1994
ASA Physical Status and Age Predict Morbidity After Three Surgical Procedures
Cullen D, Apolone G, Greenfield S, Guadagnoli E, Cleary P. ASA Physical Status and Age Predict Morbidity After Three Surgical Procedures. Annals Of Surgery 1994, 220: 3-9. PMID: 8024356, PMCID: PMC1234280, DOI: 10.1097/00000658-199407000-00002.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsAgedAnalysis of VarianceAnesthesiologyCaliforniaCholecystectomyDiagnosis-Related GroupsFemaleFollow-Up StudiesHip ProsthesisHospitals, TeachingHumansLength of StayMaleMassachusettsMiddle AgedMorbidityOffice VisitsPostoperative ComplicationsPrognosisProstatectomySeverity of Illness IndexSocieties, MedicalConceptsLength of stayASA-PS scoreTotal hip replacementComplication rateTransurethral prostatectomySurgical patientsAnesthesiologists physical status scoreLonger LOSPreoperative risk factorsPostoperative complication rateASA physical statusPhysician office visitsHigh complication rateCase-mix differencesAcademic medical centerSelf-administered questionnairePostoperative morbidityCoexistent diseasePhysician visitsSurgical morbidityOffice visitsStatus scoreMedical recordsRisk factorsMedical Center
1993
Acute delirium and functional decline in the hospitalized elderly patient.
Murray A, Levkoff S, Wetle T, Beckett L, Cleary P, Schor J, Lipsitz L, Rowe J, Evans D. Acute delirium and functional decline in the hospitalized elderly patient. Journal Of Gerontology 1993, 48: m181-6. PMID: 8366260, DOI: 10.1093/geronj/48.5.m181.Peer-Reviewed Original ResearchConceptsHospital dischargeFunctional declinePhysical functionLong-term physical functionSubsequent physical functionHospitalized elderly patientsLong-term sequelaeMultivariate linear regression analysisDefinition of deliriumStrongest univariate associationsHospital deliriumAcute deliriumAcute onsetIncident deliriumElderly patientsReversible syndromeProspective studyUnivariate associationsDeliriumCognitive syndromesNursing homesDelirious subjectsLinear regression analysisPermanent consequencesMonthsDiscussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication.
Haas J, Weissman J, Cleary P, Goldberg J, Gatsonis C, Seage G, Fowler F, Massagli M, Makadon H, Epstein A. Discussion of preferences for life-sustaining care by persons with AIDS. Predictors of failure in patient-physician communication. JAMA Internal Medicine 1993, 153: 1241-8. PMID: 8494476, DOI: 10.1001/archinte.153.10.1241.Peer-Reviewed Original ResearchConceptsLife-sustaining careHealth maintenance organizationPatient-physician communicationStaff-model health maintenance organizationInternal medicine group practiceUse of zidovudineSeverity of illnessPredictors of failureLife-sustaining therapySite of careMajority of personsDiscussion of preferencesPrivate teaching hospitalNonwhite physiciansHospitalization statusAIDS clinicImmunodeficiency syndromePatient interviewsPatient preferencesTeaching hospitalPatient's desireResuscitationPatientsClinical decisionLogistic regression
1992
Using patient reports to assess hospital treatment of persons with AIDS: A pilot study
Cleary P, Fahs M, McMullen W, Fulop G, Strain J, Sacks H, Muller C, Foley M, Stein E. Using patient reports to assess hospital treatment of persons with AIDS: A pilot study. AIDS Care 1992, 4: 325-332. PMID: 1525203, DOI: 10.1080/09540129208253102.Peer-Reviewed Original ResearchConceptsAIDS unitsPilot studyGeneral medical bedsGeneral hospital bedsMajor teaching hospitalQuality of careEfficient medical careHIV infectionPain managementHospital treatmentInvolvement of familyPatient preferencesPatient educationTeaching hospitalDifferent treatment modelsHospital carePatient reportsUS hospitalsMedical carePatient carePatientsPhysical careAIDS knowledgeHospital bedsCareThe inpatient AIDS unit: a preliminary empirical investigation of access, economic, and outcome issues.
Fahs M, Fulop G, Strain J, Sacks H, Muller C, Cleary P, Schmeidler J, Turner B. The inpatient AIDS unit: a preliminary empirical investigation of access, economic, and outcome issues. American Journal Of Public Health 1992, 82: 576-8. PMID: 1546777, PMCID: PMC1694095, DOI: 10.2105/ajph.82.4.576.Peer-Reviewed Original ResearchAcquired Immunodeficiency SyndromeAdultFemaleHealth Care CostsHealth Services AccessibilityHealth Services ResearchHospital UnitsHospitals, TeachingHumansLength of StayLogistic ModelsMaleNew York CityNursing Staff, HospitalOutcome Assessment, Health CarePatient AdmissionPatient DischargePersonnel TurnoverSeverity of Illness Index
1991
Variations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California
Cleary P, Greenfield S, Mulley A, Pauker S, Schroeder S, Wexler L, McNeil B. Variations in Length of Stay and Outcomes for Six Medical and Surgical Conditions in Massachusetts and California. JAMA 1991, 266: 73-79. PMID: 2046132, DOI: 10.1001/jama.1991.03470010077034.Peer-Reviewed Original ResearchMeSH KeywordsAdultCaliforniaCholecystectomyComorbidityConsumer BehaviorCoronary Artery BypassFemaleHip ProsthesisHospitals, TeachingHumansLength of StayMaleMassachusettsMyocardial InfarctionOutcome and Process Assessment, Health CareProstatectomySurgical Procedures, OperativeSurveys and QuestionnairesConceptsLength of stayAcute myocardial infarctionHospital dischargeTotal hip replacementMyocardial infarctionFunctional statusPatient satisfactionMedical recordsHospital careCoronary artery bypass graft surgeryHip replacementArtery bypass graft surgeryInterinstitutional differencesBypass graft surgeryProbability of readmissionPatients' medical recordsAvailable outcome dataCase-mix differencesFollow-up questionnaireHospital complicationsGraft surgeryPatient characteristicsTransurethral prostatectomyWorse outcomesSurgical conditions
1987
Predicting emergency readmissions for patients discharged from the medical service of a teaching hospital
Phillips R, Safran C, Cleary P, Delbanco T. Predicting emergency readmissions for patients discharged from the medical service of a teaching hospital. Journal Of General Internal Medicine 1987, 2: 400-405. PMID: 3694300, DOI: 10.1007/bf02596366.Peer-Reviewed Original ResearchMeSH KeywordsEmergency Medical ServicesForecastingHospitals, TeachingHumansPatient DischargePatient ReadmissionRisk FactorsConceptsEmergency readmissionRenal diseaseTeaching hospitalAcute care teaching hospitalGreater hospital chargesDays of dischargeRisk factor profileElevated anion gapAvailable clinical dataMedical servicesReadmitted patientsLonger hospitalizationPatient demographicsPrior admissionClinical factorsHeart failureDischarge diagnosisHospital chargesRelative riskClinical dataAnion gapReadmissionReduced riskPatientsFactor profile