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Controversy continues as to whether traumatic brain injury is a risk factor for Alzheimer's disease. The authors examined a related hypothesis that among persons with traumatic brain injury who develop Alzheimer's disease, time to onset of the disease is reduced. They used data on all documented episodes of traumatic brain injury that occurred from 1935 to(More)
BACKGROUND AND PURPOSE Much of the available data on stroke occurrence, service use, and cost of care originated with hospital discharge abstracts. This article uses the unique resources of the Rochester Epidemiology Project to estimate the sensitivity and positive predictive value of hospital discharge abstracts for incident stroke. METHODS The Rochester(More)
OBJECTIVE Determine the degree of congruence between several measures of adverse events. DESIGN Cross-sectional study to assess frequency and type of adverse events identified using a variety of methods. SETTING Mayo Clinic Rochester hospitals. PARTICIPANTS All inpatients discharged in 2005 (n = 60 599). INTERVENTIONS Adverse events were identified(More)
BACKGROUND Efficiently caring for frail older adults will become an increasingly important part of health care reform;telemonitoring within homes may be an answer to improve outcomes. This study sought to assess differences in hospitalizations and emergency department (ED) visits among older adults using telemonitoring vs usual care. METHODS A randomized(More)
OBJECTIVE To determine the inter-rater reliability of the Institute for Healthcare Improvement's Global Trigger Tool (GTT) in a practice setting, and explore the value of individual triggers. DESIGN Prospective assessment of application of the GTT to monthly random samples of hospitalized patients at four hospitals across three regions in the USA. (More)
OBJECTIVE To determine whether women with diabetes undergo fewer screening mammograms than matched control subjects. RESEARCH DESIGN AND METHODS A total of 424 women with diabetes aged 50-75 years who received their primary care from general internists at a large Midwestern multispecialty group practice were retrospectively studied for frequency of(More)
BACKGROUND Population growth, an aging population and the increasing prevalence of chronic disease are projected to increase demand for primary care services in the United States. OBJECTIVE Using systems engineering methods, to re-design physician patient panels targeting optimal access and continuity of care. DESIGN We use computer simulation methods(More)
BACKGROUND Using telemedicine for older adults with multiple comorbid conditions is a potential area for growth in health care. Given this older, ailing population, providers should discuss end-of-life care with patients. OBJECTIVE To determine the relationship between telemonitoring and hospice enrollment compared to usual care among older adults with(More)
BACKGROUND Older adults with multiple chronic illnesses are at risk for worsening functional and medical status and hospitalization. Home telemonitoring may help slow this decline. This protocol of a randomized controlled trial was designed to help determine the impact of home telemonitoring on hospitalization. The specific aim of the study reads as(More)
Patient-reported outcomes (PROs) capture how patients perceive their health and their health care; their use in clinical research is longstanding. Today, however, PROs increasingly are being used to inform the care of individual patients, and document the performance of health care entities. We recently wrote and internally distributed an institutional(More)