1995
Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery
Ayanian J, Guadagnoli E, Cleary P. Physical and Psychosocial Functioning of Women and Men After Coronary Artery Bypass Surgery. JAMA 1995, 274: 1767-1770. PMID: 7500506, DOI: 10.1001/jama.1995.03530220033028.Peer-Reviewed Original ResearchConceptsCoronary artery bypass surgeryArtery bypass surgeryCongestive heart failureRecent myocardial infarctionBypass surgeryHeart failureMyocardial infarctionMental healthClass IV anginaObservational cohort studySeverity of anginaTime of surgeryCoronary artery diseaseMajor teaching hospitalCohort studyArtery diseaseConsecutive patientsNurse reviewersMedical recordsTeaching hospitalInstrumental activitiesPostoperative functioningDaily livingSurgeryPsychosocial functioningThe Clinical Course of Palpitations in Medical Outpatients
Barsky A, Cleary P, Coeytaux R, Ruskin J. The Clinical Course of Palpitations in Medical Outpatients. JAMA Internal Medicine 1995, 155: 1782-1788. PMID: 7654112, DOI: 10.1001/archinte.1995.00430160124012.Peer-Reviewed Original ResearchConceptsPanic disorderCardiac symptomsPhysician visitsRole impairmentMore physician visitsAmbulatory electrocardiographic monitoringMedical care useNonpatient volunteersInception cohortClinical courseConsecutive patientsElectrocardiographic monitoringHolter monitoringRecurrent palpitationsCare useMedical outpatientsHigh prevalencePalpitationsPsychiatric symptomsSelf-report questionnairesPsychiatric disordersPatientsPsychopathologic symptomsAmbulatory electrocardiogramLongitudinal coursePredictors of blood loss during total hip replacement surgery
Grosflam J, Wright E, Cleary P, Katz J. Predictors of blood loss during total hip replacement surgery. Arthritis & Rheumatism 1995, 8: 167-173. PMID: 7654801, DOI: 10.1002/art.1790080309.Peer-Reviewed Original ResearchConceptsTotal blood lossGreater total blood lossTotal hip replacement surgeryBlood lossHip replacement surgeryGeneral anesthesiaReplacement surgeryPrimary total hip replacement surgeryMean total blood lossHigher American SocietyProspective cohort studyMain outcome measuresUnits of bloodAnesthesiologists classTransfusion requirementsASA scorePreoperative characteristicsCohort studyConsecutive patientsPrimary THRUnivariate predictorsClinical variablesInitial hematocritTeaching hospitalOutcome measuresPrognostic 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 validation
1994
The accuracy of symptom reporting by patients complaining of palpitations
Barsky A, Cleary P, Barnett M, Christiansen C, Ruskin J. The accuracy of symptom reporting by patients complaining of palpitations. The American Journal Of Medicine 1994, 97: 214-221. PMID: 8092169, DOI: 10.1016/0002-9343(94)90003-5.Peer-Reviewed Original ResearchConceptsPositive predictive valuePredictive valueAmbulatory electrocardiographic monitoringMedical care utilizationCardiac activityStructured diagnostic interviewElectrocardiographic resultsSymptom diaryConsecutive patientsSignificant arrhythmiasCare utilizationElectrocardiographic monitoringPsychologic distressHypochondriacal patientsHeart diseasePatient reportsPsychiatric symptomsSelf-report questionnairesPalpitationsPatientsArrhythmiasMedical careDiagnostic InterviewSymptom reportingSymptomsPsychiatric disorders in medical outpatients complaining of palpitations
Barsky A, Cleary P, Coeytaux R, Ruskin J. Psychiatric disorders in medical outpatients complaining of palpitations. Journal Of General Internal Medicine 1994, 9: 306-313. PMID: 8077994, DOI: 10.1007/bf02599176.Peer-Reviewed Original ResearchConceptsPsychiatric disordersPanic disorderPsychiatric diagnosisHolter monitoringAmbulatory electrocardiographic monitoringLarge academic medical centerGeneral medical clinicOverall health statusLifetime panic disorderCurrent prevalence ratesAcademic medical centerSomatization disorder symptomsNon-patient volunteersStructured diagnostic interviewPalpitation patientsCardiac historyCardiac symptomsConsecutive patientsAmbulatory patientsElectrocardiographic monitoringSame hospitalDepressive disorderMedical outpatientsLifetime prevalenceMajor depressionDifferences between men and women undergoing major orthopedic surgery for degenerative arthritis
Katz J, Wright E, Guadagnoli E, Liang M, Karlson E, Cleary P. Differences between men and women undergoing major orthopedic surgery for degenerative arthritis. Arthritis & Rheumatism 1994, 37: 687-694. PMID: 8185695, DOI: 10.1002/art.1780370512.Peer-Reviewed Original ResearchConceptsMajor orthopedic surgeryWorse functional statusFunctional status scoresFunctional statusSpinal stenosisDegenerative arthritisClinical characteristicsStatus scoreOrthopedic surgeryPreoperative functional status scoreDegenerative lumbar spinal stenosisAdvanced degenerative arthritisTime of laminectomyOutcome of surgeryDegenerative spinal stenosisLumbar spinal stenosisBody mass indexGreater functional improvementTotal knee arthroplastyTotal joint arthroplastyTotal hip arthroplastySelf-administered questionnaireHospital complicationsConsecutive patientsComorbid conditionsPanic Disorder, Palpitations, and the Awareness of Cardiac Activity
BARSKY A, CLEARY P, SARNIE M, RUSKIN J. Panic Disorder, Palpitations, and the Awareness of Cardiac Activity. The Journal Of Nervous And Mental Disease 1994, 182: 63-71. PMID: 8308534, DOI: 10.1097/00005053-199402000-00001.Peer-Reviewed Original ResearchConceptsPanic disorderPalpitation patientsElectrocardiographic monitoringSymptom reportsAmbulatory electrocardiographic monitoringCurrent panic disorderEvaluation of palpitationsCardiac activityLifetime panic disorderStructured diagnostic interviewNonpatient volunteersConsecutive patientsSelf-report questionnairesElectrocardiographic recordingsCardiac arrhythmiasPanic patientsPatientsDiagnostic InterviewPalpitationsCardiac irregularitiesResearch batteryDisordersSelf-report measuresReportArrhythmias
1991
The relation between hypochondriasis and age
Barsky A, Frank C, Cleary P, Wyshak G, Klerman G. The relation between hypochondriasis and age. American Journal Of Psychiatry 1991, 148: 923-928. PMID: 2053634, DOI: 10.1176/ajp.148.7.923.Peer-Reviewed Original ResearchConceptsHypochondriacal patientsMedical morbidityMedical recordsSelf-report questionnairesAggregate medical morbidityComparison groupGeneral medical clinicPatients' medical recordsYears of ageConsecutive patientsPossible confounding influenceStudy groupMedical statusAxis IPsychiatric disordersCutoff levelPatientsOverall healthMedical clinicsHypochondriacal groupGlobal assessmentHypochondriacal attitudesHypochondriasisResearch batteryMorbidity