Postoperative delirium: the importance of pain and pain managementLinnea E Vaurio
Department of Anesthesia and Perioperative Care, University of California, San Francisco, CA 94143-0648, USA
Anesth Analg 102:1267-73. 2006
..4; 95% CI 0.2 to 0.7). These results validate our hypothesis that pain and pain management strategies are important factors related to the development of postoperative delirium in elderly patients...
- Cognitive screening predicts magnitude of functional recovery from admission to 3 months after discharge in hospitalized elders
Laura P Sands
UCSF Mt Zion Center on Aging and Department of Medicine, University of California, San Francisco, USA
J Gerontol A Biol Sci Med Sci 58:37-45. 2003
..We sought to determine whether performance on a cognitive screen at the time of hospital admission predicted the magnitude of functional recovery after hospitalization...
Brief report: preoperative frailty in older surgical patients is associated with early postoperative deliriumJacqueline M Leung
MPH, Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, CA 94143 0648, USA
Anesth Analg 112:1199-201. 2011
..42; 95% confidence interval=1.06-1.91; P=0.018) and the frailty score (odds ratio=1.84; 95% confidence interval=1.07-3.1; P=0.028) were independently associated with the development of postoperative delirium...
- The last 2 years of life: functional trajectories of frail older people
Kenneth E Covinsky
Division of Geriatrics, San Francisco VA Medical Center and the University ofCalifornia at San Francisco, San Francisco, California 94121, USA
J Am Geriatr Soc 51:492-8. 2003
....
- Reports of financial disability predict functional decline and death in older patients discharged from the hospital
Alexander K Li
Veterans Affairs National Quality Scholars Fellowship Program, San Francisco, CA, USA
J Gen Intern Med 20:168-74. 2005
..Therefore, we hypothesize that the inability to pay for basic needs, which we call financial disability, predicts adverse health outcomes in older patients discharged from the hospital...
- Apolipoprotein E e4 allele increases the risk of early postoperative delirium in older patients undergoing noncardiac surgery
Jacqueline M Leung
Anesthesia and Perioperative Care, University of California, San Francisco, California 94143 0648, USA
Anesthesiology 107:406-11. 2007
..Whether patients who subsequently develop early postoperative delirium have a genetic predisposition that renders them at risk for postoperative delirium has not been determined...
- Does postoperative delirium limit the use of patient-controlled analgesia in older surgical patients?
Jacqueline M Leung
Department of Anesthesia and Perioperative Care, University of California, San Francisco, 521 Parnassus, Room C 450, San Francisco, California 94143 0648, USA
Anesthesiology 111:625-31. 2009
..BACKGROUNDPostoperative pain Is an independent predictor of postoperative delirium. Whether postoperative delirium limits patient-controlled analgesia (PCA) use has not been determined...
Prediction of postoperative pain using path analysis in older patientsSakura Kinjo
Department of Anesthesia and Perioperative Care, University of California, San Francisco, CA 94143 0648, USA
J Anesth 26:1-8. 2012
..A prospective cohort study was conducted to describe the direct and indirect effects of patient risk factors and pain treatment in explaining levels of postoperative pain in older surgical patients...
- Diagnosis-related group-adjusted hospital costs are higher in older medical patients with lower functional status
Kenneth H Chuang
Veterans Affairs National Quality Scholars Fellowship Program Division of Geriatrics, San Francisco VA Medical Center and University of California San Francisco, San Francisco, California 94121, USA
J Am Geriatr Soc 51:1729-34. 2003
....
- Social cognition in nursing home residents with and without cognitive impairment
Allyson M Washburn
Saybrook Graduate School and Research Center, San Francisco, CA 94111, USA
J Gerontol B Psychol Sci Soc Sci 61:P174-9. 2006
..An improved understanding and assessment of the basic cognitive mechanisms underlying the ability of persons with dementia to interact with others would inform the design of interventions to optimize their social functioning...
- Variation in care for nonmelanoma skin cancer in a private practice and a veterans affairs clinic
Mary Margaret Chren
Dermatology Service, Research Enhancement Award Program of the Health Services Research and Development Service, Department of Veterans Affairs, San Francisco Veterans Affairs Medical Center, San Francisco, California 94121, USA
Med Care 42:1019-26. 2004
..Clinical variables that may affect treatment choices can be identified, but little is known about how clinicians choose among therapies...
- The effects of acute illness on ADL decline over 1 year in frail older adults with and without cognitive impairment
Laura P Sands
Center on Aging, Division of Geriatrics, University of California, San Francisco 94143 1265, USA
J Gerontol A Biol Sci Med Sci 57:M449-54. 2002
..These relationships have not been described for the frailest of older adults whose high rates of acute illness and cognitive impairment put them at the greatest risk for loss of ADL functioning...
- Does using a femoral nerve block for total knee replacement decrease postoperative delirium?
Sakura Kinjo
Department of Anesthesia and Perioperative Care, University of California, San Francisco, CA 94143 0648, USA
BMC Anesthesiol 12:4. 2012
..abstract:..
- Adult day health center participation and health-related quality of life
Eva M Schmitt
Institute on Aging, San Francisco, California 94118, USA
Gerontologist 50:531-40. 2010
..The purpose of this study was to assess the association between Adult Day Health Center (ADHC) participation and health-related quality of life...
- Assessment of social cognition in frail older adults and its association with social functioning in the nursing home
Allyson M Washburn
Institute of Aging, San Francisco, CA 94112, USA
Gerontologist 43:203-12. 2003
....
- The role of postoperative analgesia in delirium and cognitive decline in elderly patients: a systematic review
Harold K Fong
Department of Anesthesia and Perioperative Care, School of Medicine, University of California, San Francisco, California 94143-0648, USA
Anesth Analg 102:1255-66. 2006
..However, future investigations of sufficient study size and more standardized methods of defining outcomes are necessary to confirm the current findings...
- Skin-related quality of life in HIV-infected patients on highly active antiretroviral therapy
Paradi Mirmirani
Department of Dermatology, University of California, San Francisco, California 94143 0316, USA
J Cutan Med Surg 6:10-5. 2002
..The overall health status and survival of HIV-infected patients has changed with the advent of highly active antiretroviral therapy (HAART). With this improved survival, there is a greater urgency to study quality-of-life issues...
- Unsteadiness reported by older hospitalized patients predicts functional decline
Elizabeth C Lindenberger
Division of Geriatrics, San Francisco VA Medical Center, California 94121, USA
J Am Geriatr Soc 51:621-6. 2003
....
- What explains differences between dementia patients' and their caregivers' ratings of patients' quality of life?
Laura P Sands
Purdue University, West Lafayette, IN 47907 2069, USA
Am J Geriatr Psychiatry 12:272-80. 2004
....
- The relation of autopsy rate to physicians' beliefs and recommendations regarding autopsy
Elizabeth C Burton
Department of Pathology, Baylor University Medical Center, Dallas, Texas 75246, USA
Am J Med 117:255-61. 2004
..Multiple factors have affected the decline in autopsy rates. Our goal was to determine the relation of physicians' recommendations regarding autopsy, as well as patient and surrogate decision-maker characteristics, to autopsy performance...
- Disparities between black and white patients in functional improvement after hospitalization for an acute illness
Laura P Sands
School of Nursing, Purdue University, West Lafayette, Indiana 47907, USA
J Am Geriatr Soc 53:1811-6. 2005
....
- Dual use of bladder anticholinergics and cholinesterase inhibitors: long-term functional and cognitive outcomes
Kaycee M Sink
Section on Gerontology and Geriatric Medicine, Department of Medicine, School of Medicine, Wake Forest University, Winston Salem, North Carolina 27157, USA
J Am Geriatr Soc 56:847-53. 2008
..To determine the cognitive and functional consequences of dual use of cholinesterase inhibitors (ChIs) and the bladder anticholinergics oxybutynin or tolterodine...
- The relationship of indwelling urinary catheters to death, length of hospital stay, functional decline, and nursing home admission in hospitalized older medical patients
Jayna M Holroyd-Leduc
Department of Medicine, University of Calgary, Canada
J Am Geriatr Soc 55:227-33. 2007
..To determine the association between indwelling urinary catheterization without a specific medical indication and adverse outcomes...
- The effects of postoperative pain and its management on postoperative cognitive dysfunction
Yun Wang
Department of Statistics, Purdue University, West Lafayette, Indiana 47907 2069, USA
Am J Geriatr Psychiatry 15:50-9. 2007
..Those at least risk of experiencing POCD were those who received postoperative analgesia orally...
- Rates of acute care admissions for frail older people living with met versus unmet activity of daily living needs
Laura P Sands
School of Nursing, Center on Aging and the Life Course, Purdue University, West Lafayette, Indiana 47907, USA
J Am Geriatr Soc 54:339-44. 2006
..To determine whether older people who do not have help for their activity of daily living (ADL) disabilities are at higher risk for acute care admissions and whether entry into a program that provides for these needs decreases this risk...
