2001
Validating recommendations for coronary angiography following acute myocardial infarction in the elderly A matched analysis using propensity scores
Normand S, Landrum M, Guadagnoli E, Ayanian J, Ryan T, Cleary P, McNeil B. Validating recommendations for coronary angiography following acute myocardial infarction in the elderly A matched analysis using propensity scores. Journal Of Clinical Epidemiology 2001, 54: 387-398. PMID: 11297888, DOI: 10.1016/s0895-4356(00)00321-8.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAlgorithmsCoronary AngiographyFemaleGuideline AdherenceHumansLogistic ModelsMaleMatched-Pair AnalysisMedicareMyocardial InfarctionPatient SelectionPractice Guidelines as TopicQuality Indicators, Health CareRetrospective StudiesSurvival AnalysisTime FactorsTreatment OutcomeUnited States
1995
Prognostic Stratification in Critically Ill Patients With Acute Renal Failure Requiring Dialysis
Chertow G, Christiansen C, Cleary P, Munro C, Lazarus J. Prognostic Stratification in Critically Ill Patients With Acute Renal Failure Requiring Dialysis. JAMA Internal Medicine 1995, 155: 1505-1511. PMID: 7605152, DOI: 10.1001/archinte.1995.00430140075007.Peer-Reviewed Original ResearchConceptsAcute renal failureHospital mortalityRenal failureIll patientsMechanical ventilationAcute Renal Failure Requiring DialysisIntensive care unit technologyMultivariate logistic regression analysisCritically Ill PatientsHospital mortality rateHigh-risk patientsOrgan system failureIntensive care unitLogistic regression analysisOminous conditionUnderlying malignancyHospital dischargeConsecutive patientsCare unitComorbid conditionsLaboratory variablesEarly mortalityPrognostic stratificationMedical recordsProspective validationThe influence of socioeconomic status on change in health status after hospitalization
Guadagnoli E, Cleary P, Mcneil B. The influence of socioeconomic status on change in health status after hospitalization. Social Science & Medicine 1995, 40: 1399-1406. PMID: 7638648, DOI: 10.1016/0277-9536(94)00266-v.Peer-Reviewed Original ResearchConceptsHigh-SES patientsHigh-income patientsHealth statusChest painSurgical patientsHospital recordsSocioeconomic statusDaily livingUniversity-affiliated teaching hospitalLow-SES patientsHealth status scoresPatients' hospital recordsWorse health statusHospital dischargeHospital admissionStatus scoreTeaching hospitalInstrumental activitiesPatientsBasic activitiesHospitalizationPainAmount of declineAdmissionVariety of outcomes
1994
The impact of socioeconomic status on the intensity of ambulatory treatment and health outcomes after hospital discharge for adults with asthma
Haas J, Cleary P, Guadagnoli E, Fanta C, Epstein A. The impact of socioeconomic status on the intensity of ambulatory treatment and health outcomes after hospital discharge for adults with asthma. Journal Of General Internal Medicine 1994, 9: 121-126. PMID: 8195909, DOI: 10.1007/bf02600024.Peer-Reviewed Original ResearchConceptsPost-hospital dischargeIntensive therapyLow socioeconomic statusHealth outcomesRegular sourceSocioeconomic statusWorse healthIntensity of therapyIntensity of careSource of careHigher socioeconomic statusHospital dischargeNonwhite patientsAmbulatory treatmentIADL scoresInsurance statusPrimary diagnosisIntensive treatmentBaseline healthPatientsHealth statusSimilar associationTherapyFurther adjustmentAsthmaThe influence of age on clinical and patient-reported outcomes after cholecystectomy
Mort E, Guadacnoli E, Schroeder S, Greenfield S, Mulley A, McNeil B, Cleary P. The influence of age on clinical and patient-reported outcomes after cholecystectomy. Journal Of General Internal Medicine 1994, 9: 61-65. PMID: 8164078, DOI: 10.1007/bf02600200.Peer-Reviewed Original ResearchConceptsPostoperative complication rateYounger patientsLength of stayOlder patientsComplication rateAbdominal painCholecystectomy patientsSymptom reliefFunctional statusPatient satisfactionMedical recordsMajor postoperative complication rateOverall major complication rateUniversity-affiliated teaching hospitalPreoperative abdominal painMajor complication ratePatient-reported outcomesPatients' medical recordsQuestionnaire three monthsInfluence of ageHospital complicationsHospital dischargePostoperative complicationsSurgical complicationsLess recurrenceProgression and Resolution of Delirium in Elderly Patients Hospitalized for Acute Care
Levkoff SE, Liptzin B, Evans DA, Cleary PD, Lipsitz LA, Wetle T, Rowe JW. Progression and Resolution of Delirium in Elderly Patients Hospitalized for Acute Care. American Journal Of Geriatric Psychiatry 1994, 2: 230-238. PMID: 28530936, DOI: 10.1097/00019442-199400230-00007.Peer-Reviewed Original Research
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 consequencesMonthsThe Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement
Greenfield S, Apolone G, McNeil B, Cleary P. The Importance of Co-existent Disease in the Occurrence of Postoperative Complications and One-Year Recovery in Patients Undergoing Total Hip Replacement. Medical Care 1993, 31: 141-154. PMID: 8433577, DOI: 10.1097/00005650-199302000-00005.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdultAgedCohort StudiesComorbidityDemographyFemaleHealth StatusHip ProsthesisHumansLogistic ModelsMaleMiddle AgedOdds RatioOutcome Assessment, Health CarePostoperative ComplicationsPrognosisQuality of LifeSeverity of Illness IndexSurveys and QuestionnairesUnited StatesConceptsCo-existent diseaseTotal hip replacementPostoperative complicationsHip replacementFunctional outcomeMedical recordsTotal hip replacement patientsFunctional outcome 1 yearHealth-related qualityTime of surgeryPost-operative complicationsSeverity of illnessOutcomes 1 yearHip replacement patientsPatients' medical recordsSignificant predictorsEffectiveness of careOne-year recoveryMedical record informationHospital complicationsICED scoreComorbid diseasesComplication rateHospital dischargePatient characteristics
1992
Delirium: The Occurrence and Persistence of Symptoms Among Elderly Hospitalized Patients
Levkoff S, Evans D, Liptzin B, Cleary P, Lipsitz L, Wetle T, Reilly C, Pilgrim D, Schor J, Rowe J. Delirium: The Occurrence and Persistence of Symptoms Among Elderly Hospitalized Patients. JAMA Internal Medicine 1992, 152: 334-340. DOI: 10.1001/archinte.1992.00400140082019.Peer-Reviewed Original ResearchHospital dischargeNew symptomsNew-onset deliriumLong-term care facilitiesProlonged hospital stayPersistence of symptomsRisk of mortalityPersistence of deliriumHospital stayIncident deliriumElderly patientsAdvanced ageCommon disorderTeaching hospitalDeliriumIndividual symptomsCare facilitiesPatientsFull criteriaCognitive impairmentMental disordersStudy participantsIncomplete manifestationsSymptomsInitial evaluationDelirium. The occurrence and persistence of symptoms among elderly hospitalized patients.
Levkoff S, Evans D, Liptzin B, Cleary P, Lipsitz L, Wetle T, Reilly C, Pilgrim D, Schor J, Rowe J. Delirium. The occurrence and persistence of symptoms among elderly hospitalized patients. JAMA Internal Medicine 1992, 152: 334-40. PMID: 1739363, DOI: 10.1001/archinte.152.2.334.Peer-Reviewed Original ResearchConceptsHospital dischargeNew symptomsNew-onset deliriumLong-term care facilitiesProlonged hospital stayPersistence of symptomsRisk of mortalityPersistence of deliriumHospital stayIncident deliriumElderly patientsAdvanced ageCommon disorderTeaching hospitalDeliriumIndividual symptomsCare facilitiesPatientsCognitive impairmentFull criteriaMental disordersStudy participantsIncomplete manifestationsSymptomsInitial evaluation
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