Risk factors for harm in cognitively impaired seniors who live alone: A prospective study

Journal of the American Geriatrics Society

Volumn 52, Issue 9, 2004, Pages 1435-1441

  Tierney, Mary C ^a,b   Charles, Jocelyn ^a,b   Naglie, Gary ^b,d,e   Jaglal, Susan ^c   Kiss, Alex ^a   Fisher, Rory H ^a,b  

^a SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

^d UNIVERSITY HEALTH NETWORK   (Canada)

^e TORONTO REHABILITATION INSTITUTE   (Canada)

Author keywords

Cognitive impairment; Emergency services; Harm; Living alone

Indexed keywords

ACCIDENT; AGED; ARTICLE; BEHAVIOR; CEREBROVASCULAR DISEASE; CHRONIC OBSTRUCTIVE LUNG DISEASE; COGNITIVE DEFECT; DISORIENTATION; DRUG USE; EMERGENCY TREATMENT; FEMALE; HAZARD ASSESSMENT; HUMAN; MAJOR CLINICAL STUDY; MALE; MINI MENTAL STATE EXAMINATION; PRIMARY MEDICAL CARE; PROSPECTIVE STUDY; QUESTIONNAIRE; RISK FACTOR; SOCIAL WELFARE; TEACHING HOSPITAL;

ACCIDENTS; AGED; AGED, 80 AND OVER; CEREBROVASCULAR DISORDERS; COGNITION DISORDERS; COMORBIDITY; DIABETES COMPLICATIONS; EMERGENCY SERVICE, HOSPITAL; FEMALE; GERIATRIC ASSESSMENT; HUMANS; MALE; MENTAL STATUS SCHEDULE; ONTARIO; PREDICTIVE VALUE OF TESTS; PRIMARY HEALTH CARE; PROPORTIONAL HAZARDS MODELS; PROSPECTIVE STUDIES; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; QUESTIONNAIRES; RESIDENCE CHARACTERISTICS; RISK ASSESSMENT; RISK FACTORS; SELF-INJURIOUS BEHAVIOR; SOCIAL SUPPORT;

EID: 4444274689     PISSN: 00028614     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.0002-8614.2004.52404.x     Document Type: Article

References (23)

1. Chappell NL. Living arrangements and sources of caregiving. J Gerontol 1991;46:S1-S8.
2. Webber PA, Fox P, Burnette D. Living alone with Alzheimer's disease: Effects on health and social service utilization patterns. Gerontologist 1994;34:8-14.
3. Campion E. Home alone, and in danger. N Engl J Med 1996;334:1738-1739.
4. Canadian Study of Health and Aging. Canadian study of health and aging: Study methods and prevalence of dementia. J Can Med Assoc 1994;150:899-913.
5. Elby E, Hogan D, Rockwood K. Living alone with dementia. Dement Geriatr Cogn Disord 1999;10:541-548.
6. Tierney MC, Charles J, Jaglal S et al. Identification of those at greatest risk of harm among cognitively impaired people who live alone. Aging Neuropsychol Cognition 2001;8:182-191.
7. Col N, Fanale J, Kronholm P. The role of medication noncompliance and adverse drug reactions in hospitalizations of the elderly. Arch Intern Med 1990;150:841-845.
8. McCusker J, Cardin S, Bellavance F et al. Return to the emergency department among elders. Patterns and predictors. Acad Emerg Med 2000;7:249-259.
9. McCusker J, Healey E, Bellavance F et al. Predictors of repeat emergency department visits by elders. Acad Emerg Med 1997;4;581-588.
10. Folstein M, Folstein S, McHugh S. 'Mini-mental state'. A practical method for upgrading the cognitive status of patients for the clinician. J Psychiatr Res 1975;12:189-198.
11. McCusker J, Bellavance F, Cardin S et al. Prediction of hospital utilization among elderly patients during the 6 months after an emergency department visit. Ann Intern Med 2000;36:438-445.
12. Shelton P, Sager M, Schraeder C. The Community Assessment Risk Screen (CARS): Identifying elderly persons at risk for hospitalization or emergency department visit. Am J Manag Care 2000;6:925-933.
13. Aminzadeh F, Dalziel W. Older adults in the emergency department. A systematic review of patterns of use, adverse outcomes, and effectiveness of interventions. Ann Emerg Med 2002;39:238-247.
14. Elie M, Rousseau F, Cole M et al. Prevalence and detection of delirium in elderly emergency department patients. J Can Med Assoc 2000;163:977-981.
15. Lauder W. Constructions of self-neglect: A multiple case study design. Nurs Inq 1999;6:48-57.
16. Mattis S. Dementia Rating Scale: Professional Manual. Lutz, FL: Psychological Assessment Resources, Inc., 1973.
17. Center for the Study of Aging and Human Development. Multidimensional Functional Assessment: The OARS Methodology, A Manual, 2nd Ed. Durham, NC: Duke University, 1978.
18. Charlson M, Pompei P, Ales K et al. A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. J Chronic Dis 1987;40:373-383.
19. McCusker J, Bellavance F, Cardin S et al. Screening for geriatric problems in the emergency department: Reliability and validity. Acad Emerg Med 1998;5:883-893.
20. A National Study of Self-Neglecting Adult Protective Services Clients. Nashville, TN: Virginia Department of Social Services, 1991.
21. Lachs M, Williams C, O'Brien S et al. Older adults: An 11-year longitudinal study of Adult Protective Service Use. Arch Intern Med 1996;156:449-453.
22. Strub RL, Black FW. The Mental Status Examination in Neurology. Philadelphia: FA Davis, 1985.
23. Harrell FE. Regression Modeling Strategies with Applications to Linear Models, Logistic Regression, and Survival Analysis. New York: Springer, 2001, pp 79.