The research component will focus on two common, morbid, and costly clinical syndromes central to gerontology: hip fracture and delirium. The proposed project is a randomized controlled trial in elderly patients undergoing hip fracture repair at BWH with 2 major hypotheses: 1) proactive geriatrics consultation starting on admission can prevent delirium, or reduce its severity and duration; and 2) this reduction of delirium will result in decreased morbidity, improved function, and reduced resource utilization.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Clinical Investigator Award (CIA) (K08)
Project #
7K08AG000648-05
Application #
2748474
Study Section
Biological and Clinical Aging Review Committee (BCA)
Project Start
1994-08-15
Project End
1999-07-31
Budget Start
1998-08-01
Budget End
1999-07-31
Support Year
5
Fiscal Year
1998
Total Cost
Indirect Cost
Name
Hebrew Rehabilitation Center for Aged
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02131
Marcantonio, Edward; Ta, Timothy; Duthie, Edmund et al. (2002) Delirium severity and psychomotor types: their relationship with outcomes after hip fracture repair. J Am Geriatr Soc 50:850-7
Marcantonio, E R; Flacker, J M; Wright, R J et al. (2001) Reducing delirium after hip fracture: a randomized trial. J Am Geriatr Soc 49:516-22
Marcantonio, E R; Flacker, J M; Michaels, M et al. (2000) Delirium is independently associated with poor functional recovery after hip fracture. J Am Geriatr Soc 48:618-24
Marcantonio, E R; McKean, S; Goldfinger, M et al. (1999) Factors associated with unplanned hospital readmission among patients 65 years of age and older in a Medicare managed care plan. Am J Med 107:13-7
Marcantonio, E R; Michaels, M; Resnick, N M (1998) Diagnosing delirium by telephone. J Gen Intern Med 13:621-3