Predictors of two-year post-hospitalization mortality among elderly veterans in a study evaluating a geriatric consultation team.

Abstract:

OBJECTIVE:To determine predictors of 2-year post-hospitalization mortality in a cohort of elderly hospitalized patients originally assembled to assess the impact of a Geriatric Consultation Team (GCT). DESIGN:Two-year follow-up of an inception cohort. SETTING:University-affiliated tertiary care VA Medical Center. PATIENTS:One hundred sixty-seven veterans age 75 or older discharged following hospitalization on medical, surgical, or psychiatry services but not intensive care units. INTERVENTION:None specifically studied here though cohort was previously part of randomized control trial of a Geriatric Consultation Team. MEASUREMENT:Mortality during 2 years of post-hospitalization follow-up. RESULTS:Two-year post-hospitalization mortality was 28 percent with no difference between the original GCT and control groups. For the entire sample, age, mental status, admission or discharge ADLs (but not change in ADL status), number of admission problems, number of discharge diagnoses, and discharge site were significant predictors of mortality in univariate analysis. Only discharge ADLs and discharge site remained significant in multivariate analysis. CONCLUSION:Measures of ADLs during hospitalization are stronger predictors of mortality following hospitalization than disease diagnoses. Impaired ADLs and placement other than at home are significant predictors of mortality, suggesting that the decision for nursing home placement contains other independently predictive information within it and/or that the subsequent nursing home period produces excess mortality. As had been indicated in short-term follow-up, there was no survival advantage for the Geriatric Consultation Group.

journal_name

J Am Geriatr Soc

authors

Cohen HJ,Saltz CC,Samsa G,McVey L,Davis D,Feussner JR

doi

10.1111/j.1532-5415.1992.tb03648.x

subject

Has Abstract

pub_date

1992-12-01 00:00:00

pages

1231-5

issue

12

eissn

0002-8614

issn

1532-5415

journal_volume

40

pub_type

杂志文章
  • Case-mix and quality indicators in Chinese elder care homes: are there differences between government-owned and private-sector facilities?

    abstract:OBJECTIVES:To assess the association between ownership of Chinese elder care facilities and their performance quality and to compare the case-mix profile of residents and facility characteristics in government-owned and private-sector homes. DESIGN:Cross-sectional study. SETTING:Census of elder care homes surveyed in...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12647

    authors: Liu C,Feng Z,Mor V

    更新日期:2014-02-01 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 geriatric floating interdisciplinary transition team.

    abstract::Older adults often receive suboptimal care during hospitalizations and transitions to postacute settings. Inpatient geriatric services have been shown to increase care quality but have not improved patient outcomes consistently. Acute Care for the Elderly units improve patient outcomes but are resource intensive. Tran...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2009.02682.x

    authors: Arbaje AI,Maron DD,Yu Q,Wendel VI,Tanner E,Boult C,Eubank KJ,Durso SC

    更新日期:2010-02-01 00:00:00

  • Patterns of change in depression after stroke.

    abstract:OBJECTIVES:To provide estimates of change in depressive symptoms and determine how changes in depressive symptom influence recovery of functional status. DESIGN:Prospective cohort study. SETTING:Eleven inpatient medical rehabilitation facilities located across the United States. PARTICIPANTS:Five hundred forty-four ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2010.03266.x

    authors: Ostir GV,Berges IM,Ottenbacher A,Ottenbacher KJ

    更新日期:2011-02-01 00:00:00

  • Perspectives of Patients in Identifying Their Values-Based Health Priorities.

    abstract:OBJECTIVES:Patient Health Priorities Identification (PHPI) is a values-based process in which trained facilitators assist older adults with multiple chronic conditions identify their health priorities. The purpose of this study was to evaluate patients' perceptions of PHPI. DESIGN:Qualitative study using thematic anal...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15850

    authors: Feder SL,Kiwak E,Costello D,Dindo L,Hernandez-Bigos K,Vo L,Geda M,Blaum C,Tinetti ME,Naik AD

    更新日期:2019-07-01 00:00:00

  • National trends in the initial hospitalization for heart failure.

    abstract:OBJECTIVES:Heart failure is a major health care burden among older adults, but information on recent trends has not been available. We compare rates, sociodemographic characteristics, and discharge outcomes of the initial hospitalization for heart failure in the Medicare populations of 1986 and 1993. DESIGN:Informatio...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1997.tb00939.x

    authors: Croft JB,Giles WH,Pollard RA,Casper ML,Anda RF,Livengood JR

    更新日期:1997-03-01 00:00:00

  • Functional Impairment: An Unmeasured Marker of Medicare Costs for Postacute Care of Older Adults.

    abstract:OBJECTIVES:To assess the effects of preadmission functional impairment on Medicare costs of postacute care up to 365 days after hospital discharge. DESIGN:Longitudinal cohort study. SETTING:Health and Retirement Study (HRS). PARTICIPANTS:Nationally representative sample of 16,673 Medicare hospitalizations of 8,559 c...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14955

    authors: Greysen SR,Stijacic Cenzer I,Boscardin WJ,Covinsky KE

    更新日期:2017-09-01 00:00:00

  • Quality of life in patients with Alzheimer's disease as reported by patient proxies.

    abstract:OBJECTIVE:To measure behaviors indicative of quality of life (QOL) in patients with Alzheimer's disease and to examine correlates of patient QOL. DESIGN:Cross-sectional investigation. SETTING:Multi-center study. PARTICIPANTS:Sample of 130 diagnosed patients. PRINCIPAL OUTCOME MEASURES: Proxy ratings of (1) the frequ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.1996.tb01405.x

    authors: Albert SM,Del Castillo-Castaneda C,Sano M,Jacobs DM,Marder K,Bell K,Bylsma F,Lafleche G,Brandt J,Albert M,Stern Y

    更新日期:1996-11-01 00:00:00

  • The necessity and safety of calcium and vitamin D in the elderly.

    abstract::The necessity and safety of an oral calcium (Ca) and vitamin D regimen was evaluated in a population of 66 independently living and 73 institutionalized elderly women over an 11-week winter period. The members of both groups were randomly assigned into trial and control groups. Serum Ca, creatinine, and calcidiol leve...

    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.1532-5415.1990.tb05700.x

    authors: Honkanen R,Alhava E,Parviainen M,Talasniemi S,Mönkkönen R

    更新日期:1990-08-01 00:00:00

  • Use of International Classification of Diseases, Ninth Revision, Clinical Modification, codes to identify inpatient fall-related injuries.

    abstract:OBJECTIVES:To compare falls and fall-related injuries that a fall evaluator or hospital incident report identified with injuries identified according to discharge International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for the same set of inpatient episodes of care. DESIGN:Pros...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12539

    authors: Waters TM,Chandler AM,Mion LC,Daniels MJ,Kessler LA,Miller ST,Shorr RI

    更新日期:2013-12-01 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

  • Association Between Physical Therapy in the Emergency Department and Emergency Department Revisits for Older Adult Fallers: A Nationally Representative Analysis.

    abstract:OBJECTIVES:To determine whether providing physical therapy (PT) services in the emergency department (ED) improves outcomes for older adults who fall. DESIGN:We used Medicare claims data to examine differences in recurrent fall-related ED revisit rates of older adults who presented to the ED for a ground-level fall an...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15469

    authors: Lesser A,Israni J,Kent T,Ko KJ

    更新日期:2018-11-01 00:00:00

  • The protective effects of executive functions and episodic memory on gait speed decline in aging defined in the context of cognitive reserve.

    abstract:OBJECTIVES:To evaluate whether levels of cognitive reserve (CR), as measured using the Wechsler Adult Intelligence Scale (WAIS)-III vocabulary test, moderated longitudinal associations between cognitive functions and decline in gait speed in a community-based cohort of older adults without dementia, specifically, wheth...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2012.04193.x

    authors: Holtzer R,Wang C,Lipton R,Verghese J

    更新日期:2012-11-01 00:00:00

  • High body mass index does not predict mortality in older people: analysis of the Longitudinal Study of Aging.

    abstract:OBJECTIVE:To determine the excess mortality associated with obesity (defined by body mass index (BMI)) in older people, with and without adjustment for other risk factors associated with mortality and for demographic factors. DESIGN:Retrospective cohort analysis of the Longitudinal Study of Aging (LSOA). SETTING:Nati...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2001.49189.x

    authors: Grabowski DC,Ellis JE

    更新日期:2001-07-01 00:00:00

  • Sleep problems as a risk factor for falls in a sample of community-dwelling adults aged 64-99 years.

    abstract:OBJECTIVES:The purpose of this study was to determine if reported nighttime sleep problems and daytime sleepiness were associated with reported falling during the previous 12 months in a representatively sampled older adult population. DESIGN:Random-digit dial telephone survey. SETTING:Representatively sampled older ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb02596.x

    authors: Brassington GS,King AC,Bliwise DL

    更新日期:2000-10-01 00:00:00

  • Coronary artery disease is associated with cognitive decline independent of changes on magnetic resonance imaging in cognitively normal elderly adults.

    abstract:OBJECTIVES:To examine in cognitively normal elderly adults whether vascular factors predict cognitive decline and whether these associations are mediated by magnetic resonance imaging (MRI) measures of subclinical vascular brain injury. DESIGN:Prospective multisite longitudinal study of subcortical ischemic vascular d...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2011.03839.x

    authors: Zheng L,Mack WJ,Chui HC,Heflin L,Mungas D,Reed B,DeCarli C,Weiner MW,Kramer JH

    更新日期:2012-03-01 00:00:00

  • Prevalence and Outcomes of Breathlessness in Older Adults: A National Population Study.

    abstract:OBJECTIVES:To determine the prevalence and outcomes of breathlessness in older Americans. SETTING:Community-dwelling older adults. PARTICIPANTS:Individuals aged 70 and older in the nationally representative Health and Retirement Study (2008, follow-up through 2012) (N = 3,671; mean age 78). MEASUREMENTS:Breathlessne...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14313

    authors: Smith AK,Currow DC,Abernethy AP,Johnson MJ,Miao Y,Boscardin WJ,Ritchie CS

    更新日期:2016-10-01 00:00:00

  • Objectively measured physical activity and progressive loss of lean tissue in older Japanese adults: longitudinal data from the Nakanojo study.

    abstract:OBJECTIVES:To relate 5-year lean tissue loss to habitual physical activity of elderly adults. DESIGN:Longitudinal. SETTING:Community of Nakanojo. PARTICIPANTS:Community-living Japanese aged 65 to 84 (200 men, 268 women). MEASUREMENTS:Daily 24-hour pedometer/accelerometer data, collected continuously for 5 years, we...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12505

    authors: Shephard RJ,Park H,Park S,Aoyagi Y

    更新日期:2013-11-01 00:00:00

  • Geriatric co-management of proximal femur fractures: total quality management and protocol-driven care result in better outcomes for a frail patient population.

    abstract::Hip fractures in older adults are a common event, leading to substantial morbidity and mortality. Hip fractures have been previously described as a "geriatric, rather than orthopedic disease." Patients with this condition have a high prevalence of comorbidity and a high risk of complications from surgery, and for this...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2008.01770.x

    authors: Friedman SM,Mendelson DA,Kates SL,McCann RM

    更新日期:2008-07-01 00:00:00

  • Effect of individualized social activity on sleep in nursing home residents with dementia.

    abstract:OBJECTIVES:To test the efficacy of an individualized social activity intervention (ISAI) on decreasing daytime sleep, improving nighttime sleep, and lowering the day/night sleep ratio and to determine its cost. DESIGN:Pretest/posttest randomized with an experimental and control group. SETTING:Seven nursing homes. PA...

    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.1532-5415.2005.53460.x

    authors: Richards KC,Beck C,O'Sullivan PS,Shue VM

    更新日期:2005-09-01 00:00:00

  • Risk factors for atherothrombotic brain infarction in persons over 62 years of age in a long-term health care facility.

    abstract::A history of systolic (greater than or equal to 160 mm Hg) or diastolic (greater than or equal to 90 mm Hg) hypertension, diabetes mellitus (fasting venous plasma glucose greater than or equal to 140 mg/dl), a history of cigarette smoking, fasting serum total cholesterol greater than or equal to 200 mg/dl and greater ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1987.tb01311.x

    authors: Aronow WS,Starling L,Etienne F,D'Alba P,Edwards M,Lee NH,Parungao RF,Sales FF

    更新日期:1987-01-01 00:00:00

  • The effect of do-not-resuscitate orders on physician decision-making.

    abstract::The effect of do-not-resuscitate (DNR) orders on physicians' decisions to provide life-prolonging treatments other than cardiopulmonary resuscitation (CPR) for patients near the end of life was explored using a cross-sectional mailed survey. Each survey presented three patient scenarios followed by 10 treatment decisi...

    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:10.1046/j.1532-5415.2002.50620.x

    authors: Beach MC,Morrison RS

    更新日期:2002-12-01 00:00:00

  • The significance of age-related enlargement of the cerebral ventricles in healthy men and women measured by quantitative computed X-ray tomography.

    abstract:OBJECTIVE:(1) To establish the range of cerebral atrophy across the adult age spectrum in optimally healthy, rigorously evaluated individuals. (2) To determine, across the age spectrum, the relation of gender and cerebral atrophy (as measured by ventricular enlargement) to cognitive function. DESIGN:Cross-sectional co...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1992.tb02073.x

    authors: Kaye JA,DeCarli C,Luxenberg JS,Rapoport SI

    更新日期:1992-03-01 00:00:00

  • Ear lobe creases and heart disease.

    abstract::In 50 patients with coronary heart disease (CHD) and 38 controls, comparative data on age, sex, serum cholesterol level, hypertension, obesity, diabetes, smoking habits, and ear-lobe creases were analyzed statistically. After adjustment for age differences, the factors which chiefly distinguished the two groups were t...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1977.tb00290.x

    authors: Doering C,Ruhsenberger C,Phillips DS

    更新日期:1977-04-01 00:00:00

  • Cost-Effectiveness of Pneumococcal Vaccination Policies and Uptake Programs in US Older Populations.

    abstract:BACKGROUND/OBJECTIVES:Recently revised vaccination recommendations for US adults, aged 65 years and older, include both 23-valent pneumococcal polysaccharide vaccine (PPSV23) and 13-valent pneumococcal conjugate vaccine (PCV13), with PCV13 now recommended for immunocompetent older people based on shared decision making...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16373

    authors: Wateska AR,Nowalk MP,Lin CJ,Harrison LH,Schaffner W,Zimmerman RK,Smith KJ

    更新日期:2020-06-01 00:00:00

  • Effect of end-stage renal disease on the quality of life of older patients.

    abstract:OBJECTIVES:To assess the effect of chronic renal failure (CRF) on quality of life (QOL). DESIGN:Controlled cross-sectional study. SETTING:All 13 dialysis units in the French Lorraine region and six departments of a Nancy hospital. PARTICIPANTS:One hundred sixty-nine older patients with end-stage renal disease (ESRD)...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2003.51062.x

    authors: Loos C,Briançon S,Frimat L,Hanesse B,Kessler M

    更新日期:2003-02-01 00:00:00

  • Drug therapy for cardiovascular disease in the aged.

    abstract::Cardiovascular diseases and their treatment in the aged are discussed under the headings of ischemic heart disease, hypertension, cardiac failure (with special reference to the use of diuretics and digoxin), infective carditis and thyroid disorders. Advanced age modifies the approach to treatment; the choice of drugs ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.1975.tb00970.x

    authors: Kennedy RD

    更新日期:1975-03-01 00:00:00

  • Associations Between Mild Cognitive Impairment and Hospitalization and Readmission.

    abstract:OBJECTIVES:To determine whether older adults with mild cognitive impairment (MCI), a condition not previously explored as a risk factor, have more hospitalizations and 30-day readmissions than those with normal cognition. DESIGN:Post hoc analysis of prospectively gathered data on incident hospitalization and readmissi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jgs.13593

    authors: Callahan KE,Lovato JF,Miller ME,Easterling D,Snitz B,Williamson JD

    更新日期:2015-09-01 00:00:00

  • Mobility Trajectories at the End of Life: Comparing Clinical Condition and Latent Class Approaches.

    abstract:OBJECTIVES:To assess mobility disability trajectories before death in a large sample of very old adults using two analytical approaches to determine how well they corresponded. DESIGN:Decedent sample from the Health, Aging and Body Composition (Health ABC) Study. Data were collected between 1997 and 2015. SETTING:Pit...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15224

    authors: Lunney JR,Albert SM,Boudreau R,Ives D,Satterfield S,Newman AB,Harris T,Health Aging and Body Composition Study.

    更新日期:2018-03-01 00:00:00

  • Errors and omissions in diagnostic records on admission of patients to a nursing home.

    abstract::The primary and secondary diagnoses for 100 geriatric patients consecutively admitted to a nursing home were reviewed for accuracy and omissions. Primary diagnoses were identified as the direct basis for nursing home admission. Other physical, biochemical or behavioral disorders requiring continued therapeutic care we...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1976.tb04281.x

    authors: Miller MB,Elliott DF

    更新日期:1976-03-01 00:00:00