2008
Everyday Decision-Making Ability in Older Persons With Cognitive Impairment
Lai JM, Gill TM, Cooney LM, Bradley EH, Hawkins KA, Karlawish JH. Everyday Decision-Making Ability in Older Persons With Cognitive Impairment. American Journal Of Geriatric Psychiatry 2008, 16: 693-696. PMID: 18669948, PMCID: PMC2730037, DOI: 10.1097/jgp.0b013e31816c7b54.Peer-Reviewed Original ResearchConceptsDecision-making abilityDecision-making capacityCognitive impairmentMacArthur Competency Assessment ToolExecutive functionMeasure of understandingOverall cognitionAssessment of capacityValid measureAlpha coefficientMedical treatment decisionsCronbach's alpha coefficientGood reliabilityImpairmentMeasuresACEDModerate correlationOlder personsCognitionAssessment toolPersonsAbilityReasoningCaregiversEveryday
2007
Access to Primary Care for Medicare Beneficiaries
Chou WC, Cooney LM, Van Ness PH, Allore HG, Gill TM. Access to Primary Care for Medicare Beneficiaries. Journal Of The American Geriatrics Society 2007, 55: 763-768. PMID: 17493198, DOI: 10.1111/j.1532-5415.2007.01154.x.Peer-Reviewed Original ResearchConceptsPrimary care physiciansCare physiciansNew Medicare patientsMedicare patientsNew patientsPrimary careOdds ratioMultivariable odds ratiosPercentage of physiciansType of providerMedicare beneficiaries' accessFamily physiciansMedicare beneficiariesPatientsPhysiciansBeneficiaries' accessCareNational samplePopulation
2004
Who Can Stay at Home?: Assessing the Capacity to Choose to Live in the Community
Cooney LM, Kennedy GJ, Hawkins KA, Hurme SB. Who Can Stay at Home?: Assessing the Capacity to Choose to Live in the Community. JAMA Internal Medicine 2004, 164: 357-360. PMID: 14980985, DOI: 10.1001/archinte.164.4.357.Peer-Reviewed Original ResearchConceptsExecutive functionUnsafe actionsDecision-making abilityProblem-solving abilityCognitive functionImpaired insightPerson's capacityChoices of individualsIndependent livingOlder individualsSocial agencyDeficitsIndividualsAbilityPlanning limitsDecisionsMedical decisionsImplicationsActionFinal responsibilityGlobal testChoiceResponsibility
2001
Nurses' Recognition of Delirium and Its Symptoms: Comparison of Nurse and Researcher Ratings
Inouye S, Foreman M, Mion L, Katz K, Cooney L. Nurses' Recognition of Delirium and Its Symptoms: Comparison of Nurse and Researcher Ratings. JAMA Internal Medicine 2001, 161: 2467-2473. PMID: 11700159, DOI: 10.1001/archinte.161.20.2467.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAge FactorsAgedAged, 80 and overAnalysis of VarianceClinical CompetenceDeliriumDementiaFactor Analysis, StatisticalFemaleGeriatric AssessmentHumansMaleMental Status ScheduleNursing AssessmentNursing Evaluation ResearchObserver VariationProspective StudiesPsychiatric Status Rating ScalesRisk FactorsSensitivity and SpecificityVision DisordersConceptsRecognition of deliriumRisk factorsNurses' ratingsPatients 70 yearsConfusion Assessment MethodIndependent risk factorPatient-related factorsAge 80 yearsComparison of nursesResearcher ratingsRoutine clinical observationsDelirium featuresHypoactive deliriumProspective studyEducation of nursesNurses' recognitionDeliriumClinical observationsUnderrecognitionDelirium RatingNursesVision impairmentPatientsCognitive testingCognitive Assessment
2000
MODELS OF GERIATRICS PRACTICE; The Hospital Elder Life Program: A Model of Care to Prevent Cognitive and Functional Decline in Older Hospitalized Patients
Reuben D, Inouye S, Bogardus S, Baker D, Leo‐Summers L, Cooney L. MODELS OF GERIATRICS PRACTICE; The Hospital Elder Life Program: A Model of Care to Prevent Cognitive and Functional Decline in Older Hospitalized Patients. Journal Of The American Geriatrics Society 2000, 48: 1697-1706. PMID: 11129764, DOI: 10.1111/j.1532-5415.2000.tb03885.x.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedCognition DisordersConnecticutEvidence-Based MedicineGeriatric AssessmentGeriatric NursingGeriatricsHealth Services ResearchHospitals, TeachingHumansJob DescriptionMass ScreeningMental Status ScheduleModels, OrganizationalOutcome and Process Assessment, Health CarePatient AdmissionPatient Care TeamProgram EvaluationQuality Assurance, Health CareRisk FactorsConceptsHospital Elder Life ProgramRisk factorsFunctional declineEvidence-based risk factorsGeriatric nurse specialistIntervention adherence rateRisk older patientsModel of careNon-hospital settingsLife ProgramDelirium preventionGERIATRICS PRACTICEADL scoresOlder patientsHospital admissionLongterm outcomesAdherence ratesNurse specialistsPrimary nurseClinical trialsInterdisciplinary roundsPartial adherencePatientsLife specialistsControl groupConsequences of Driving Cessation
Marottoli R, de Leon CFM, Glass T, Williams C, Cooney L, Berkman L. Consequences of Driving Cessation. The Journals Of Gerontology Series B 2000, 55: s334-s340. PMID: 11078110, DOI: 10.1093/geronb/55.6.s334.Peer-Reviewed Original ResearchActivities of Daily LivingAgedAgingAnalysis of VarianceAutomobile DrivingChi-Square DistributionConfounding Factors, EpidemiologicConnecticutFemaleFollow-Up StudiesGeriatric AssessmentHealth StatusHumansLeisure ActivitiesMaleModels, StatisticalMorbiditySocioeconomic FactorsSurveys and Questionnaires
1999
A Multicomponent Intervention to Prevent Delirium in Hospitalized Older Patients
Inouye S, Bogardus S, Charpentier P, Leo-Summers L, Acampora D, Holford T, Cooney L. A Multicomponent Intervention to Prevent Delirium in Hospitalized Older Patients. New England Journal Of Medicine 1999, 340: 669-676. PMID: 10053175, DOI: 10.1056/nejm199903043400901.Peer-Reviewed Original ResearchConceptsSeverity of deliriumRisk factorsCognitive impairmentRecurrence rateIntervention groupRisk factor intervention strategyHearing impairmentVisual impairmentHospitalized Older PatientsPatients 70 yearsPrevention of deliriumUsual care unitsUsual care groupGeneral medicine serviceEffective treatment strategiesDuration of episodesPrevent DeliriumOlder patientsRate of usePrimary outcomeSleep medicationPoor outcomePrimary preventionPatient's deliriumTeaching hospital
1998
Shoulder Pain in Older People
Daigneault J, Cooney L. Shoulder Pain in Older People. Journal Of The American Geriatrics Society 1998, 46: 1144-1151. PMID: 9736111, DOI: 10.1111/j.1532-5415.1998.tb06656.x.Peer-Reviewed Original ResearchDevelopment of a Test Battery to Identify Older Drivers at Risk for Self‐Reported Adverse Driving Events
Marottoli R, Richardson E, Stowe M, Miller E, Brass L, Cooney L, Tinetti M. Development of a Test Battery to Identify Older Drivers at Risk for Self‐Reported Adverse Driving Events. Journal Of The American Geriatrics Society 1998, 46: 562-568. PMID: 9588368, DOI: 10.1111/j.1532-5415.1998.tb01071.x.Peer-Reviewed Original ResearchConceptsAdverse driving eventsFunctional abilityTest batteryLimited neck rotationSafety cohortAdverse eventsCohort studyVisual acuityNumber cancellation taskOutcome measuresNeck rotationMean periodParticipants' homesOlder personsClinician's officeParticipants' historySafety interviewsCohortBattery of testsPossible interventionsEtiology of impairmentsProbability sampleImpairmentOlder driversCharacteristic analysis
1997
Pressure Sores and Urinary Incontinence
Cooney L. Pressure Sores and Urinary Incontinence. Journal Of The American Geriatrics Society 1997, 45: 1278-1279. PMID: 9329494, DOI: 10.1111/j.1532-5415.1997.tb03786.x.Peer-Reviewed Original ResearchSelf-Report versus State Records for Identifying Crashes Among Older Drivers
Marottoli R, Cooney L, Tinetti M. Self-Report versus State Records for Identifying Crashes Among Older Drivers. The Journals Of Gerontology Series A 1997, 52A: m184-m187. PMID: 9158561, DOI: 10.1093/gerona/52a.3.m184.Peer-Reviewed Original ResearchHip Fracture Outcomes
Cooney L. Hip Fracture Outcomes. JAMA Internal Medicine 1997, 157: 485-486. PMID: 9066449, DOI: 10.1001/archinte.1997.00440260015002.Peer-Reviewed Original ResearchConceptsHip fractureSurgical interventionMental statusPhysical functioningOlder personsFrequency of dementiaHip fracture outcomesPrevention of fallsTreatment of osteoporosisPoor physical functioningType of fractureFracture outcomesAdverse outcomesFrequent causeMortality rateDecreased levelsOutcomesImportant predictorPreventionFracturesRehabilitationInterventionStatusPatientsOsteoporosisDo We Understand the True Cost of Hip Fractures?
Cooney L. Do We Understand the True Cost of Hip Fractures? Journal Of The American Geriatrics Society 1997, 45: 382-383. PMID: 9063290, DOI: 10.1111/j.1532-5415.1997.tb00960.x.Peer-Reviewed Original ResearchDriving Cessation and Increased Depressive Symptoms: Prospective Evidence from the New Haven EPESE
Marottoli R, de Leon C, Glass T, Williams C, Cooney L, Berkman L, Tinetti M. Driving Cessation and Increased Depressive Symptoms: Prospective Evidence from the New Haven EPESE. Journal Of The American Geriatrics Society 1997, 45: 202-206. PMID: 9033520, DOI: 10.1111/j.1532-5415.1997.tb04508.x.Peer-Reviewed Original ResearchConceptsHealth-related factorsDepressive symptomsEpidemiologic Studies Depression ScaleEffect of cessationCohort studyMultivariable analysisOlder driversProspective evidenceElderly cohortEpidemiologic studiesMedical conditionsPotential confoundingAlternative transportation strategiesSymptomsCessationStrongest predictorNew HavenUrban communitiesFactorsCohortEPESEActive drivers
1994
Predictors of mortality and institutionalization after hip fracture: the New Haven EPESE cohort. Established Populations for Epidemiologic Studies of the Elderly.
Marottoli R, Berkman L, Leo-Summers L, Cooney L. Predictors of mortality and institutionalization after hip fracture: the New Haven EPESE cohort. Established Populations for Epidemiologic Studies of the Elderly. American Journal Of Public Health 1994, 84: 1807-12. PMID: 7977922, PMCID: PMC1615208, DOI: 10.2105/ajph.84.11.1807.Peer-Reviewed Original ResearchConceptsPredictors of deathBaseline mental statusHip fractureMental statusFracture sitePredictors of mortalityMultiple logistic regressionOccurrence of deathFrequency of deathBaseline factorsComorbid conditionsEpidemiologic studiesHospital dataRepresentative cohortComorbid diagnosesLoss of functionDemographic featuresLogistic regressionOlder individualsMonthsDeathHigher numberComplicationsMental functionsPrimary predictor
1993
The Yale Geriatric Care Program: A Model of Care To Prevent Functional Decline in Hospitalized Elderly Patients
Inouye S, Acampora D, Miller R, Fulmer T, Hurst L, Cooney L. The Yale Geriatric Care Program: A Model of Care To Prevent Functional Decline in Hospitalized Elderly Patients. Journal Of The American Geriatrics Society 1993, 41: 1345-1352. PMID: 8227918, DOI: 10.1111/j.1532-5415.1993.tb06486.x.Peer-Reviewed Original ResearchConceptsGeriatric care programResource nursesCare programGeriatric care teamsGerontological nurse specialistsPrevent Functional DeclineFrail older patientsAdjustment of medicationsHospitalized elderly patientsStandard nursing carePressure ulcer treatmentUniversity Teaching HospitalAcute care hospitalsModel of careNursing center modelElderly patientsOlder patientsProspective cohortBowel problemsGeriatric physiciansNurse specialistsNursing shiftsPrimary nurseSurgical unitCare teamA Controlled Trial of a Nursing‐Centered Intervention in Hospitalized Elderly Medical Patients: The Yale Geriatric Care Program
Inouye S, Wagner D, Acampora D, Horwitz R, Cooney L, Tinetii M. A Controlled Trial of a Nursing‐Centered Intervention in Hospitalized Elderly Medical Patients: The Yale Geriatric Care Program. Journal Of The American Geriatrics Society 1993, 41: 1353-1360. PMID: 8227919, DOI: 10.1111/j.1532-5415.1993.tb06487.x.Peer-Reviewed Original ResearchConceptsElderly medical patientsFunctional declineMedical patientsBeneficial effectsIntervention groupRelative riskHospitalized elderly medical patientsGeriatric care teamsFrail older patientsProspective cohort studyGeneral medicine wardsUniversity Teaching HospitalGeriatric care programSignificant beneficial effectIntervention patientsADL scoresCohort studyOlder patientsMedicine wardsControl subjectsHospital costsCare teamTeaching hospitalPhysical therapyStratified analysisA predictive index for functional decline in hospitalized elderly medical patients
Inouye S, Wagner D, Acampora D, Horwitz R, Cooney L, Hurst L, Tinetti M. A predictive index for functional decline in hospitalized elderly medical patients. Journal Of General Internal Medicine 1993, 8: 645-652. PMID: 8120679, DOI: 10.1007/bf02598279.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAged, 80 and overChi-Square DistributionCohort StudiesConnecticutFemaleGeriatric AssessmentHospital Bed Capacity, 500 and overHospitals, UniversityHumansLikelihood FunctionsMaleMultivariate AnalysisPrevalenceProportional Hazards ModelsProspective StudiesReproducibility of ResultsRisk FactorsSingle-Blind MethodConceptsFunctional declineRisk factorsMedical patientsValidation cohortDevelopment cohortHospitalized elderly medical patientsIndependent baseline risk factorsLow social activity levelNumber of RFsPredictive indexBaseline risk factorsGeneral medical wardsProspective cohort studyGeneral medical patientsHigh-risk groupUniversity Teaching HospitalElderly medical patientsRisk stratification systemNursing home placementRate of deathSocial activity levelsComparable patientsCohort studyElderly patientsMedical wardsPredictors of Formal Home Health Care Use in Elderly Patients after Hospitalization
Solomon D, Wagner D, Marenberg M, Acampora D, Cooney L, Inouye S. Predictors of Formal Home Health Care Use in Elderly Patients after Hospitalization. Journal Of The American Geriatrics Society 1993, 41: 961-966. PMID: 8409182, DOI: 10.1111/j.1532-5415.1993.tb06762.x.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAge FactorsAgedAged, 80 and overComorbidityConfidence IntervalsEducational StatusFemaleForecastingGeriatric AssessmentHealth PlanningHealth Services ResearchHome Care ServicesHospitalizationHumansMalePatient DischargePatient ReadmissionProportional Hazards ModelsProspective StudiesRisk FactorsSeverity of Illness IndexSocial SupportConceptsHome health care useHealth care useRisk factorsAcute careElderly patientsSurgical patientsCare useHHC useProspective cohort studyRisk factor presentUniversity Teaching HospitalCohort studyHospital dischargeMedian durationIndependent predictorsSurgical wardsRisk strataDischarge planningTeaching hospitalInstrumental activitiesDaily livingElderly populationHHC agenciesStudy catchment areaPatientsDriving cessation and changes in mileage driven among elderly individuals.
Marottoli R, Ostfeld A, Merrill S, Perlman G, Foley D, Cooney L. Driving cessation and changes in mileage driven among elderly individuals. Journal Of Gerontology 1993, 48: s255-60. PMID: 8366274, DOI: 10.1093/geronj/48.5.s255.Peer-Reviewed Original ResearchConceptsPhysical activity levelsCommunity-living elderly populationLow physical activity levelsMultiple logistic regression modelActivity levelsLogistic regression modelsIndependent predictorsFunctional disabilityRisk factorsMedical factorsNeurologic diseaseElderly individualsElderly populationHigher ageActive malesCessationLow incomeHigh-mileage driversNumber of milesRegression modelsAgeDisabilityPercentFactorsCohort