Validation of a measure of physical illness burden at autopsy: the Cumulative Illness Rating Scale.

Abstract:

OBJECTIVE:To further validate an objective measure of physical illness burden, the Cumulative Illness Rating Scale (CIRS). DESIGN:Survey with correlation of CIRS ratings made from physician interviews and review of medical records with post-mortem ratings made independently at tissue autopsy. SUBJECTS:Victims of completed suicide investigated by both psychological and tissue autopsy (n = 72). RESULTS:CIRS ratings made by examination of tissue at autopsy were highly predictive of analogous ratings based on historical data, accounting for 75% of the variance in CIRS scores. Taking autopsy findings as the gold standard of objective health assessment, historical ratings tend to underestimate physical illness at high levels of tissue pathology and to overestimate burden at lower levels. CONCLUSIONS:The CIRS score, when derived from all available sources of medical information, is a valid objective measure of physical illness burden and has broad applicability to research in geriatrics.

journal_name

J Am Geriatr Soc

authors

Conwell Y,Forbes NT,Cox C,Caine ED

doi

10.1111/j.1532-5415.1993.tb05945.x

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

38-41

issue

1

eissn

0002-8614

issn

1532-5415

journal_volume

41

pub_type

杂志文章
  • 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

  • Maximizing Participant and Staff Safety During Assessment of Physical Function in the COVID-19 Era.

    abstract::Physical performance measures, including cardiopulmonary exercise testing (CPXT), are widely used in geriatric practice and aging research. Theoretically, research participants and study personnel could get infected in the closed environment of the exercise laboratory by contact with respiratory droplets from an infec...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16968

    authors: Storer TW,Latham NK,Bhasin S

    更新日期:2021-01-01 00:00:00

  • Circumstances and contributing causes of fall deaths among persons aged 65 and older: United States, 2010.

    abstract:OBJECTIVES:To determine whether the increasing fall death rate among people aged 65 and older is due in part to temporal changes in recording the underlying cause of death. DESIGN:Analyses of multiple cause of death data using the online Centers for Disease Control and Prevention Wide-ranging ON-line Data for Epidemio...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12702

    authors: Stevens JA,Rudd RA

    更新日期:2014-03-01 00:00:00

  • Albumin, apolipoprotein E-epsilon4 and cognitive decline in community-dwelling Chinese older adults.

    abstract:OBJECTIVES:To examine the association between serum albumin and cognitive impairment and decline in community-living older adults. DESIGNS:Population-based cohort study, followed up to 2 years; serum albumin, apolipoprotein E (APOE)-epsilon4, and cognitive impairment measured at baseline and cognitive decline (> or =2...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2008.02086.x

    authors: Ng TP,Niti M,Feng L,Kua EH,Yap KB

    更新日期:2009-01-01 00:00:00

  • Effects of sleep apnea syndrome on delayed memory and executive function in elderly adults.

    abstract:OBJECTIVES:To identify differences in cognitive function between elderly adults with sleep apnea syndrome (SAS) and healthy controls. DESIGN:Cross-sectional. SETTING:Sleep laboratory at Seoul National University Bundang Hospital. PARTICIPANTS:Sixty-three elderly adults (26 female; mean age 68.2 ± 4.8) without cognit...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2012.03961.x

    authors: Ju G,Yoon IY,Lee SD,Kim TH,Choe JY,Kim KW

    更新日期:2012-06-01 00:00:00

  • Iatrogenic disease in hospitalized elderly veterans.

    abstract::To help determine whether or not the elderly are at unusually high risk for hospital-related complications, a study was made of consecutive admissions involving 48 patients less than 65 years old (mean 50.3 years) and 174 patients more than 65 years old (mean 73.1 years). They were prospectively followed during their ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1982.tb02837.x

    authors: Jahnigen D,Hannon C,Laxson L,LaForce FM

    更新日期:1982-06-01 00:00:00

  • Tardive dyskinesia: special risk in the elderly.

    abstract::Tardive dyskinesia has emerged as a considerable public health hazard. In view of the overwhelming evidence that the elderly are particularly susceptible to this complication of neuroleptic use and the fact that there is no really effective treatment, neuroleptics should be avoided whenever possible in elderly patient...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1983.tb05417.x

    authors: Jenike MA

    更新日期:1983-02-01 00:00:00

  • Dementia with Lewy bodies.

    abstract::In the last decade, a new degenerative dementia, probably the second most common after Alzheimer's disease (AD), has been increasingly recognized under the consensus name of dementia with Lewy bodies (DLB). This article reviews current clinical, genetic, and pathological DLB data and indicates directions for future re...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.1998.tb06016.x

    authors: Gómez-Tortosa E,Ingraham AO,Irizarry MC,Hyman BT

    更新日期:1998-11-01 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

  • Effects of Survey Mode on Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey Scores.

    abstract:OBJECTIVES:To examine the effect of mode of survey administration on response rates and response tendencies for the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey and develop appropriate adjustments. DESIGN:Survey response data were obtained after sampling and fielding of the CAHPS Hosp...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15265

    authors: Parast L,Elliott MN,Hambarsoomian K,Teno J,Anhang Price R

    更新日期:2018-03-01 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

  • Rapid resting heart rate: a simple and powerful predictor of osteoporotic fractures and mortality in older women.

    abstract:OBJECTIVES:To determine whether resting heart rate is associated with several types of osteoporotic fractures, mortality, and cause-specific mortality in older women. DESIGN:A prospective cohort study. SETTING:Four communities across the United States. PARTICIPANTS:We prospectively assessed resting pulse rate in 9,7...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2002.50110.x

    authors: Kado DM,Lui LY,Cummings SR,Study Of Osteoporotic Fractures Research Group.

    更新日期:2002-03-01 00:00:00

  • Tongue strength is associated with jumping mechanography performance and handgrip strength but not with classic functional tests in older adults.

    abstract:OBJECTIVES:To determine whether classic muscle function tests and jumping mechanography (JM) are related to tongue strength. DESIGN:Cross-sectional. SETTING:Community. PARTICIPANTS:Ninety-seven community-dwelling individuals aged 70 and older (49 female, 48 male, mean age 80.7, range 70-95) with and without identifi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12124

    authors: Buehring B,Hind J,Fidler E,Krueger D,Binkley N,Robbins J

    更新日期:2013-03-01 00:00:00

  • Medical student attitudes toward older people and willingness to consider a career in geriatric medicine.

    abstract:OBJECTIVES:To evaluate the attitudes of first- and fourth-year medical students toward older people and the relationship between these attitudes and possible career choice. To examine the effects of an intensive geriatric medicine (GM) teaching program on these attitudes and career aspirations. DESIGN:Observational st...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2007.01552.x

    authors: Hughes NJ,Soiza RL,Chua M,Hoyle GE,MacDonald A,Primrose WR,Seymour DG

    更新日期:2008-02-01 00:00:00

  • Delivery of preventive services to older black patients using neighborhood health centers.

    abstract:OBJECTIVES:Older black patients are at risk for underutilization of preventive services. Our objectives were to assess the delivery of five preventive services in Title 330-funded health centers in low income neighborhoods in Cleveland, Ohio, and to determine the association of health system factors and health status w...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb03902.x

    authors: Wright PJ,Fortinsky RH,Covinsky KE,Anderson PA,Landefeld CS

    更新日期:2000-02-01 00:00:00

  • Delirium: masquerades and misdiagnosis in elderly inpatients.

    abstract::Delirium is an organic mental disorder defined as transient, fluctuating global dysfunction of cognition. It is common in elderly medical inpatients, yet its varied presentation is often missed or misdiagnosed. ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1990.tb01505.x

    authors: Lyness JM

    更新日期:1990-11-01 00:00:00

  • Perioperative Optimization of Senior Health in Spine Surgery: Impact on Postoperative Delirium.

    abstract:BACKGROUND:Delirium is a common postoperative complication in geriatric patients, especially in those with underlying risk factors. Multicomponent nonpharmacologic interventions are effective in preventing delirium, however, implementation of these measures is variable in perioperative care. The aim of our study was to...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.17006

    authors: Pernik MN,Deme PR,Nguyen ML,Aoun SG,Adogwa O,Hall K,Stewart NA,Dosselman LJ,El Tecle NE,McDonald SR,Bagley CA,Wingfield SA

    更新日期:2020-12-31 00:00:00

  • Prevention of falls in the elderly.

    abstract::To prevent falls effectively, one must first understand the underlying reasons. Although environmental factors are sometimes to blame, the fundamental cause is a decline in postural control which is partly age-related and partly due to pathologic changes in the central nervous system. Dizziness is a common complaint a...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1980.tb01125.x

    authors: Overstall PW

    更新日期:1980-11-01 00:00:00

  • Development and evaluation of a modification of the Fried frailty criteria using population-independent cutpoints.

    abstract:OBJECTIVES:To develop and evaluate a modification of the Fried frailty assessment using population-independent cutpoints and to determine frailty prevalence of community-dwelling elderly people in a German population. DESIGN:Cross-sectional analysis of 8-year follow-up data of a large German cohort study. SETTING:Saa...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2012.04192.x

    authors: Saum KU,Müller H,Stegmaier C,Hauer K,Raum E,Brenner H

    更新日期:2012-11-01 00:00:00

  • A population-based study of cholinesterase inhibitor use for dementia.

    abstract:OBJECTIVES:To examine current utilization patterns of cholinesterase inhibitor (ChEI) therapy for dementia to determine treatment duration, use in long-term care, how often patients receive these drugs until death, and frequency of switching between the available ChEIs. DESIGN:A population-based healthcare administrat...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.2007.01377.x

    authors: Herrmann N,Gill SS,Bell CM,Anderson GM,Bronskill SE,Shulman KI,Fischer HD,Sykora K,Shi HS,Rochon PA

    更新日期:2007-10-01 00:00:00

  • Depression after stroke: a prospective epidemiological study.

    abstract:OBJECTIVES:To elucidate the relationship between stroke and depressive symptoms and to determine whether disability or cerebrovascular risk factors mediate that relationship. DESIGN:A prospective longitudinal epidemiological survey. SETTING:The mid-Monongahela Valley, a rural, nonfarm, low-socioeconomic-status commun...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2004.52217.x

    authors: Whyte EM,Mulsant BH,Vanderbilt J,Dodge HH,Ganguli M

    更新日期:2004-05-01 00:00:00

  • Logical bases for action in nutrition and aging.

    abstract::Logical bases (five of which are outlined) underlie action in nutrition and aging. First, nutrition, health, and aging form an integral triad affecting all. This basis has been applied to the conceptualization of the Nutrition Program for Older Americans (NPOA). Second, in North America, malnutrition is a sequitur of ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1978.tb01958.x

    authors: Watkin DM

    更新日期:1978-05-01 00:00:00

  • Home environmental hazards and the risk of fall injury events among community-dwelling older persons. Study to Assess Falls Among the Elderly (SAFE) Group.

    abstract:OBJECTIVE:To determine if home environmental hazards increase the risk of fall injury events among community-dwelling older persons. DESIGN:Population-based case-control study. SETTING:South Miami Beach, Florida. PARTICIPANTS:270 persons aged 65 years and older who sought treatment at six area hospitals for injuries...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1998.tb03799.x

    authors: Sattin RW,Rodriguez JG,DeVito CA,Wingo PA

    更新日期:1998-06-01 00:00:00

  • Effect of Obesity on Postacute Outcomes of Skilled Nursing Facility Residents with Hip Fracture.

    abstract:OBJECTIVES:To examine the effect of obesity (body mass index (BMI)≥30.0 kg/m2 ) on outcomes of older adults admitted to skilled nursing facilities (SNFs) for hip fracture postacute care (PAC). DESIGN:Retrospective cohort study. SETTING:U.S. Medicare- and Medicaid-certified SNFs from 2008 to 2015. PARTICIPANTS:Medica...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15334

    authors: Kosar CM,Thomas KS,Gozalo PL,Ogarek JA,Mor V

    更新日期:2018-07-01 00:00:00

  • Psychoactive medications and crash involvement requiring hospitalization for older drivers: a population-based study.

    abstract:OBJECTIVES:To determine the association between psychoactive medications and crash risk in drivers aged 60 and older. DESIGN:Retrospective population-based case-crossover study. SETTING:A database study that linked the Western Australian Hospital Morbidity Data System and the Pharmaceutical Benefits Scheme. PARTICIP...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2011.03561.x

    authors: Meuleners LB,Duke J,Lee AH,Palamara P,Hildebrand J,Ng JQ

    更新日期:2011-09-01 00:00:00

  • The relationship between insomnia and mortality among community-dwelling older women.

    abstract:OBJECTIVES:To investigate the relationship between insomnia and 6-year survival among older, community-dwelling, white women. DESIGN:Longitudinal study. SETTING:The sample was selected randomly from a 20-census tract area of Baltimore, Maryland. PARTICIPANTS:In 1984, 778 women aged 65 years and older participated in...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1998.tb04544.x

    authors: Althuis MD,Fredman L,Langenberg PW,Magaziner J

    更新日期:1998-10-01 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 the physician orders for life-sustaining treatment program in the clinical setting: a systematic review of the literature.

    abstract::The Physician Orders for Life-Sustaining Treatment (POLST) form is a palliative care tool that contains standardized, actionable medical orders. It is designed to ensure that patient treatment preferences are elicited, communicated, and honored throughout the healthcare system. A systematic review of the literature wa...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/jgs.13248

    authors: Hickman SE,Keevern E,Hammes BJ

    更新日期:2015-02-01 00:00:00

  • Implementation of a care transitions model for low-income older adults: a high-risk, vulnerable population.

    abstract::Low-income older adults are particularly vulnerable during care transitions. The present study evaluated the effectiveness of a transitional care model in this population. A quasi-experimental design was used to compare outcomes in the intervention group with historical controls at 30, 90, 180, and 365 days after disc...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12276

    authors: Ohuabunwa U,Jordan Q,Shah S,Fost M,Flacker J

    更新日期:2013-06-01 00:00:00

  • Correlation Between Use of Zopiclone and Risk of Hip Fracture in Elderly Adults: A Case-Control Study in Taiwan.

    abstract:OBJECTIVES:To investigate the correlation between zopiclone use and risk of hip fracture in elderly adults. DESIGN:Case-control study. SETTING:Claim data from the Taiwan National Health Insurance Program. PARTICIPANTS:Individuals aged 65 and older who experienced their first episode of hip fracture between 1998 and ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.13823

    authors: Lai SW,Lin CL,Chen WC,Liao KF

    更新日期:2015-12-01 00:00:00