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2016 Directory of VA and DoD Facilities
Click here to access the 2016 Directory of VA and DoD Facilities Digital Edition
Table of Contents
- Letter From the Publisher
- Explanatory Notes and Abbreviation Key
- Veterans Integrated Service Network (VISN) Guide / MyVA Regions Guide
- Department of Veterans Affairs Health Care Facilities
- TRICARE Region Guide
- Department of Defense Health Care Facilities
Click here to access the 2016 Directory of VA and DoD Facilities Digital Edition
Table of Contents
- Letter From the Publisher
- Explanatory Notes and Abbreviation Key
- Veterans Integrated Service Network (VISN) Guide / MyVA Regions Guide
- Department of Veterans Affairs Health Care Facilities
- TRICARE Region Guide
- Department of Defense Health Care Facilities
Click here to access the 2016 Directory of VA and DoD Facilities Digital Edition
Table of Contents
- Letter From the Publisher
- Explanatory Notes and Abbreviation Key
- Veterans Integrated Service Network (VISN) Guide / MyVA Regions Guide
- Department of Veterans Affairs Health Care Facilities
- TRICARE Region Guide
- Department of Defense Health Care Facilities
Abstracts Presented at the 2015 AVAHO Annual Meeting
Changing Paradigms in Short Stay Total Joint Arthroplasty
Homozygous Familial Hypercholesterolemia: Role of NPs and PAs in Achieving Optimal Outcomes Using Novel Therapeutic Interventions
Click here to read the supplement.
Click here to read the supplement.
Click here to read the supplement.
Advancing Orthopedic Postsurgical Pain Management & Multimodal Care Pathways: Improving Clinical & Economic Outcomes
Abstracts Presented at the 2014 AVAHO Annual Meeting
Confusion Assessment Method (CAM-S) Evaluates Delirium Severity, Gauges Clinical Outcome
Clinical question: Can a delirium severity score that coincides with clinical outcomes be developed?
Background: Quantification of the severity of delirium is important. Building on the Confusion Assessment Method (CAM) scoring system, the CAM-S was developed to help evaluate the severity of delirium.
Study design: Validation analysis in two independent cohorts.
Setting: Three academic medical centers.
Synopsis: Two cohorts of patients were included. The sample from the SAGES [Successful Aging after Elective Surgery] study included 300 patients aged 70 years or older undergoing major surgery. The sample from the Project Recovery study included 919 medical patients aged 70 years or older. There was a predominance of women in both studies. Patients were excluded if they had delirium or dementia present at baseline, recent hospitalization, a terminal diagnosis, vision and auditory impairment, or inability to speak English. A short, four-item form and 10-item longer form were developed, and scores on forms were correlated with outcomes both in the hospital and after discharge.
A higher severity score in both short and long forms was associated with a higher length of stay, as well as relative risk of death and nursing home residence at 90 days.
Limitations to the study were that all patients in the study were 70 years and older and that the Project Recovery sample used an older data set from 1995-1998.
Bottom line: The CAM-S represents a new delirium severity measurement system; it is associated with several clinical outcomes.
Citation: Inouye SK, Kosar CM, Tommet D, et al. The CAM-S: development and validation of a new scoring system for delirium severity in 2 cohorts. Ann Intern Med. 2014;160(8):526-533.
Clinical question: Can a delirium severity score that coincides with clinical outcomes be developed?
Background: Quantification of the severity of delirium is important. Building on the Confusion Assessment Method (CAM) scoring system, the CAM-S was developed to help evaluate the severity of delirium.
Study design: Validation analysis in two independent cohorts.
Setting: Three academic medical centers.
Synopsis: Two cohorts of patients were included. The sample from the SAGES [Successful Aging after Elective Surgery] study included 300 patients aged 70 years or older undergoing major surgery. The sample from the Project Recovery study included 919 medical patients aged 70 years or older. There was a predominance of women in both studies. Patients were excluded if they had delirium or dementia present at baseline, recent hospitalization, a terminal diagnosis, vision and auditory impairment, or inability to speak English. A short, four-item form and 10-item longer form were developed, and scores on forms were correlated with outcomes both in the hospital and after discharge.
A higher severity score in both short and long forms was associated with a higher length of stay, as well as relative risk of death and nursing home residence at 90 days.
Limitations to the study were that all patients in the study were 70 years and older and that the Project Recovery sample used an older data set from 1995-1998.
Bottom line: The CAM-S represents a new delirium severity measurement system; it is associated with several clinical outcomes.
Citation: Inouye SK, Kosar CM, Tommet D, et al. The CAM-S: development and validation of a new scoring system for delirium severity in 2 cohorts. Ann Intern Med. 2014;160(8):526-533.
Clinical question: Can a delirium severity score that coincides with clinical outcomes be developed?
Background: Quantification of the severity of delirium is important. Building on the Confusion Assessment Method (CAM) scoring system, the CAM-S was developed to help evaluate the severity of delirium.
Study design: Validation analysis in two independent cohorts.
Setting: Three academic medical centers.
Synopsis: Two cohorts of patients were included. The sample from the SAGES [Successful Aging after Elective Surgery] study included 300 patients aged 70 years or older undergoing major surgery. The sample from the Project Recovery study included 919 medical patients aged 70 years or older. There was a predominance of women in both studies. Patients were excluded if they had delirium or dementia present at baseline, recent hospitalization, a terminal diagnosis, vision and auditory impairment, or inability to speak English. A short, four-item form and 10-item longer form were developed, and scores on forms were correlated with outcomes both in the hospital and after discharge.
A higher severity score in both short and long forms was associated with a higher length of stay, as well as relative risk of death and nursing home residence at 90 days.
Limitations to the study were that all patients in the study were 70 years and older and that the Project Recovery sample used an older data set from 1995-1998.
Bottom line: The CAM-S represents a new delirium severity measurement system; it is associated with several clinical outcomes.
Citation: Inouye SK, Kosar CM, Tommet D, et al. The CAM-S: development and validation of a new scoring system for delirium severity in 2 cohorts. Ann Intern Med. 2014;160(8):526-533.
