David B Carr

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OBJECTIVES To longitudinally assess on-road driving performance in healthy older adults and those with early-stage dementia of the Alzheimer type (DAT). DESIGN A prospective longitudinal study. SETTING Large urban medical center and surrounding area. PARTICIPANTS A sample of 58 healthy controls, 21 participants with very mild DAT, and 29 participants(More)
OBJECTIVE To compare ratings of patients referred for geriatric evaluation and their proxies with respect to patients' ability to perform activities of daily living. DESIGN Retrospective chart audit. SETTING University-based Outpatient Geriatric Clinic. PATIENTS Elderly medicine patients referred to a university-based outpatient geriatrics clinic for(More)
OBJECTIVE To assess the reliability and stability of a standardized road test for healthy aging people and those with dementia of the Alzheimer type (DAT). DESIGN A prospective study involving patients with DAT and age-matched healthy controls in which subjects' driving performance was evaluated by several raters in an initial and a follow-up road test.(More)
PURPOSE The goal of this study was to characterize an elderly population admitted to a novel Oncology-Acute Care for Elders (OACE) unit, determine the prevalence of functional dependencies and geriatric syndromes, and examine their suitability for an interdisciplinary model of care. PATIENTS AND METHODS We conducted a retrospective review of 119 patients(More)
Alzheimer's disease (AD) affects a large proportion of the increasingly aging population of this country, with prevalence rates as high as 47% for those >85 years old and a total annual cost approaching $70 billion. There is no currently validated test for detection of dementia of the Alzheimer type (DAT). Because of this and the insidious onset of the(More)
Beginning with a brief description of mature anatomic pathways and neurotransmitters in the "pain system," this article details their development in the human fetus, neonate, and child. Special emphasis is given to the basic mechanisms and physiologic effects of opioid analgesia. The clinical implications of these data are described, particularly with(More)
Self-reported versus informant-reported memory problems in nondemented elderly adults and in individuals with very mild and mild dementia of the Alzheimer type (DAT) were correlated with cognitive outcomes. No significant correlations were found between self-reported memory complaints and cognitive performance or (in controls) later development of dementia.(More)
OBJECTIVES To develop a cognitive and functional screening battery for the on-road performance of older drivers with dementia. DESIGN Prospective observational study. SETTING On-road driving evaluation clinic at an academic rehabilitation center. PARTICIPANTS Ninety-nine older people with dementia (63% male, mean age 74.2 ± 9), referred by community(More)
BACKGROUND The number of older adult drivers with dementia is expected to increase over the next few decades. This increase raises public and personal safety concerns given the higher crash rates of drivers with a dementing illness. However, the identification of drivers with a dementia who may be at risk for a crash is difficult, particularly for those in(More)