1993
Acute delirium and functional decline in the hospitalized elderly patient.
Murray A, Levkoff S, Wetle T, Beckett L, Cleary P, Schor J, Lipsitz L, Rowe J, Evans D. Acute delirium and functional decline in the hospitalized elderly patient. Journal Of Gerontology 1993, 48: m181-6. PMID: 8366260, DOI: 10.1093/geronj/48.5.m181.Peer-Reviewed Original ResearchConceptsHospital dischargeFunctional declinePhysical functionLong-term physical functionSubsequent physical functionHospitalized elderly patientsLong-term sequelaeMultivariate linear regression analysisDefinition of deliriumStrongest univariate associationsHospital deliriumAcute deliriumAcute onsetIncident deliriumElderly patientsReversible syndromeProspective studyUnivariate associationsDeliriumCognitive syndromesNursing homesDelirious subjectsLinear regression analysisPermanent consequencesMonths
1992
Risk Factors for Delirium in Hospitalized Elderly
Schor J, Levkoff S, Lipsitz L, Reilly C, Cleary P, Rowe J, Evans D. Risk Factors for Delirium in Hospitalized Elderly. JAMA 1992, 267: 827-831. PMID: 1732655, DOI: 10.1001/jama.1992.03480060073033.Peer-Reviewed Original ResearchConceptsPrior cognitive impairmentRisk factorsOdds ratioCognitive impairmentIncidence of deliriumDetection of deliriumIndependent risk factorTertiary care hospitalUse of neurolepticsCohort analytic studyRisk factor dataPresence of infectionAcute care hospitalsPatients' medical recordsYears of ageStepwise logistic regressionHospital deliriumAnticholinergic useElderly patientsMedication groupCare hospitalHospitalized patientsNeuroleptic useSurgical wardsNarcotic useDelirium. 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 ResearchConceptsHospital 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 evaluationThe Delirium Symptom Interview: An Interview for the Detection of Delirium Symptoms in Hospitalized Patients
Albert M, Levkoff S, Reilly C, Liptzin B, Pilgrim D, Cleary P, Evans D, Rowe J. The Delirium Symptom Interview: An Interview for the Detection of Delirium Symptoms in Hospitalized Patients. Journal Of Geriatric Psychiatry And Neurology 1992, 5: 14-21. PMID: 1571069, DOI: 10.1177/002383099200500103.Peer-Reviewed Original Research
1991
Epidemiology of Delirium: An Overview of Research Issues and Findings
Levkoff S, Cleary P, Liptzin B, Evans D. Epidemiology of Delirium: An Overview of Research Issues and Findings. International Psychogeriatrics 1991, 3: 149-167. PMID: 1811770, DOI: 10.1017/s1041610291000625.Peer-Reviewed Original ResearchReview of Research Instruments and Techniques Used to Detect Delirium
Levkoff S, Liptzin B, Cleary P, Reilly C, Evans D. Review of Research Instruments and Techniques Used to Detect Delirium. International Psychogeriatrics 1991, 3: 253-271. PMID: 1811778, DOI: 10.1017/s1041610291000716.Peer-Reviewed Original ResearchAn 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