1
40
2
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Pages
86–88
Issue
8
Volume
32
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Infections may Play a Role in Cognitive Decline, Dementia.
Publisher
An entity responsible for making the resource available
Infectious Disease Alert
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-05
Subject
The topic of the resource
Female; Male; Aged; Odds Ratio; Neuropsychological Tests; Cognition; Post Hoc Analysis; Middle Age; Antibiotics – Therapeutic Use; Dementia – Risk Factors; Infection – Complications
Creator
An entity primarily responsible for making the resource
Watkins Richard R
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2013
Aged
Antibiotics – Therapeutic Use
Cognition
Dementia – Risk Factors
Department of Internal Medicine
Female
Infection – Complications
Infectious Disease Alert
Male
Middle Age
NEOMED College of Medicine
Neuropsychological Tests
Odds Ratio
Post Hoc Analysis
Watkins Richard R
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/acem.13414" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/acem.13414</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Outcomes of Patients With Syncope and Suspected Dementia.
Publisher
An entity responsible for making the resource available
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-03
Subject
The topic of the resource
80 and Over; Aged; Dementia – Diagnosis – In Old Age; Dementia – Risk Factors; Dementia – Therapy; Emergency; Human; Iatrogenic Disease; Inpatients; Interviews; Length of Stay; Middle Age; Office Visits; Outcome Assessment; Outcomes (Health Care); Patient Assessment; Patient Discharge; Physicians; Prospective Studies; Surveys; Syncope – Diagnosis; Syncope – In Old Age; Syncope – Mortality
Creator
An entity primarily responsible for making the resource
Holden Timothy R; Shah Manish N; Gibson Tommy A; Weiss Robert E; Yagapen Annick N; Malveau Susan E; Adler David H; Bastani Aveh; Baugh Christopher W; Caterino Jeffrey M; Clark Carol L; Diercks Deborah B; Hollander Judd E; Nicks Bret A; Nishijima Daniel K; Stiffler Kirk A; Storrow Alan B; Wilber Scott T; Sun Benjamin C
Description
An account of the resource
OBJECTIVES: Syncope and near-syncope are common in patients with dementia and a leading cause of emergency department (ED) evaluation and subsequent hospitalization. The objective of this study was to describe the clinical trajectory and short-term outcomes of patients who presented to the ED with syncope or near-syncope and were assessed by their ED provider to have dementia. METHODS: This multisite prospective cohort study included patients 60 years of age or older who presented to the ED with syncope or near-syncope between 2013 and 2016. We analyzed a subcohort of 279 patients who were identified by the treating ED provider to have baseline dementia. We collected comprehensive patient-level, utilization, and outcomes data through interviews, provider surveys, and chart abstraction. Outcome measures included serious conditions related to syncope and death. RESULTS: Overall, 221 patients (79%) were hospitalized with a median length of stay of 2.1 days. A total of 46 patients (16%) were diagnosed with a serious condition in the ED. Of the 179 hospitalized patients who did not have a serious condition identified in the ED, 14 (7.8%) were subsequently diagnosed with a serious condition during the hospitalization, and an additional 12 patients (6.7%) were diagnosed postdischarge within 30 days of the index ED visit. There were seven deaths (2.5%) overall, none of which were cardiac-related. No patients who were discharged from the ED died or had a serious condition in the subsequent 30 days. CONCLUSIONS: Patients with perceived dementia who presented to the ED with syncope or near-syncope were frequently hospitalized. The diagnosis of a serious condition was uncommon if not identified during the initial ED assessment. Given the known iatrogenic risks of hospitalization for patients with dementia, future investigation of the impact of goals of care discussions on reducing potentially preventable, futile, or unwanted hospitalizations while improving goal-concordant care is warranted.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/acem.13414" target="_blank" rel="noreferrer noopener">10.1111/acem.13414</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
2018
80 and over
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Adler David H
Aged
Bastani Aveh
Baugh Christopher W
Caterino Jeffrey M
Clark Carol L
Dementia – Diagnosis – In Old Age
Dementia – Risk Factors
Dementia – Therapy
Department of Emergency Medicine
Diercks Deborah B
Emergency
Gibson Tommy A
Holden Timothy R
Hollander Judd E
Human
Iatrogenic Disease
Inpatients
interviews
Length of Stay
Malveau Susan E
Middle Age
NEOMED College of Medicine
Nicks Bret A
Nishijima Daniel K
Office Visits
Outcome Assessment
Outcomes (Health Care)
Patient Assessment
Patient Discharge
Physicians
Prospective Studies
Shah Manish N
Stiffler Kirk A
Storrow Alan B
Sun Benjamin C
Surveys
Syncope – Diagnosis
Syncope – In Old Age
Syncope – Mortality
Weiss Robert E
Wilber Scott T
Yagapen Annick N