2011
Cognitive impairment and outcomes in older adult survivors of acute myocardial infarction: Findings from the Translational Research Investigating Underlying disparities in acute Myocardial infarction Patients' Health Status registry
Gharacholou SM, Reid KJ, Arnold SV, Spertus J, Rich MW, Pellikka PA, Singh M, Holsinger T, Krumholz HM, Peterson ED, Alexander KP. Cognitive impairment and outcomes in older adult survivors of acute myocardial infarction: Findings from the Translational Research Investigating Underlying disparities in acute Myocardial infarction Patients' Health Status registry. American Heart Journal 2011, 162: 860-869.e1. PMID: 22093202, PMCID: PMC3410733, DOI: 10.1016/j.ahj.2011.08.005.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionQuality of lifeMyocardial infarctionCognitive statusCognitive impairmentAcute Myocardial Infarction Patients' Health Status (TRIUMPH) registryCardiac catheterization ratesCardiac rehabilitation referralRates of hypertensionMost older patientsSurvival 1 yearNormal cognitive functionCognitive function assessmentOlder adult survivorsLess referralCatheterization ratesMulticenter registryOlder patientsCardiac rehabilitationCerebrovascular accidentRehabilitation referralInvasive careMean ageHospital treatmentAMI careCardiac Care for Older Adults Time for a New Paradigm
Forman DE, Rich MW, Alexander KP, Zieman S, Maurer MS, Najjar SS, Cleveland JC, Krumholz HM, Wenger NK. Cardiac Care for Older Adults Time for a New Paradigm. Journal Of The American College Of Cardiology 2011, 57: 1801-1810. PMID: 21527153, PMCID: PMC4942282, DOI: 10.1016/j.jacc.2011.02.014.Peer-Reviewed Original Research
2003
Sex Differences in Use of Coronary Revascularization in Elderly Patients After Acute Myocardial Infarction A Tale of Two Therapies
Rathore SS, Foody JM, Radford MJ, Krumholz HM. Sex Differences in Use of Coronary Revascularization in Elderly Patients After Acute Myocardial Infarction A Tale of Two Therapies. CHEST Journal 2003, 124: 2079-2086. PMID: 14665483, DOI: 10.1378/chest.124.6.2079.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionRisk-standardized ratesPercutaneous coronary interventionCoronary revascularizationElderly patientsCardiac catheterizationRevascularization therapyMedicare patientsCoronary artery bypass graft surgeryArtery bypass graft surgerySex differencesMultivariable logistic regression modelCrude overall ratesBypass graft surgeryCoronary revascularization ratesType of therapyMedical record dataLogistic regression modelsRevascularization useCABG surgeryGraft surgeryMultivariable adjustmentRevascularization ratesCoronary interventionHospital admissionEffects of age on the quality of care provided to older patients with acute myocardial infarction
Rathore SS, Mehta RH, Wang Y, Radford MJ, Krumholz HM. Effects of age on the quality of care provided to older patients with acute myocardial infarction. The American Journal Of Medicine 2003, 114: 307-315. PMID: 12681459, DOI: 10.1016/s0002-9343(02)01531-0.Peer-Reviewed Original ResearchMeSH KeywordsAdrenergic beta-AntagonistsAge FactorsAgedAged, 80 and overAttitude of Health PersonnelCohort StudiesCombined Modality TherapyCoronary Care UnitsCritical CareDrug UtilizationFemaleGuideline AdherenceHealth Services AccessibilityHealth Services for the AgedHumansLogistic ModelsMaleMedicareMyocardial InfarctionOdds RatioPractice Patterns, Physicians'Quality of Health CareRisk AssessmentSurvival AnalysisThrombolytic TherapyUnited StatesConceptsAcute reperfusion therapyAcute myocardial infarctionMyocardial infarctionReperfusion therapyEffect of ageElderly patientsOlder patientsAge-associated variationsGuideline-recommended medical therapyAngiotensin-converting enzyme inhibitorGuideline-indicated therapiesPrescription of aspirinUse of aspirinCooperative Cardiovascular ProjectUse of therapiesQuality of careAcute reperfusionTreatment contraindicationsMedical therapyComorbid conditionsACE inhibitorsMedicare patientsHospital effectsPatientsEnzyme inhibitors
2001
Predictors of costs of caring for elderly patients discharged with heart failure
Wexler D, Chen J, Smith G, Radford M, Yaari S, Bradford W, Krumholz H. Predictors of costs of caring for elderly patients discharged with heart failure. American Heart Journal 2001, 142: 350-357. PMID: 11479477, DOI: 10.1067/mhj.2001.116476.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overConnecticutFemaleHealth Services for the AgedHeart FailureHospital CostsHumansLength of StayMaleMedical RecordsMedicareModels, EconomicOutcome Assessment, Health CarePatient DischargePatient ReadmissionPredictive Value of TestsRetrospective StudiesRisk AssessmentRisk FactorsConceptsHeart failureIndependent correlatesHeart failure-related admissionsHeart failure-related readmissionsSubstantial hospital costsHeart failure admissionsHistory of strokeSubset of patientsPrincipal discharge diagnosisSignificant independent correlatesOutcomes 6 monthsPredictors of costsMedicare administrative databasesCause readmissionClinical characteristicsElderly patientsAverage admissionDischarge diagnosisKidney failureCause costsCorrelates of costsMedical recordsRisk factorsAdministrative databasesConnecticut hospitalsQuality of care among elderly patients hospitalized with unstable angina
Shahi C, Rathore S, Wang Y, Thakur R, Wu W, Lewis J, Petrillo M, Radford M, Krumholz H. Quality of care among elderly patients hospitalized with unstable angina. American Heart Journal 2001, 142: 263-270. PMID: 11479465, DOI: 10.1067/mhj.2001.116477.Peer-Reviewed Original ResearchConceptsQuality of careMinutes of admissionUnstable anginaHealth care policyElderly patientsTherapeutic anticoagulationIntravenous heparinElectrocardiographic examinationCare policyPrescription of aspirinUse of aspirinHalf of patientsEligible patientsRisk stratificationConnecticut hospitalsElderly MedicareAnginaPatientsTherapeutic contraindicationsTherapeutic interventionsAspirinAdmissionHospitalCareAnticoagulation