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Chelsea Rebecca Perfect

Medical Instructor in the Department of Medicine
Medicine, Geriatrics and Palliative Care
Box 90047, Durham, NC 27708-0047
40 Medicine Circle, Room 3504, Blue Zone, Durham, NC 27710

Selected Publications


Falls Among Individuals With Systemic Lupus Erythematosus: An Observational Study.

Journal Article ACR Open Rheumatol · September 2025 OBJECTIVE: Systemic lupus erythematosus (SLE) is thought to accelerate the aging process. However, there is limited research on geriatric syndromes, such as falls, in this potentially vulnerable population. This study aimed to describe the prevalence of an ... Full text Link to item Cite

Geriatrics-Focused vs Traditional Primary Care in the Veterans Affairs Health Care System.

Journal Article JAMA Netw Open · January 2, 2025 IMPORTANCE: Older adults often require specialized health care expertise, but the effects of geriatrics-focused models of primary care have not been fully evaluated. OBJECTIVE: To compare the effects of geriatrics-focused primary care vs traditional primar ... Full text Link to item Cite

Point-of-Care Ultrasound in Post-acute and Long-Term Care: A Scoping Review.

Journal Article J Am Med Dir Assoc · January 2025 OBJECTIVES: Point-of-care ultrasound (POCUS) is an emerging application of ultrasonography that is being integrated into patient care in many medical specialties. The post-acute and long-term care (PALTC) setting has opportunities to adopt POCUS as a diagn ... Full text Link to item Cite

Frailty Explains Variation in Emergency Department Use for Older Veterans During the COVID-19 Pandemic.

Journal Article J Geriatr Emerg Med · July 29, 2024 INTRODUCTION: Older adults were critically vulnerable to disruptions in health care during the COVID-19 pandemic, but it is not known if changes in ED utilization varied based on patient characteristics. Using a cohort of older Veterans, we examined change ... Full text Link to item Cite

Are Geriatrics-Focused Primary Care Clinics Better at Diagnosing Dementia Than Traditional Clinics? A Matched Cohort Study.

Journal Article J Gen Intern Med · September 2023 BACKGROUND: Dementia and mild cognitive impairment (MCI) are prevalent but underdiagnosed. OBJECTIVE: To compare new dementia/MCI diagnosis rates in geriatrics-focused primary care clinics and traditional primary care clinics. DESIGN: Secondary analysis of ... Full text Link to item Cite

Geriatrics Scholarly Concentration Programs Among U.S. Medical Schools.

Journal Article J Am Geriatr Soc · September 2020 OBJECTIVES: To identify and describe geriatric scholarly concentration programs (GSCPs) among U.S. medical schools. DESIGN: Survey and interview. SETTING: Allopathic and osteopathic medical schools in the United States. PARTICIPANTS AND METHODS: We used a ... Full text Link to item Cite

A systematic review of clinical guidelines on the management of acute, community-acquired CNS infections.

Journal Article BMC Med · September 6, 2019 BACKGROUND: The epidemiology of CNS infections in Europe is dynamic, requiring that clinicians have access to up-to-date clinical management guidelines (CMGs) to aid identification of emerging infections and for improving quality and a degree of standardis ... Full text Link to item Cite