WILSON JACOB FILHO
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Clínica Médica, Faculdade de Medicina - Docente
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/66, Hospital das Clínicas, Faculdade de Medicina - Líder
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/66, Hospital das Clínicas, Faculdade de Medicina - Líder
35 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 35
conferenceObject Fog ahead: delirium and post-discharge cognitive impairment in severe COVID-19.(2020) AVELINO-SILVA, T.; GARCEZ, F.; DIAS, M.; JACOB-FILHO, W.; ALIBERTI, M.conferenceObject Comparative analysis of formulas for estimation of glomerular filtration rates among hospitalized older adults.(2015) MOREIRA FILHO, O. G.; AVELINO-SILVA, T. J.; DIAS, C. B.; ARAUJO, J. S.; REGO, H. B.; JACOB-FILHO, W.conferenceObject Relation of Adherence and Therapeutic Complexity with the Risk of Hospitalization in the Elderly with Acute Condition: prospective cohort study.(2018) BOTEON, E.; ALIBERTI, M. J.; JACOB-FILHO, W.- LEARNING TO READ IN OLDER AGE IMPROVES COGNITIVE PERFORMANCE: FINDINGS FROM A PROSPECTIVE OBSERVATIONAL STUDY(2014) SILVA, Eduardo Marques da; APOLINARIO, Daniel; MAGALDI, Regina Miksian; BENNETT, David A.; NITRINI, Ricardo; JACOB FILHO, Wilson; FARFEL, Jose Marcelo
- Implementing the Objective Structured Clinical Examination (OSCE) in a Geriatrics Fellowship Program - a three-year experience(2012) AVELINO-SILVA, T. J.; GIL, L. A.; LIN, S. M.; FARIAS, L. L.; KIKUCHI, E. L.; SUEMOTO, C. K.; JACOB-FILHO, W.Background: The Objective Structured Clinical Examination (OSCE) appears to be an effective alternative for assessing not only medical knowledge, but also clinical skills, including effective communication and physical examination skills. Our purpose was to implement an OSCE model in a Geriatrics fellowship program and to compare the instrument with traditional essay examination. Methods: Seventy first- and second-year geriatric fellows were initially submitted to a traditional essay examination and scored from 0 to 10 by a faculty member. Subsequently, the same fellows underwent an OSCE with eight ten-minute stations, covering a wide range of essential aspects of geriatric knowledge. Each OSCE station had an examiner responsible for its evaluation according to a predefined checklist. Checklist items were classified for analysis purposes as clinical knowledge items (CKI) and communication skills items (CSI); student responses were scored 0-10. Results: While essay exams took from 30 to 45 minutes to complete, 180 to 200 minutes were required to evaluate students using the proposed OSCE method. Students scored an average of 6.2 ± 1.2 on the traditional essay examination versus 6.6±1.0 on the OSCE(p<0.001). Sub-analyses of OSCE scores indicated that average performance on CKI was lower than the average on CSI (6.4±1.1 vs.8.4±1.1; p<0.001). Students’ performance on the essay exam was similar to their performance on CKI (p=0.13). Second-year fellows performed better than first-year fellows on both the essay exam (p<0.001) and CKI (p=0.05), but not on CSI (p=0.25). Conclusion: The OSCE was successfully implemented as an educational strategy during our Geriatrics fellowship program. Combining different testing modalities may provide the best assessment of competence for various domains of knowledge, skills, and behavior comparison of first and second-year fellows’ performance on traditional essay examination and OSCE.
- Targeted Geriatric Assessment for Fast-Paced Healthcare Settings: Development, Validity, and Reliability(2018) ALIBERTI, Marlon J. R.; APOLINARIO, Daniel; SUEMOTO, Claudia K.; MELO, Juliana A.; FORTES-FILHO, Sileno Q.; SARAIVA, Marcos D.; TRINDADE, Carolina B.; COVINSKY, Kenneth E.; JACOB-FILHO, WilsonObjectivesTo develop and examine the validity and reliability of a targeted geriatric assessment (TaGA) for busy healthcare settings. DesignThe TaGA was developed through the consensus of experts (Delphi technique), and we investigated its construct validity and reliability in a cross-sectional study. SettingGeriatric day hospital specializing in acute care in Brazil. ParticipantsOlder adults (N = 534) aged 79.5 8.4, 63% female, consecutively admitted to the geriatric day hospital. MeasurementsThe Frailty Index (FI), Physical Frailty Phenotype, and Identification of Seniors at Risk (ISAR) were used to explore the TaGA's validity. External scales were used to investigate the validity of each matched TaGA domain. The interrater reliability and time to complete the instrument were tested in a 53-person subsample. ResultsIn 3 rounds of opinion, experts achieved consensus that the TaGA should include 10 domains (social support, recent hospital admissions, falls, number of medications, basic activities of daily living, cognitive performance, self-rated health, depressive symptoms, nutritional status, gait speed). They arrived at sufficient agreement on specific tools to assess each domain. A single numerical score from 0 to 1 expressed the cumulative deficits across the 10 domains. The TaGA score was highly correlated with the FI (Spearman coefficient = 0.79, 95% confidence interval (CI)=0.76-0.82) and discriminated between frail and nonfrail individuals better than the ISAR (area under the receiver operating characteristic curve 0.84 vs 0.72; P < .001). The TaGA score also had excellent interrater reliability (intraclass correlation coefficient = 0.92, 95% CI=0.87-0.95). Mean TaGA administration time was 9.5 +/- 2.2 minutes. ConclusionThe study presents evidence supporting the TaGA's validity and reliability. This instrument may be a practical and efficient approach to screening geriatric syndromes in fast-paced healthcare settings. Future research should investigate its predictive value and effect on care.
conferenceObject Prognostic effect of delirium superimposed on dementia in hospitalized older adults: a prospective cohort study(2016) AVELINO-SILVA, T. J.; CURIATI, J. A.; CAMPORA, F.; JACOB-FILHO, W.conferenceObject Prognostic effects of delirium motor subtypes in hospitalized older adults: a prospective cohort study(2016) AVELINO-SILVA, T. J.; CURIATI, J. A.; CAMPORA, F.; JACOB-FILHO, W.conferenceObject Comprehensive Geriatric Assessment predicts mortality and adverse outcomes in hospitalized older adults(2015) AVELINO-SILVA, T. J.; FARTEL, J. M.; CURIATI, J. A. Esper; AMARAL, J. R. das Gracas; CAMPORA, F.; JACOB-FILHO, W.conferenceObject The very old in the emergency department: frequent visits, hospital admissions and deaths.(2015) AVELINO-SILVA, T. J.; SA, M. M. de Sousa e; GIL, L. A.; JACOB-FILHO, W.; GANEM, F.