2024
Top Ten Tips Palliative Care Clinicians Should Know About Caring for Patients Under Guardianships
Bhowmik D, Hurme S, Sandhu J, Jeon J, Mujahid S, Pelissier L, Widera E, Cohen A, Kohn N, Galvez M, Alkire V, Teaster P, Rosa W, Pan C. Top Ten Tips Palliative Care Clinicians Should Know About Caring for Patients Under Guardianships. Journal Of Palliative Medicine 2024 PMID: 39291357, DOI: 10.1089/jpm.2024.0318.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsPalliative care cliniciansCare cliniciansCoordination of careMedical decision-making processEnd-of-lifeDecision-making processLegal issuesLegal rightsMedical decision-makingPatients' rightsCare deliveryExpertise of physiciansGuardianshipInterprofessional approachProviding careGuardian responsibilitiesCareGuardiansRightsCliniciansAdult patientsDecision-makingCourtLawyersNursesEffect of a Three-Component Geriatrics Bundle on Incident Delirium among Critically Ill Older Adults: A Pilot Clinical Trial.
Ferrante L, Han L, Andrews B, Cohen A, Davis J, Gritsenko D, Lee S, Pisani M, Reed N, Rouse G, Truebig J. Effect of a Three-Component Geriatrics Bundle on Incident Delirium among Critically Ill Older Adults: A Pilot Clinical Trial. Annals Of The American Thoracic Society 2024, 21: 1333-1337. PMID: 38785442, PMCID: PMC11376353, DOI: 10.1513/annalsats.202311-963rl.Peer-Reviewed Original ResearchLiving Alone With Dementia: A Reality Check
Portacolone E, Cohen A. Living Alone With Dementia: A Reality Check. American Journal Of Geriatric Psychiatry 2024, 32: 1322-1324. PMID: 39181836, DOI: 10.1016/j.jagp.2024.07.006.Commentaries, Editorials and LettersIn-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 outcomeAssociations of Social Support With Physical and Mental Health Symptom Burden After COVID-19 Hospitalization Among Older Adults
Lee S, McAvay G, Geda M, Chattopadhyay S, Acampora D, Araujo K, Charpentier P, Gill T, Hajduk A, Cohen A, Ferrante L. Associations of Social Support With Physical and Mental Health Symptom Burden After COVID-19 Hospitalization Among Older Adults. The Journals Of Gerontology Series A 2024, 79: glae092. PMID: 38558166, PMCID: PMC11059296, DOI: 10.1093/gerona/glae092.Peer-Reviewed Original ResearchConceptsLow social supportMental health symptomsSocial supportSymptom burdenHealth symptomsFollow-up assessmentCOVID-19 hospitalizationMedical Outcomes Study Social Support SurveyPhysical symptomsAssociation of social supportEdmonton Symptom Assessment SystemPatient Health Questionnaire-4Burden of physical symptomsMental health symptom burdenModified Edmonton Symptom Assessment SystemSocial Support SurveyParticipants' mean ageAssociated with higher burdenSupport SurveyOlder survivorsSymptom managementOlder AdultsMental healthHispanic ethnicityLongitudinal associationsHigh-Intensity Care for Nursing Home Residents with Severe Dementia Hospitalized at the End of Life: A Mixed Methods Study
Cohen A, McDonald W, O'Leary J, Omer Z, Fried T. High-Intensity Care for Nursing Home Residents with Severe Dementia Hospitalized at the End of Life: A Mixed Methods Study. Journal Of The American Medical Directors Association 2024, 25: 871-875. PMID: 38462230, PMCID: PMC11065599, DOI: 10.1016/j.jamda.2024.02.001.Peer-Reviewed Original ResearchNursing home residentsHigh-intensity careSevere dementiaMixed methods studyHome residentsIntensive care unit transferVeterans AffairsIntensive care unitMethods studyHealth system-level factorsDepartment of Veterans AffairsMinimum Data SetEnd of lifeSystem-level factorsNon-Hispanic whitesEnd-of-lifeElectronic medical recordsQualitative content analysisNursing homesLiving willsVA hospitalsHigh-intensity treatmentIdentified veteransNursesPatient preferencesDiagnostic uncertainty and decision‐making in home‐based primary care: A qualitative study of antibiotic prescribing
Datta R, Kiwak E, Fried T, Benjamin A, Iannone L, Krein S, Carter W, Cohen A. Diagnostic uncertainty and decision‐making in home‐based primary care: A qualitative study of antibiotic prescribing. Journal Of The American Geriatrics Society 2024, 72: 1468-1475. PMID: 38241465, PMCID: PMC11090732, DOI: 10.1111/jgs.18778.Peer-Reviewed Original ResearchHome-based primary carePrimary carePromote antibiotic stewardshipHome-based primary care programAntibiotic decision-makingPrimary care programsHome care settingPerspectives of cliniciansConstant comparative methodSemi-structured interviewsDeliver medical careHomebound patientsCare settingsCare programDiagnostic uncertaintyYears of experienceTheoretical saturationMedical careQualitative studyDecision-makingAntibiotic prescribingCareGrounded theoryAntibiotic stewardshipPrescribingPolypharmacy, deprescribing, and trust in the clinician–patient relationship
Thomas C, Cohen A, Mecca M. Polypharmacy, deprescribing, and trust in the clinician–patient relationship. Journal Of The American Geriatrics Society 2024, 72: 1562-1565. PMID: 38232315, PMCID: PMC11090731, DOI: 10.1111/jgs.18756.Commentaries, Editorials and Letters
2023
All the Lonely People: Social Isolation and Loneliness in Chronic Obstructive Pulmonary Disease
Ferrante L, Cohen A. All the Lonely People: Social Isolation and Loneliness in Chronic Obstructive Pulmonary Disease. Annals Of The American Thoracic Society 2023, 20: 1703-1704. PMID: 38038602, PMCID: PMC10704229, DOI: 10.1513/annalsats.202309-833ed.Commentaries, Editorials and LettersNavigating the COVID‐19 pandemic together: Discussions between persons with early‐stage dementia and their adult children
Ali T, Mroz E, Valeika S, Mendez E, Cohen A, Monin J. Navigating the COVID‐19 pandemic together: Discussions between persons with early‐stage dementia and their adult children. International Journal Of Geriatric Psychiatry 2023, 38: e5905. PMID: 36929513, PMCID: PMC10590087, DOI: 10.1002/gps.5905.Peer-Reviewed Original Research
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 interviewBenefits and harms of oral anticoagulants for atrial fibrillation in nursing home residents with advanced dementia
Ouellet GM, O'Leary JR, Leggett CG, Skinner J, Tinetti ME, Cohen AB. Benefits and harms of oral anticoagulants for atrial fibrillation in nursing home residents with advanced dementia. Journal Of The American Geriatrics Society 2022, 71: 561-568. PMID: 36310367, PMCID: PMC9957933, DOI: 10.1111/jgs.18108.Peer-Reviewed Original ResearchConceptsNursing home residentsAtrial fibrillationAdvanced dementiaHome residentsStroke riskLong-stay nursing home residentsMedicare Part D claimsDementia-related mortalityGuideline-recommended thresholdHarms of anticoagulationRetrospective cohort studyMultivariable survival analysisValvular heart diseaseRisk of deathPart D claimsMonths of lifeMinimum Data SetAnticoagulant discontinuationAnticoagulated individualsMean CHAVASc scoreCause mortalityMultivariable adjustmentOral anticoagulantsCohort studyThe 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 impairmentMortalityDiseaseADRDRiskTherapyOutcomesNational Cohort Study of Homebound Persons Living With Dementia: Antibiotic Prescribing Trends and Opportunities for Antibiotic Stewardship
Datta R, Fried T, O’Leary J, Zullo AR, Allore H, Han L, Juthani-Mehta M, Cohen A. National Cohort Study of Homebound Persons Living With Dementia: Antibiotic Prescribing Trends and Opportunities for Antibiotic Stewardship. Open Forum Infectious Diseases 2022, 9: ofac453. PMID: 36147594, PMCID: PMC9487603, DOI: 10.1093/ofid/ofac453.Peer-Reviewed Original ResearchHome-based primary careDays of therapyAntibiotic use ratesAntibiotic useHomebound personsOverall median lengthPhysician home visitsNational cohort studyAntibiotic prescribing trendsVeterans Health AdministrationUse ratesProvider visitsAntibiotic prescriptionsCohort studyPrescribing trendsTelephone visitsMedian agePrescription fillsMedian lengthAntibiotic stewardshipNational cohortPrimary careHome visitsHealth AdministrationPrescribed classEmergency department‐to‐community care transition barriers: A qualitative study of older adults
Gettel CJ, Serina PT, Uzamere I, Hernandez‐Bigos K, Venkatesh AK, Rising KL, Goldberg EM, Feder SL, Cohen AB, Hwang U. Emergency department‐to‐community care transition barriers: A qualitative study of older adults. Journal Of The American Geriatrics Society 2022, 70: 3152-3162. PMID: 35779278, PMCID: PMC9669106, DOI: 10.1111/jgs.17950.Peer-Reviewed Original ResearchConceptsCare transitionsOlder adultsClinical careImmediate post-discharge periodED discharge processEmergency clinical careEmergency department visitsPost-discharge periodAdverse health outcomesOutpatient clinical careDepartment visitsIntact patientsEmergency departmentHealth outcomesOlder adults' willingnessU.S. healthcare systemBaseline activityEffective interventionsIntervention developmentHealthcare systemAdultsCareAdults' willingnessSymptom explanationsEDAssociations between hospitalist physician workload, length of stay, and return to the hospital
Djulbegovic M, Chen K, Cohen AB, Heacock D, Canavan M, Cushing W, Agarwal R, Simonov M, Chaudhry SI. Associations between hospitalist physician workload, length of stay, and return to the hospital. Journal Of Hospital Medicine 2022, 17: 445-455. PMID: 35662410, PMCID: PMC9248905, DOI: 10.1002/jhm.12847.Peer-Reviewed Original ResearchConceptsLength of stayEmergency departmentPhysician workloadYale-New Haven HospitalMedian patient ageSeverity of illnessElectronic health record dataNumber of patientsHealth record dataWeekend admissionHospital daysPatient ageClinical outcomesObservational studyHospitalist serviceMAIN OUTCOMEPatient complexityHospitalist workloadSociodemographic factorsPatient encountersPatientsLogistic regressionMultilevel PoissonRecord dataOutcomesPerceived 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 StudyAppointmentsAssociationGuardianship Before and Following Hospitalization
Moye J, Cohen AB, Stolzmann K, Auguste EJ, Catlin CC, Sager ZS, Weiskittle RE, Woolverton CB, Connors HL, Sullivan JL. Guardianship Before and Following Hospitalization. HEC Forum 2022, 35: 271-292. PMID: 35072897, PMCID: PMC10281591, DOI: 10.1007/s10730-022-09469-9.Peer-Reviewed Original ResearchConceptsLength of stayHospital lengthComparison groupDate of admissionVeterans Healthcare AdministrationRetrospective cohortMedical complicationsCourt-appointed guardianNeuropsychiatric comorbiditiesUnnecessary hospitalizationStayPatientsEthics CommitteeMean lengthComorbiditiesHospitalizationGuardianship statusAppointmentsHealthcare administrationSeparate analysisGroupDaysPersonsGuardiansComplicationsEmergency 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
2021
Association of Social Isolation With Disability Burden and 1-Year Mortality Among Older Adults With Critical Illness
Falvey JR, Cohen AB, O’Leary J, Leo-Summers L, Murphy TE, Ferrante LE. Association of Social Isolation With Disability Burden and 1-Year Mortality Among Older Adults With Critical Illness. JAMA Internal Medicine 2021, 181: 1433-1439. PMID: 34491282, PMCID: PMC8424527, DOI: 10.1001/jamainternmed.2021.5022.Peer-Reviewed Original ResearchConceptsCritical illnessICU hospitalizationSocial isolation scoresOlder adultsICU admissionCohort studyPrimary outcomeDisability burdenSocial isolationCommunity-dwelling older adultsGreater disability burdenIsolation scoresPost-ICU disabilityObservational cohort studyAging Trends StudyICU stayMortality cohortHospital dischargeSecondary outcomesHospital admissionMedian ageIllness severityAdverse outcomesNational HealthHospitalization data