2008
Effect of Dissemination of Evidence in Reducing Injuries from Falls
Tinetti ME, Baker DI, King M, Gottschalk M, Murphy TE, Acampora D, Carlin BP, Leo-Summers L, Allore HG. Effect of Dissemination of Evidence in Reducing Injuries from Falls. New England Journal Of Medicine 2008, 359: 252-261. PMID: 18635430, PMCID: PMC3472807, DOI: 10.1056/nejmoa0801748.Peer-Reviewed Original ResearchConceptsFall-related injuriesSerious fall-related injuriesAdjusted ratesIntervention regionClinical practiceElderly personsPercentage of cliniciansPrimary care cliniciansPrevention of fallsMedical servicesRate of injuryYears of ageEvaluation periodDissemination of evidenceCare cliniciansIntervention visitsOutpatient rehabilitationPreintervention periodFall preventionMorbid conditionsNonrandomized designInjuryReducing InjuryCliniciansRegions of Connecticut
2005
Dissemination of an Evidence‐Based Multicomponent Fall Risk‐Assessment and ‐Management Strategy Throughout a Geographic Area
Baker DI, King MB, Fortinsky RH, Graff LG, Gottschalk M, Acampora D, Preston J, Brown CJ, Tinetti ME. Dissemination of an Evidence‐Based Multicomponent Fall Risk‐Assessment and ‐Management Strategy Throughout a Geographic Area. Journal Of The American Geriatrics Society 2005, 53: 675-680. PMID: 15817016, DOI: 10.1111/j.1532-5415.2005.53218.x.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAgedCatchment Area, HealthCommunity-Institutional RelationsConnecticutDiffusion of InnovationEducation, ContinuingEvidence-Based MedicineHealth Knowledge, Attitudes, PracticeHealth Plan ImplementationHealth Services for the AgedHumansInformation DisseminationOrganizational InnovationProgram EvaluationRisk AssessmentRisk ManagementConceptsFall risk assessmentHome care agenciesRehabilitation facilityCare agenciesPrimary care providersPrimary care officesOutpatient rehabilitation facilitiesBehavior change strategiesDissemination effortsGeriatric conditionsReferral patternsEvidence-based practiceCare officesFunctional outcomeCare providersFall assessmentClinical practiceMedicare coverageMost providersLack of awarenessRisk assessmentGeographic areasHospitalNorth-central ConnecticutProviders
2001
Multicomponent Targeted Intervention to Prevent Delirium in Hospitalized Older Patients
Rizzo J, Bogardus S, Leo-Summers L, Williams C, Acampora D, Inouye S. Multicomponent Targeted Intervention to Prevent Delirium in Hospitalized Older Patients. Medical Care 2001, 39: 740-752. PMID: 11458138, DOI: 10.1097/00005650-200107000-00010.Peer-Reviewed Original ResearchConceptsHospitalized older personsOlder personsIntermediate riskRisk groupsHigh riskRisk factor intervention strategyCost-effective treatment optionHospitalized Older PatientsIntermediate-risk cohortPrevention of deliriumUsual hospital careIntermediate-risk groupOverall health care costsAcute confusional stateEffective treatment optionHigh-risk groupHealth care costsDelirium preventionPrevent DeliriumUsual careHospital daysOlder PatientsHospitalized patientsConfusional stateRisk cohort
1999
Home-based multicomponent rehabilitation program for older persons after hip fracture: A randomized trial
Tinetti M, Baker D, Gottschalk M, Williams C, Pollack D, Garrett P, Gill T, Marottoli R, Acampora D. Home-based multicomponent rehabilitation program for older persons after hip fracture: A randomized trial. Archives Of Physical Medicine And Rehabilitation 1999, 80: 916-922. PMID: 10453768, DOI: 10.1016/s0003-9993(99)90083-7.Peer-Reviewed Original ResearchConceptsMulticomponent rehabilitation programUsual careHip fractureRehabilitation programExtremity strengthOlder personsBetter gait performanceSelf-care ADLDaily living (ADL) disabilityDuration of rehabilitationOptimal functional recoveryProportion of participantsRehabilitation strategiesLower extremity strengthUpper extremity strengthYears of ageHome-based rehabilitationSocial activity levelsHome care servicesPrefracture levelSurgical repairFunctional recoveryImproved outcomesGait performanceHome care agencies
1998
Health Care Utilization and Costs in a Medicare Population by Fall Status
Rizzo J, Friedkin R, Williams C, Nabors J, Acampora D, Tinetti M. Health Care Utilization and Costs in a Medicare Population by Fall Status. Medical Care 1998, 36: 1174-1188. PMID: 9708590, DOI: 10.1097/00005650-199808000-00006.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsAgedCenters for Medicare and Medicaid Services, U.S.ConnecticutFemaleFollow-Up StudiesHealth Care CostsHealth Care SurveysHealth ServicesHealth StatusHumansInjury Severity ScoreLogistic ModelsLong-Term CareMaleMedicareMultivariate AnalysisRegistriesSocioeconomic FactorsUnited StatesConceptsHealth care costsCare costsOlder personsTotal health care costsEmergency room costsHealth care utilizationSeverity of fallsAnnual hospital costsHealth Care Financing AdministrationPublic health practitionersNoninjurious fallsNursing home costsInjurious fallsCare registriesCare utilizationHospital costsFall statusMedicare populationHome healthNursing homesFall frequencyRoom costsFall severitySame time periodHealth practitioners
1993
A 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 analysisThe 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 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 wards
1985
Use of the Initial Electrocardiogram to Predict In-Hospital Complications of Acute Myocardial Infarction
Brush J, Brand D, Acampora D, Chalmer B, Wackers F. Use of the Initial Electrocardiogram to Predict In-Hospital Complications of Acute Myocardial Infarction. New England Journal Of Medicine 1985, 312: 1137-1141. PMID: 3920520, DOI: 10.1056/nejm198505023121801.Peer-Reviewed Original ResearchConceptsLife-threatening complicationsCoronary care unitAcute myocardial infarctionInitial electrocardiogramCare unitMyocardial infarctionPositive electrocardiogramIn-Hospital ComplicationsNegative initial electrocardiogramPredictors of complicationsIntermediate care unitEvidence of infarctionBundle branch blockVentricular hypertrophyNegative electrocardiogramHospital costsComplicationsPatientsPatient careInfarctionElectrocardiogramLower likelihoodIschemiaAdmissionHypertrophy