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
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
1997
Driving 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 ResearchMeSH KeywordsAgedAutomobile DrivingConnecticutDepressionFemaleHealth StatusHumansLongitudinal StudiesMaleProspective StudiesUrban PopulationConceptsHealth-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 areaPatients
1992
Decline in Physical Function following Hip Fracture
Marottoli R, Berkman L, Cooney L. Decline in Physical Function following Hip Fracture. Journal Of The American Geriatrics Society 1992, 40: 861-866. PMID: 1512379, DOI: 10.1111/j.1532-5415.1992.tb01980.x.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAge FactorsAgedFemaleFollow-Up StudiesHip FracturesHumansMaleProbabilityProspective StudiesSex FactorsSocial SupportConceptsCommunity-living elderly populationHip fracturePhysical functionBaseline factorsElderly populationCommunity-living eldersOnly baseline factorNew Haven HospitalIndividuals age 65Flight of stairsCohort studyMental statusCohort membersMultivariate analysisAge 65Secondary objectiveBivariate analysisAltered functionStudy periodMonthsMental functionsSustained declineWeeksFracturesOne-half mile