Suzanne D Fields

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Physicians use the concept of stability to estimate the likelihood that a patient will deteriorate during a hospitalization. To determine whether physicians can accurately predict a patient's risk of morbidity, 603 patients admitted to the medical service during a one month period were rated prospectively as to how stable they were. Overall, 15% of patients(More)
Accurate classification of clinical severity is important for interpreting casemix in clinical studies and for stratifying patients for clinical trials. To evaluate whether clinical judgment might be an effective method of estimating severity, all 604 patients admitted to the medical service in a one month period were rated at the time of admission by the(More)
Physicians have to address the question of the measures to be employed in the event that a patient's condition deteriorates after admission to the hospital. To identify the information that physicians use in making such decisions, all 604 patients admitted to the medical service during a one-month period were studied. The patient's age and residents'(More)
All patients admitted to three medical services at the New York Hospital during a one-month period were screened with Folstein's Mini-Mental State Examination. The prevalence of cognitive impairment was 19.8% (23 of 116). Cognitively "impaired" patients, ie, those with a Folstein score less than 24, were older, sicker, and less physiologically stable than(More)
To determine outcomes of patients admitted to the hospital with global cognitive impairment and to identify factors that might predict improvement, we screened all medical ward admissions over a one-month period with Folstein's Mini-Mental State Examination. Of 115 patients, 23 (20%) scored less than 24, indicating that they were cognitively impaired.(More)
OBJECTIVE To assess impact of exposure to healthy elderly on medical students' attitudes toward the elderly. DESIGN Prospective, randomized, controlled intervention trial. SETTING Community-based Well Elderly Program. PARTICIPANTS Ninety-three fourth year medical students on a required Geriatric Medicine clerkship who were assigned to either a(More)
OBJECTIVES To describe the curriculum of a mandatory, fourth-year geriatrics clerkship and assess its impact on medical students' knowledge of geriatric medicine and attitudes toward the elderly. DESIGN One group, before/after trial. SETTING Mount Sinai School of Medicine of the City University of New York. PARTICIPANTS Entire fourth year class of(More)
OBJECTIVES To evaluate the incidence of spinal fractures and their outcomes in the elderly who fall from low-levels in a suburban county. DESIGN Retrospective county-wide trauma registry review from 2004 to 2013. SETTING Suburban county with regionalized trauma care consisting of 11 hospitals. PARTICIPANTS Adult trauma patients aged ≥65 years who were(More)
Although falling may seem like a simple event, in reality it is a complex medical issue leading to serious injuries including fractures, lacerations, soft tissue and traumatic brain injuries, and even death. The Nurses Improving Care for Health System Elders (NICHE) guideline for falls prevention in acute care unit was formulated by incorporating(More)