2010
Mortality among Patients with Acute Myocardial Infarction: The Influences of Patient‐Centered Care and Evidence‐Based Medicine
Meterko M, Wright S, Lin H, Lowy E, Cleary PD. Mortality among Patients with Acute Myocardial Infarction: The Influences of Patient‐Centered Care and Evidence‐Based Medicine. Health Services Research 2010, 45: 1188-1204. PMID: 20662947, PMCID: PMC2965500, DOI: 10.1111/j.1475-6773.2010.01138.x.Peer-Reviewed Original ResearchMeSH KeywordsAgedAttitude to HealthEvidence-Based MedicineFemaleHealth Care SurveysHospitals, VeteransHumansLength of StayMaleMarkov ChainsMonte Carlo MethodMultivariate AnalysisMyocardial InfarctionOutcome Assessment, Health CarePatient-Centered CarePeer Review, Health CareProportional Hazards ModelsQuality of Health CareSurveys and QuestionnairesSurvival RateUnited StatesConceptsAcute myocardial infarctionPatient-centered careMyocardial infarctionInitial acute myocardial infarctionPatient health-related behaviorsVeterans Affairs Medical CenterBetter patient-centered carePatients' sociodemographic characteristicsPatient's clinical conditionRecent prospective studiesInfluence of patientImportant clinical benefitsProportional hazards modelEvidence-based treatmentsHealth-related behaviorsEvidence-based medicinePatient-physician relationshipPicker questionnaireCardiac symptomsPatient characteristicsAMI patientsClinical benefitProspective studyAMI careClinical conditions
2007
Quality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences
Mack JW, Co JP, Goldmann DA, Weeks JC, Cleary PD. Quality of Health Care for Children: Role of Health and Chronic Illness in Inpatient Care Experiences. JAMA Pediatrics 2007, 161: 828-834. PMID: 17768281, DOI: 10.1001/archpedi.161.9.828.Peer-Reviewed Original ResearchConceptsChronic conditionsParents of childrenInpatient careHealth statusPoor healthHealth careQuality of careInpatient care experiencePercent of parentsCare-related problemsHealth care interactionsCare ratingsChronic illnessMultivariable modelRole of healthInpatient SurveyCare problemsCare experiencesLow qualityCare interactionsWorse healthGood healthCareSuch childrenChildren
1996
The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study.
Weissman J, Cleary P, Seage G, Gatsonis C, Haas J, Chasan-Taber S, Epstein A. The influence of health-related quality of life and social characteristics on hospital use by patients with AIDS in the Boston Health Study. Medical Care 1996, 34: 1037-56. PMID: 8843929, DOI: 10.1097/00005650-199610000-00005.Peer-Reviewed Original ResearchConceptsSystems of careHealth-related qualityHospital useMedical chartsDisease burdenNeuropsychological StatusBoston Health StudyTotal hospital daysOdds of admissionHealth-related factorsHospital daysIndependent predictorsImmunodeficiency syndromeStudy enrollmentPatient groupPatient interviewsProphylactic drugsSerious opportunistic diseaseOpportunistic diseasesHospital careDaily livingPatterns of useHealth StudyHospital billsClinical model
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 CenterThe 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 recurrence
1992
The 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 IndexDelirium. 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 ResearchMeSH KeywordsAgedAged, 80 and overCognitionDeliriumFemaleHospitalizationHumansLength of StayMaleProspective StudiesRisk FactorsConceptsHospital 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 conditionsAn empirical study of diagnostic criteria for delirium
Liptzin B, Levkoff SE, Cleary PD, Pilgrim DM, Reilly CH, Albert M, Wetle TT. An empirical study of diagnostic criteria for delirium. American Journal Of Psychiatry 1991, 148: 454-457. PMID: 2006690, DOI: 10.1176/ajp.148.4.454.Peer-Reviewed Original ResearchConceptsICD-10 criteriaDMS-IIIAcute medical problemsPresence of symptomsDSM-III criteriaDiagnostic criteria setsElderly patientsPatient's symptomsGeneral HospitalDiagnostic criteriaPatientsDeliriumMedical problemsDSM-IIIClinical interestSymptomsStructured instrumentCriteria setsResearch assistantsPure groupCriteriaGroupHospitalDifferent groupsDaily
1988
Identification of Factors Associated with the Diagnosis of Delirium in Elderly Hospitalized Patients
Levkoff S, Safran C, Cleary P, Gallop J, Phillips R. Identification of Factors Associated with the Diagnosis of Delirium in Elderly Hospitalized Patients. Journal Of The American Geriatrics Society 1988, 36: 1099-1104. PMID: 3192888, DOI: 10.1111/j.1532-5415.1988.tb04396.x.Peer-Reviewed Original ResearchConceptsUrinary tract infectionLow serum albuminTract infectionsHospital stayRisk factorsElevated white blood cell countWhite blood cell countRisk of deliriumDiagnosis of deliriumBlood cell countCases of deliriumMajor teaching hospitalHospital mortalityDischarge diagnosisHospital chargesSame hospitalTeaching hospitalDeliriumFactors AssociatedPatientsCell countAdmissionInfectionSerum albuminStay
1987
Hip fracture
Campion E, Jette A, Cleary P, Harris B. Hip fracture. Journal Of General Internal Medicine 1987, 2: 78-82. PMID: 3559780, DOI: 10.1007/bf02596300.Peer-Reviewed Original ResearchConceptsLength of stayHospital complicationsHip fracturePrefracture functional statusRecent hip fractureCent of patientsHip fracture patientsUrinary tract infectionHeart rhythm disturbancesHigh-cost patientsStepwise multivariate regressionFracture patientsPatient ageTract infectionsSurgical repairHospital chargesIntertrochanteric fracturesProspective studyFunctional statusRhythm disturbancesHospital costsFunctional impairmentPatientsStayMean length