We evaluated the occurrence and persistence of delirium in 325 elderly patients admitted to a teaching hospital from either defined community or long-term care facility. Of study participants, 34 (10.5%) had Diagnostic Statistical Manual Mental Disorders, Third Edition--defined at initial evaluation; remaining patients, 91 (31.3%) developed new-onset delirium. An additional 110 also experienced individual symptoms without meeting full criteria. Preexisting cognitive impairment advanced age...

Delirium is a common outcome after cardiac surgery. prediction rules identify patients at risk for delirium who may benefit from targeted prevention strategies, early identification, and treatment of underlying causes. The purpose the present prospective study was to develop rule in surgery cohort validate it an independent cohort.Prospectively, > or =60 years age were enrolled derivation sample (n=122) then validation (n=109). Beginning on second postoperative day, underwent standardized...

The authors sought to determine whether integrated mental health services or enhanced referral specialty clinics results in greater engagement health/substance abuse by older primary care patients.This multisite randomized trial included 10 sites consisting of and clinics. Primary patients 65 years old (N=24,930) were screened. final study group consisted 2,022 (mean age=73.5 years; 26% female; 48% ethnic minority) with depression (N=1,390), anxiety (N=70), at-risk alcohol use (N=414), dual...

Using a structured instrument, 325 elderly patients admitted to general hospital for an acute medical problem were evaluated daily in order detect symptoms of delirium. Patients scored ‘hyperactive’ or ‘hypoactive’ symptoms, and then the 125 with DSM–III delirium rated as ‘hyperactive type’ (15%), ‘hypoactive (19%), ‘mixed (52%), ‘neither’ (14%). There no statistically significant differences between groups respect age, sex, place residence, presence dementia. These definitions subtypes...

OBJECTIVES: To determine whether patients who developed delirium after cardiac surgery were at risk of functional decline. DESIGN: Prospective cohort study. SETTING: Two academic hospitals and a Veterans Affairs Medical Center. PARTICIPANTS: One hundred ninety aged 60 older undergoing elective or urgent surgery. MEASUREMENTS: Delirium was assessed daily diagnosed according to the Confusion Assessment Method. Before 1 12 months postoperatively, for function using instrumental activities...

While securing data integrity has been a growing issue with online surveys for over decade, recent cyber threats to research, particularly survey bots, have escalated dramatically (Griffin et al., 2022; Pozzar 2020; Storozuk 2020). Survey also known as automated form fillers, are computer programs that fill out web-based random responses (Howell, n.d.). the exact and processes bot programmers use code deploy bots remain largely unknown, they likely mirror those used in chatbot programming...

We evaluated the occurrence and persistence of delirium in 325 elderly patients admitted to a teaching hospital from either defined community or long-term care facility. Of study participants, 34 (10.5%) had<i>Diagnostic Statistical Manual Mental Disorders, Third Edition</i>-defined at initial evaluation; remaining patients, 91 (31.3%) developed new-onset delirium. An additional 110 also experienced individual symptoms without meeting full criteria. Preexisting cognitive impairment advanced...

We systematically measured the associations between environmental design features of nursing home special care units and incidence aggression, agitation, social withdrawal, depression, psychotic problems among persons living there who have Alzheimer's disease or a related disorder.We developed tested model critical health-related in settings for people with disease. used hierarchical linear modeling statistical techniques to assess seven behavioral health measures 427 residents 15 units....

Journal Article Acute Delirium and Functional Decline in the Hospitalized Elderly Patient Get access Anne M. Murray, Murray 1North Central Health Care FacilitiesWausau, Wisconsin, Institute on Aging Adult Life, University of Wisconsin-Madison Search for other works by this author on: Oxford Academic PubMed Google Scholar Sue E. Levkoff, Levkoff 2Division Aging, Harvard Medical SchoolBoston, Massachusetts Terrie T. Wetle, Wetle 3Braceland Center Mental LivingHartford, Connecticut Laurel...

To study delirium in hospitalized elderly, a symptom interview (DSI) was developed by an interdisciplinary group of investigators. This administered acute care hospital to 50 patients who were over the age 65 years. Results from compared assessments major symptoms made independently neurologist and psychiatrist. had good validity reliability. The sensitivity DSI .90 specificity .80, when with clinical judgment psychiatrist neurologist. Interrater reliability, using lay interviewers, for...

Background. Delirium has been hypothesized to be a central nervous system response systemic inflammation during state of blood–brain barrier compromise. The purpose this study was compare postoperative changes in groups inflammatory markers persons who developed delirium following cardiac surgery and matched controls without delirium.

Women who develop gestational diabetes mellitus (GDM) have an increased risk for the development of type 2 diabetes. Despite this "window opportunity," few intervention studies targeted postpartum women with a history GDM. We sought perspectives GDM to identify a) barriers and facilitators healthy lifestyle changes postpartum, b) specific approaches that would facilitate participation in program. used mixed methods gather data from prior GDM, including focus groups informant interviews....

In Brief OBJECTIVE: To test the feasibility and effectiveness of a Web-based lifestyle intervention based on Diabetes Prevention Program modified for women with recent gestational diabetes mellitus to reduce postpartum weight retention. METHODS: We randomly allocated 75 either program (Balance after Baby) delivered over first year or control group. Primary outcomes were change in body at 12 months from 1) measured weight; 2) self-reported prepregnancy weight. RESULTS: There no significant...

Background: To reduce cardiovascular disease (CVD) risk, we tested an online intervention to improve healthy lifestyle for women with recent preeclampsia. Materials and Methods: We conducted a randomized controlled 9-month clinical trial, Heart Health 4 Moms (HH4M), among 151 U.S. preeclampsia within 5 years. Sample size was planned detect differences of 0.5 standard deviation units in primary outcomes between study arms. Preeclampsia history validated by medical records; chronic...

To determine the extent to which preoperative performance on tests of executive function and memory was associated with delirium after coronary artery bypass graft (CABG) surgery.Prospective observational cohort study.Two academic medical centers one Department Veterans Affairs center in Massachusetts.Eighty subjects without undergoing CABG or CABG-valve surgery completed baseline neuropsychological assessments validated measures function.Beginning postoperative Day 2, a battery diagnose...

Understanding variability in conceptions of dementia multiethnic populations is important to improve care and guide research. The objectives this study were describe caregiver using a previously developed typology examine the correlates sample. This cross‐sectional conducted Boston San Francisco Bay area. Participants convenience sample 92 family caregivers from four ethnic/racial groups: African‐American, Anglo European‐American, Asian‐American, Latino. In‐depth, qualitative interviews...

To examine the association between biochemical markers of brain injury (MBI) and inflammatory response in relation to neurocognitive deficiency (NCD) after cardiopulmonary bypass (CPB).

This study was part of the Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM-E) determined relative effectiveness two different models care reducing at-risk alcohol use among primary patients aged 65 older.This multisite a randomized clinical trial comparing integrated with enhanced specialty referral older screened identified to have drinking.Before study, 560 participants consumed mean 17.9 drinks per week had 21.1 binge episodes prior three months. At six...

We analyzed factors associated with the discharge diagnosis of delirium among 1,285 patients admitted to a major teaching hospital during 2‐year period, developed model classify risk developing on basis clinical and diagnostic data, tested 471 subsequent year. Using multivariate technique recursive partitioning, we identified four that distinguished 80% all cases delirium: 1) urinary tract infection at any time stay (odds ratio = 3.1; 95% confidence interval 2.02–4.58); 2) no infection, but...

One challenge faced by many family members caring for persons with dementia is lack of information about how to take care others and themselves. This especially important from ethnic minority groups, because linguistically culturally appropriate often not available. In response these needs, we developed a web site Spanish-speaking caregivers. Cuidatecuidador.com provides bilingual on caregiver issues. Content was then evaluated caregivers residing in 3 countries. Findings suggest trends that...