Association between sedating medications and delirium in older inpatients.

Objectives: To examine the association between Beers criteria sedative medications and delirium in a large cohort of hospitalized elderly adults with common medical conditions.

Design: Retrospective cohort and nested case-control studies.

Setting: 374 U.

Access to subspecialty care for patients with mobility impairment: a survey.

Background: Adults who use wheelchairs have difficulty accessing physicians and receive less preventive care than their able-bodied counterparts.

Objective: To learn about the accessibility of medical and surgical subspecialist practices for patients with mobility impairment.

Design: A telephone survey was used to try to make an appointment for a fictional patient who was obese and hemiparetic, used a wheelchair, and could not self-transfer from chair to examination table.

Income inequality and 30 day outcomes after acute myocardial infarction, heart failure, and pneumonia: retrospective cohort study.

Objectives: To examine the association between income inequality and the risk of mortality and readmission within 30 days of hospitalization.

Design: Retrospective cohort study of Medicare beneficiaries in the United States. Hierarchical, logistic regression models were developed to estimate the association between income inequality (measured at the US state level) and a patient's risk of mortality and readmission, while sequentially controlling for patient, hospital, other state, and patient socioeconomic characteristics.

Patterns of obstetric infection rates in a large sample of US hospitals.

Objective: Maternal infection is a common complication of childbirth, yet little is known about the extent to which infection rates vary among hospitals. We estimated hospital-level risk-adjusted maternal infection rates (RAIR) in a large sample of US hospitals and explored associations between RAIR and select hospital features.

Study Design: This retrospective cohort study included hospitals in the Perspective database with >100 deliveries over 2 years.

Using tailored telephone counseling to accelerate the adoption of colorectal cancer screening.

Background: Few interventions to increase colorectal cancer screening have used a stage of change model to promote screening adoption. None have used computer-assisted tailored telephone counseling calls. This study's purpose was to implement and evaluate stage-based computer-assisted tailored telephone counseling to promote colorectal cancer screening in a primary care population.