DESIGN:A prospective cohort study of prognoses and preferences and outcomes of seriously ill hospitalized adults. The predictive model was based on the Therapeutic Intervention Scoring System (TISS), length of stay (LOS), and hospital site, and was developed on Phase I data and validated on Phase II data. SETTING:Five teaching hospitals in the United States PARTICIPANTS:The derivation sample included 4301 patients enrolled in the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT). The validation sample included 4804 patients. MEASUREMENTS:Hospital charges were correlated with the product of hospital length of stay and average score from the TISS. Model fit assessment used R2 for total hospital charges. RESULTS:The correlation between hospital charges and the final model, after adjusting for site differences, was 0.86. The correlation was similar when validating the model in an independent data set. CONCLUSIONS:We present a method to estimate hospital resource utilization that is independent of site and inflation and can estimate actual costs in multiyear, multisite research endeavors.

journal_name

J Am Geriatr Soc

authors

Alzola C,Lynn J,Wagner D,Wu AW

doi

10.1111/j.1532-5415.2000.tb03127.x

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

S162-7

issue

S1

eissn

0002-8614

issn

1532-5415

journal_volume

48

pub_type

杂志文章
  • Women's Sexual Health and Aging.

    abstract::Older women are often sexually active, but physicians caring for older women rarely address sexual concerns. Although women's desire for sex declines with age, a majority of older women rate sex as having importance in their lives. Women identify emotional intimacy as an important reason for engaging in sexual relatio...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15198

    authors: Granville L,Pregler J

    更新日期:2018-03-01 00:00:00

  • Speech perception in older adults: the importance of speech-specific cognitive abilities.

    abstract:OBJECTIVE:To provide a critical evaluation of studies examining the contribution of changes in language-specific cognitive abilities to the speech perception difficulties of older adults. DESIGN:A review of the literature on aging and speech perception. CONCLUSIONS:The research considered in the present review sugges...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.1997.tb03101.x

    authors: Sommers MS

    更新日期:1997-05-01 00:00:00

  • Psychotropic medication withdrawal and a home-based exercise program to prevent falls: a randomized, controlled trial.

    abstract:OBJECTIVE:To assess the effectiveness of psychotropic medication withdrawal and a home-based exercise program in reducing falls in older people. DESIGN:A randomized controlled trial with a two by two factorial design. SETTING:Seventeen general practices in Dunedin, New Zealand. PARTICIPANTS:Women and men aged 65 yea...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1532-5415.1999.tb03843.x

    authors: Campbell AJ,Robertson MC,Gardner MM,Norton RN,Buchner DM

    更新日期:1999-07-01 00:00:00

  • Influenza vaccination in community elderly. A controlled trial of postcard reminders.

    abstract::Available strategies to increase influenza vaccination rates in the elderly have not been tested in the private sector where most elderly receive care. We performed a randomized controlled trial of a postcard reminder in the three private general internal medicine practices. The observed vaccination rates of 55% in ex...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.1987.tb06354.x

    authors: Buchner DM,Larson EB,White RF

    更新日期:1987-08-01 00:00:00

  • Mild cognitive impairment is associated with poorer decision-making in community-based older persons.

    abstract:OBJECTIVE:To test the hypothesis that mild cognitive impairment (MCI) is associated with poorer financial and healthcare decision-making. DESIGN:Community-based epidemiological cohort study. SETTING:Communities throughout northeastern Illinois. PARTICIPANTS:Older persons without dementia from the Rush Memory and Agi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.13346

    authors: Han SD,Boyle PA,James BD,Yu L,Bennett DA

    更新日期:2015-04-01 00:00:00

  • Type 2 diabetes mellitus and cognitive decline in two large cohorts of community-dwelling older adults.

    abstract:OBJECTIVES:To relate diabetes mellitus (DM) status and duration to late-life cognitive impairment and decline in men and women. DESIGN:Prospective cohort. SETTING:Community. PARTICIPANTS:Five thousand nine hundred seven men in the Physicians' Health Study II and 6,326 women in the Women's Health Study (mean age 74.1...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2008.01686.x

    authors: Okereke OI,Kang JH,Cook NR,Gaziano JM,Manson JE,Buring JE,Grodstein F

    更新日期:2008-06-01 00:00:00

  • Differences in the signs and symptoms of hyperthyroidism in older and younger patients.

    abstract:OBJECTIVES:To determine if aging modifies the clinical presentation of hyperthyroidism and the signs of thyrotoxicosis in older people. DESIGN:Prospective cohort study. SETTING:A French university hospital. SUBJECTS:Eighty-four new patients with overt hyperthyroidism confirmed chemically between January 1992 and Jan...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1996.tb05637.x

    authors: Trivalle C,Doucet J,Chassagne P,Landrin I,Kadri N,Menard JF,Bercoff E

    更新日期:1996-01-01 00:00:00

  • Validity of the Patient Health Questionnaire 2 (PHQ-2) in identifying major depression in older people.

    abstract:OBJECTIVES:To determine the performance of the Patient Health Questionnaire 2 (PHQ-2) against the criterion standard for diagnosing major depression, the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), and to examine its performance across age, sex, and racial/ethnic groups. DESIGN:Cros...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2007.01103.x

    authors: Li C,Friedman B,Conwell Y,Fiscella K

    更新日期:2007-04-01 00:00:00

  • Changing trends in human immunodeficiency virus and acquired immunodeficiency syndrome in the population aged 50 and older.

    abstract:OBJECTIVES:To alert persons in the public and private healthcare professions to the increasing trends in higher proportions of persons aged 50 and older who are newly diagnosed with human immunodeficiency virus (HIV) and who are living with HIV and acquired immunodeficiency syndrome (AIDS). DESIGN:Data from the period...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2007.01295.x

    authors: Paul SM,Martin RM,Lu SE,Lin Y

    更新日期:2007-09-01 00:00:00

  • Hallucinations of widowhood.

    abstract::Widowed residents of two nursing homes who were oriented to person, time, and place were interviewed to determine the extent to which they had hallucinatory experiences of their deceased spouse. Fifty-two interviews were completed with 46 widows and six widowers. Results are reported for the widows. Twenty-eight (61%)...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1985.tb04619.x

    authors: Olson PR,Suddeth JA,Peterson PJ,Egelhoff C

    更新日期:1985-08-01 00:00:00

  • Nurses' and physicians' attitudes toward tube-feeding decisions in long-term care.

    abstract::We studied attitudes of health professionals toward life-sustaining treatment. A patient management questionnaire sent to staff physicians and nurses in 183 Oregon nursing homes consisted of eight patient sketches which varied age, mental status, and enjoyment of life. Respondents were asked whether they would favor t...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1986.tb05767.x

    authors: Watts DT,Cassel CK,Hickam DH

    更新日期:1986-08-01 00:00:00

  • Sarcopenia Definition & Outcomes Consortium Defined Low Grip Strength in Two Cross-Sectional, Population-Based Cohorts.

    abstract:BACKGROUND/OBJECTIVES:The extent to which the prevalence of muscle weakness in the US population varies by different putative grip strength constructs developed by the Sarcopenia Definitions and Outcomes Consortium (SDOC) has not been described. DESIGN:Cross-sectional analysis. SETTING:Two nationally representative c...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16419

    authors: Patel SM,Duchowny KA,Kiel DP,Correa-de-Araujo R,Fielding RA,Travison T,Magaziner J,Manini T,Xue QL,Newman AB,Pencina KM,Santanasto AJ,Bhasin S,Cawthon PM

    更新日期:2020-07-01 00:00:00

  • Discharge setting for patients with hip fracture: trends from 2001 to 2005.

    abstract:OBJECTIVES:To examine recent trends in discharge disposition after hospitalization for hip fracture. DESIGN:Retrospective observational study using data from the 5% random sample of Medicare claims data from 2001 to 2005 that the Centers for Medicare and Medicaid Services makes available for research purposes. SETTIN...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2008.01688.x

    authors: Nguyen-Oghalai TU,Kuo YF,Zhang DD,Graham JE,Goodwin JS,Ottenbacher KJ

    更新日期:2008-06-01 00:00:00

  • Drug interactions and the elderly.

    abstract::The elderly take more drugs than the young, and are therefore more susceptible to adverse drug interactions. Prescribing the minimum number of agents is recommended. Drug absorption, metabolism, and excretion may be altered by various interactions. Dose-response relationships of oral anticoagulants, oral hypoglycemics...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1982.tb01358.x

    authors: Reidenberg MM

    更新日期:1982-11-01 00:00:00

  • Sleep disturbances and frailty status in older community-dwelling men.

    abstract:OBJECTIVES:To test the hypothesis that sleep disturbances are independently associated with frailty status in older men. DESIGN:Cross-sectional analysis of prospective cohort study. SETTING:Six U.S. centers. PARTICIPANTS:Three thousand one hundred thirty-three men aged 67 and older. MEASUREMENTS:Self-reported sleep...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2009.02490.x

    authors: Ensrud KE,Blackwell TL,Redline S,Ancoli-Israel S,Paudel ML,Cawthon PM,Dam TT,Barrett-Connor E,Leung PC,Stone KL,Osteoporotic Fractures in Men Study Group.

    更新日期:2009-11-01 00:00:00

  • Characteristics and Incidence of Chronic Illness in Community-Dwelling Predominantly Male U.S. Veteran Centenarians.

    abstract:OBJECTIVES:To assess the incidence of chronic illness and its effect on veteran centenarians. DESIGN:Retrospective longitudinal cohort study. SETTING:United States Veterans Affairs Corporate Data Warehouse (CDW). PARTICIPANTS:Community-dwelling veterans born between 1910 and 1915 who survived to at least age 80 (N =...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14900

    authors: Kheirbek RE,Fokar A,Shara N,Bell-Wilson LK,Moore HJ,Olsen E,Blackman MR,Llorente MD

    更新日期:2017-09-01 00:00:00

  • Metabolic syndrome predicts mobility decline in a community-based sample of older adults.

    abstract:OBJECTIVES:To determine whether metabolic syndrome is an independent predictor of decline in mobility in an elderly community sample. DESIGN:Biracial community-based prospective cohort study. SETTING:Urban and rural areas of central North Carolina. PARTICIPANTS:One thousand two hundred twenty-nine older African Amer...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2005.00607.x

    authors: Blazer DG,Hybels CF,Fillenbaum GG

    更新日期:2006-03-01 00:00:00

  • The evening meal and atherosclerosis.

    abstract::A trial by any means that can possibly prevent or retard the development of arteriosclerosis is to be recommended. Arteriosclerosis is the chief cause of strokes and heart attacks. The heavy evening meal now in vogue is characteristically rich in animal fats. Normal digestion is at its peak at about the seventh hour, ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1978.tb02404.x

    authors: Roen PB

    更新日期:1978-06-01 00:00:00

  • Effects of a procaine preparation (Gerovital H3) in hospitalized geriatric patients: a double-blind study.

    abstract::The effects of Gerovital H3 (a specially stabilized form of procaine hydrochloride) on geriatric psychiatric patients were assessed in a double-blind study at Bronx State Hospital. The mean age of the subjects was 73 years and the average rating for the severity of organic symptoms was "moderate." During the first six...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1532-5415.1975.tb00326.x

    authors: Zwerling I,Plutchik R,Hotz M,Kling R,Rubin L,Grossman J,Siegel B

    更新日期:1975-08-01 00:00:00

  • Screening for cognitive impairment: comparing the performance of four instruments in primary care.

    abstract:OBJECTIVES:To determine whether brief cognitive screening tests perform as well as a longer screening test in diagnosis of cognitive impairment, no dementia (CIND) or dementia. DESIGN:A cross-sectional comparison of cognitive screening tests to an independent criterion standard evaluation using Diagnostic and Statisti...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2012.03967.x

    authors: Holsinger T,Plassman BL,Stechuchak KM,Burke JR,Coffman CJ,Williams JW Jr

    更新日期:2012-06-01 00:00:00

  • Does walking speed mediate the association between visual impairment and self-report of mobility disability? The Salisbury Eye Evaluation Study.

    abstract:OBJECTIVES:To determine whether performance speeds mediate the association between visual impairment and self-reported mobility disability over an 8-year period. DESIGN:Longitudinal analysis. SETTING:Salisbury, Maryland. PARTICIPANTS:Salisbury Eye Evaluation Study participants aged 65 and older (N=2,520). MEASUREME...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12937

    authors: Swenor BK,Bandeen-Roche K,Muñoz B,West SK

    更新日期:2014-08-01 00:00:00

  • Nurses Improving the Care of Healthsystem Elders: creating a sustainable business model to improve care of hospitalized older adults.

    abstract::The Nurses Improving the Care of Healthsystem Elders (NICHE) program helps its more than 450 member sites to build the leadership capabilities to enact system-level change that targets the unique needs of older adults and embeds evidence-based geriatrics knowledge into practice. NICHE received expansion funding to est...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12324

    authors: Capezuti EA,Bricoli B,Boltz MP

    更新日期:2013-08-01 00:00:00

  • Leukocyte telomere length is associated with disability in older u.s. Population.

    abstract:OBJECTIVES:To determine whether mean leukocyte telomere length (LTL) serves as a biomarker of disability assessed according to activities of daily living (ADLs) and what factors may modify this relationship. DESIGN:Retrospective cross-sectional study. SETTING:A subset of the National Long Term Care Survey (NTLCS), a ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.02948.x

    authors: Risques RA,Arbeev KG,Yashin AI,Ukraintseva SV,Martin GM,Rabinovitch PS,Oshima J

    更新日期:2010-07-01 00:00:00

  • Effect of Metabolic Syndrome on the Mobility Benefit of a Structured Physical Activity Intervention-The Lifestyle Interventions and Independence for Elders Randomized Clinical Trial.

    abstract:OBJECTIVES:To test whether structured physical activity (PA) is associated with a greater reduction in major mobility disability (MMD) in older persons with metabolic syndrome (MetS) than in those without. DESIGN:Data from the Lifestyle Interventions and Independence for Elders (LIFE) Study, a multicenter randomized t...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/jgs.14793

    authors: Botoseneanu A,Chen H,Ambrosius WT,Allore HG,Anton S,Folta SC,King AC,Nicklas BJ,Spring BJ,Strotmeyer ES,Gill TM,LIFE Study Group.

    更新日期:2017-06-01 00:00:00

  • Acute hospital use, nursing home placement, and mortality in a frail community-dwelling cohort managed with Primary Integrated Interdisciplinary Elder Care at Home.

    abstract:OBJECTIVES:To evaluate the effect of medical Primary Integrated Interdisciplinary Elder Care at Home (PIECH) on acute hospital use and mortality in a frail elderly population. DESIGN:Comparison of acute hospital care use for the year before entering the practice (pre-entry) with the most-recent 12-month period (May 1,...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2012.03965.x

    authors: Rosenberg T

    更新日期:2012-07-01 00:00:00

  • Care-needs certification in the long-term care insurance system of Japan.

    abstract::The introduction of Japan's long-term care insurance (LTCI) system in April 2000 has made long-term care an explicit and universal entitlement for every Japanese person aged 65 and older based strictly on physical and mental status. At the start of the program, more than two million seniors were expected to apply for ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2005.53175.x

    authors: Tsutsui T,Muramatsu N

    更新日期:2005-03-01 00:00:00

  • Use of digoxin, diuretics, beta blockers, angiotensin-converting enzyme inhibitors, and calcium channel blockers in older patients in an academic hospital-based geriatrics practice.

    abstract:OBJECTIVE:To investigate the prevalence of and indications for digoxin use and the prevalence of beta blocker and calcium channel blocker use in older patients with previous myocardial infarction or coronary artery disease (CAD), and the prevalence of use of diuretics, beta blockers, angiotensin-converting enzyme (ACE)...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1997.tb01506.x

    authors: Fishkind D,Paris BE,Aronow WS

    更新日期:1997-07-01 00:00:00

  • The relationship of psychosocial factors to total mortality among older Japanese-American men: the Honolulu Heart Program.

    abstract:OBJECTIVE:To examine the predictive value of psychosocial factors as risk factors for all-cause mortality. DESIGN:A community-based longitudinal cohort study: The Honolulu Heart Program. SETTING:Population-based study conducted in Oahu, Hawaii. PARTICIPANTS:Three thousand four hundred and ninety-seven men age 71 to ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2001.49148.x

    authors: Ceria CD,Masaki KH,Rodriguez BL,Chen R,Yano K,Curb JD

    更新日期:2001-06-01 00:00:00

  • A longitudinal study of impaired glucose tolerance and diabetes mellitus in the aged.

    abstract:UNLABELLED:This longitudinal study of glucose tolerance in the residents of a Jewish home for the aged (JHA) is now in its 25th year. Of 1,177 supposedly nondiabetic persons screened on admission from 1965 to 1986, 22.5% had impaired glucose tolerance (IGT), reflecting its undiagnosed prevalence among the Jewish elderl...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1989.tb06676.x

    authors: Grobin W

    更新日期:1989-12-01 00:00:00

  • AGS Position Statement: Resource Allocation Strategies and Age-Related Considerations in the COVID-19 Era and Beyond.

    abstract::Coronavirus disease 2019 (COVID-19) continues to impact older adults disproportionately, from severe illness and hospitalization to increased mortality risk. Concurrently, concerns about potential shortages of healthcare professionals and health supplies to address these needs have focused attention on how resources a...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16537

    authors: Farrell TW,Ferrante LE,Brown T,Francis L,Widera E,Rhodes R,Rosen T,Hwang U,Witt LJ,Thothala N,Liu SW,Vitale CA,Braun UK,Stephens C,Saliba D

    更新日期:2020-06-01 00:00:00