The effects of evacuation on nursing home residents with dementia.
The effects of evacuation on nursing home residents with dementia.
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DOI：
10.1177/1533317512454709
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发表时间：
2012-09
期刊：
影响因子：
--
通讯作者：
Mor V
中科院分区：
文献类型：
--
作者：
Brown LM;Dosa DM;Thomas K;Hyer K;Feng Z;Mor V
为了应对与飓风有关的养老院居民死亡，在风暴威胁下撤离的设施数量稳步增加。这项研究探讨了古斯塔夫飓风期间疏散对认知受损居民的影响。确定了位于古斯塔夫飓风路径上的各县的疗养院。最小数据集居民评估文件与医疗保险中心登记文件合并，以确定居民在指定设施中的死亡日期。差异中的差异分析进行调整居民的人口统计学特征和敏锐度。该数据集包括21，255名居住在119个风险养老院的居民，为期三年。与风暴前两年相比，在30天内死亡人数增加了2.8%，在90天内死亡人数增加了3.9%，这些居民因飓风古斯塔夫而撤离，控制了居民人口统计数据和敏锐度。这项研究的结果揭示了疏散对患有严重痴呆症的居民的有害影响。需要制定和测试干预措施，以确定在除撤离设施外别无选择的情况下保护这一高危人群的最佳方法。
In response to the hurricane-related deaths of nursing home residents, there has been a steady increase in the number of facilities that evacuate under storm threat. This study examined the effects of evacuation during Hurricane Gustav on residents who were cognitively impaired. Nursing homes in counties located in the path of Hurricane Gustav were identified. The Minimum Data Set resident assessment files were merged with the Centers for Medicare enrollment file to determine date of death for residents in identified facilities. Difference-in-differences analyses were conducted adjusting for residents’ demographic characteristics and acuity. The dataset included 21,255 residents living in 119 at risk nursing homes over three years of observation. Relative to the two years before the storm, there was a 2.8 percent increase in death at 30 days and a 3.9 percent increase in death at 90 days for residents with severe dementia who evacuated for Hurricane Gustav, controlling for resident demographics and acuity. The findings of this research reveal the deleterious effects of evacuation on residents with severe dementia. Interventions need to be developed and tested to determine the best methods for protecting this at risk population when there are no other options than to evacuate the facility.
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影响因子：
2.1
作者：
Gass, K A;Gaustad, G;Hughes, S
通讯作者：
Hughes, S
影响因子：
12.7
作者：
Laditka, Sarah B.;Laditka, James N.;Richter, Jane V. E.
通讯作者：
Richter, Jane V. E.
DOI：
10.1146/annurev-clinpsy-032210-104526
发表时间：
2011-01-01
影响因子：
18.4
作者：
Bonanno, George A.;Westphal, Maren;Mancini, Anthony D.
通讯作者：
Mancini, Anthony D.
影响因子：
1.4
作者：
Brown, Lisa M.;Hyer, Kathryn;Polivka-West, LuMarie
通讯作者：
Polivka-West, LuMarie
影响因子：
2.2
作者：
Laditka, Sarah B.;Laditka, James N.;Richter, Jane V. E.
通讯作者：
Richter, Jane V. E.