Featured Publications
Shared risk factors for falls, incontinence, and functional dependence. Unifying the approach to geriatric syndromes.
Tinetti ME, Inouye SK, Gill TM, Doucette JT. Shared risk factors for falls, incontinence, and functional dependence. Unifying the approach to geriatric syndromes. JAMA 1995, 273: 1348-53. PMID: 7715059, DOI: 10.1001/jama.273.17.1348.Peer-Reviewed Original ResearchMeSH KeywordsAccidental FallsActivities of Daily LivingAgedAged, 80 and overAnxietyCausalityCognitionCohort StudiesGeriatric AssessmentHearingHumansLogistic ModelsMultivariate AnalysisNeuropsychological TestsNutritional Physiological PhenomenaPhysical FitnessPsychomotor PerformanceRisk FactorsUrinary IncontinenceVision, OcularConceptsUrinary incontinenceGeriatric syndromesMore basic activitiesProportion of participantsRisk factorsIncontinenceDaily livingDepression scoresSyndromeGeneral communityCompensatory abilityArm strengthBasic activitiesSignificant increaseHigh anxietyImpairmentMultiple areasNew HavenYearsParticipantsFallFactorsPredisposesCohortBaseline
2001
Validation of Dizziness as a Possible Geriatric Syndrome
Kao A, Nanda A, Williams C, Tinetti M. Validation of Dizziness as a Possible Geriatric Syndrome. Journal Of The American Geriatrics Society 2001, 49: 72-75. PMID: 11207845, DOI: 10.1046/j.1532-5415.2001.49012.x.Peer-Reviewed Original ResearchMeSH KeywordsAgedCausalityCross-Sectional StudiesDizzinessFemaleGeriatric AssessmentHumansMaleMultivariate AnalysisRisk FactorsSyndromeConceptsReports of dizzinessRisk factorsGeriatric syndromesOlder personsClinic-based cohortCharacteristics of patientsSeverity of dizzinessCommunity-based cohortPopulation-based studyClinic-based populationCross-sectional studyPhysical examination dataEligible patientsPostural hypotensionMore medicationsMultifactorial interventionOlder patientsMedical historyMyocardial infarctionDizzinessMultifactorial etiologyDepressive symptomsAbnormal balancePatientsDiscrete disease
1999
Alcohol Use and Functional Disability Among Cognitively Impaired Adults
Reid M, Concaio J, Towle V, Williams C, Tinetti M. Alcohol Use and Functional Disability Among Cognitively Impaired Adults. Journal Of The American Geriatrics Society 1999, 47: 854-859. PMID: 10404931, DOI: 10.1111/j.1532-5415.1999.tb03844.x.Peer-Reviewed Original ResearchConceptsFunctional disabilityIADL scoresHeavy drinkersFormer drinkersMini-Mental Status Examination scoreRetrospective medical record reviewImpaired adultsPotential dose-response effectAlcohol useLower IADL scoresMedical record reviewDose-response effectRecord reviewAlcohol intakeProspective studyConsecutive participantsFunctional statusAlcohol exposureInstrumental activitiesDaily livingIADL functionModerate drinkersCognitive impairmentBADLAlcohol effects
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 practitionersFactors Associated With Six‐Month Mortality in Recipients of Community‐Based Long‐Term Care
Fried T, Pollack D, Tinetti M. Factors Associated With Six‐Month Mortality in Recipients of Community‐Based Long‐Term Care. Journal Of The American Geriatrics Society 1998, 46: 193-197. PMID: 9475448, DOI: 10.1111/j.1532-5415.1998.tb02538.x.Peer-Reviewed Original ResearchConceptsSix-month mortalityShort-term mortalityPresence of cancerCommunity-based long-term careLong-term careHeart diseaseChronic obstructive pulmonary diseaseNutritional problemsObstructive pulmonary diseaseSevere cognitive impairmentCommunity-based waiverCohort studyPulmonary diseaseHomecare programMortality registryMale sexFunctional impairmentClinical dataAdmission assessmentRoutine assessmentCognitive impairmentHealth statusMultivariate analysisCognitive statusMortality
1997
Predictors of Recovery in Activities of Daily Living Among Disabled Older Persons Living in the Community
Gill T, Robison J, Tinetti M. Predictors of Recovery in Activities of Daily Living Among Disabled Older Persons Living in the Community. Journal Of General Internal Medicine 1997, 12: 757-762. PMID: 9436895, PMCID: PMC1497202, DOI: 10.1046/j.1525-1497.1997.07161.x.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAged, 80 and overDisabled PersonsFemaleGeriatric AssessmentHumansMaleMultivariate AnalysisSocioeconomic FactorsConceptsGood nutritional statusADL functionDisabled older personsNutritional statusADL recoveryDaily livingFolstein Mini-Mental State Examination (MMSE) scoresOlder personsMini-Mental State Examination scoreMarkers of resiliencyProspective cohort studyPredictors of recoveryState Examination scoreIntact cognitive functionCohort studyMultivariable analysisMore ADLsMMSE scoresSelf-efficacy scoresHome assessmentBivariate analysisCognitive functionGeneral communityPhysical performanceADL
1993
A 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