2024
In-Hospital Delirium and Disability and Cognitive Impairment After COVID-19 Hospitalization
Kaushik R, McAvay G, Murphy T, Acampora D, Araujo K, Charpentier P, Chattopadhyay S, Geda M, Gill T, Kaminski T, Lee S, Li J, Cohen A, Hajduk A, Ferrante L. In-Hospital Delirium and Disability and Cognitive Impairment After COVID-19 Hospitalization. JAMA Network Open 2024, 7: e2419640. PMID: 38954414, PMCID: PMC11220565, DOI: 10.1001/jamanetworkopen.2024.19640.Peer-Reviewed Original ResearchConceptsIn-hospital deliriumChart-Based Delirium Identification InstrumentOlder adultsFunctional disabilityCOVID-19 hospitalizationCognitive impairmentCohort studyAssociated with increased functional disabilityHospitalized older adultsIncreased functional disabilityAssociation of deliriumPostdischarge follow-upRisk of deliriumTertiary care systemFollow-upPresence of cognitive impairmentProspective cohort studyLogistic regression modelsOlder survivorsCare systemIncreasing cognitive impairmentMain OutcomesCOVID-19Hospital dischargePrimary outcome
2022
Rationale, Design, and Characteristics of the VALIANT (COVID‐19 in Older Adults: A Longitudinal Assessment) Cohort
Cohen A, McAvay G, Geda M, Chattopadhyay S, Lee S, Acampora D, Araujo K, Charpentier P, Gill T, Hajduk A, Ferrante L. Rationale, Design, and Characteristics of the VALIANT (COVID‐19 in Older Adults: A Longitudinal Assessment) Cohort. Journal Of The American Geriatrics Society 2022, 71: 832-844. PMID: 36544250, PMCID: PMC9877652, DOI: 10.1111/jgs.18146.Peer-Reviewed Original ResearchConceptsPatient-centered outcomesCOVID-19 hospitalizationCognitive impairmentPhysical functionOlder COVID-19 survivorsCOVID-19-related symptomsCOVID-19Older adultsIntensive care unitCOVID-19 survivorsPersistent cognitive impairmentSix-month followMost older adultsThird of participantsElectronic health recordsStepdown unitAcute illnessBurdensome symptomsCare unitSupplemental oxygenMedian lengthProspective studyMean ageBlack raceBaseline interviewThe association between beta‐blockers and outcomes in patients with heart failure and concurrent Alzheimer's disease and related dementias
Gilstrap L, Cohen A, Ouellet GM, Goyal P, Gladders B, Flint D, Skinner J. The association between beta‐blockers and outcomes in patients with heart failure and concurrent Alzheimer's disease and related dementias. Journal Of The American Geriatrics Society 2022, 71: 404-413. PMID: 36240493, DOI: 10.1111/jgs.18086.Peer-Reviewed Original ResearchConceptsHigh riskBB useHeart failureAlzheimer's diseaseLong-term mortality ratesConcurrent Alzheimer's diseaseBeta-blocker useReduced ejection fractionMedicare Part ARisk/benefitBB therapyEjection fractionContemporary patientsHFrEFHigh prevalenceSimilar riskMortality ratePatientsCognitive impairmentMortalityDiseaseADRDRiskTherapyOutcomesPerceived dementia risk and advance care planning among older adults
Lee YK, Fried TR, Costello DM, Hajduk AM, O'Leary JR, Cohen AB. Perceived dementia risk and advance care planning among older adults. Journal Of The American Geriatrics Society 2022, 70: 1481-1486. PMID: 35274737, PMCID: PMC9106856, DOI: 10.1111/jgs.17721.Peer-Reviewed Original ResearchConceptsAdvance care planningDementia riskOlder adultsTreatment preferencesCare planningForm of ACPMultivariable-adjusted logistic regressionDurable powerCross-sectional studyCommunity-dwelling adultsHealth behavior modelsMedical conditionsLower oddsACP activityCognitive impairmentLogistic regressionDementiaAdultsHealthcare decisionsSubstantial minorityLiving willsRiskRetirement StudyAppointmentsAssociationEmergency department care transition barriers: A qualitative study of care partners of older adults with cognitive impairment
Gettel CJ, Serina PT, Uzamere I, Hernandez‐Bigos K, Venkatesh AK, Cohen AB, Monin JK, Feder SL, Fried TR, Hwang U. Emergency department care transition barriers: A qualitative study of care partners of older adults with cognitive impairment. Alzheimer's & Dementia: Translational Research & Clinical Interventions 2022, 8: e12355. PMID: 36204349, PMCID: PMC9518973, DOI: 10.1002/trc2.12355.Peer-Reviewed Original ResearchCare transitionsCare partnersCognitive impairmentMean ageOlder adultsED discharge processEmergency department dischargeCare transition interventionsHealth care systemAcute illnessED encountersAdverse outcomesCare considerationsOutcome measuresQualitative studyTransition interventionsScreening toolCare systemImpairmentAdultsAfrican AmericansPoor communicationRepresentative quotationsRecovery phaseStandardized guide
2020
Older Adults without Desired Surrogates in a Nationally Representative Sample
Cohen AB, Costello DM, OʼLeary JR, Fried TR. Older Adults without Desired Surrogates in a Nationally Representative Sample. Journal Of The American Geriatrics Society 2020, 69: 114-121. PMID: 32898285, PMCID: PMC7854949, DOI: 10.1111/jgs.16813.Peer-Reviewed Original ResearchConceptsNuclear familiesOlder adultsNational Social LifeNationally Representative SampleSocial lifeCommunity-dwelling older adultsRepresentative sampleSocial connectednessCross-sectional studyHealth care agentCare agentsCognitive impairmentLogistic regressionLow indicatorsAdultsRespondentsConfidantsIntact capacityMedical decisionsChronic Disease Decision Making and “What Matters Most”
Fried TR, Street RL, Cohen AB. Chronic Disease Decision Making and “What Matters Most”. Journal Of The American Geriatrics Society 2020, 68: 474-477. PMID: 32043559, PMCID: PMC7197748, DOI: 10.1111/jgs.16371.Commentaries, Editorials and LettersConceptsOlder patientsChronic disease careClinical practice guidelinesPlan of careRobust outcome dataDifferent treatment optionsPatient-centered careMild cognitive impairmentAdverse eventsDisease careTreatment optionsChronic conditionsPractice guidelinesOutcome dataCognitive impairmentTreatment planPatientsCareMultimorbidityDisease decisionTherapyOutcomesOptionsSyndromeFrailty