Strategic Approach to Facilitating Evacuation by Health Assessment of Vulnerable Elderly in Nursing Homes II (SAFE HAVEN II)

通过对疗养院弱势老年人进行健康评估促进疏散的战略方法 II (SAFE HAVEN II)

• 批准号: 9764217
• 负责人: Kathryn Hyer
• 金额: $ 55.62万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2021-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9764217
• 关键词: Address; Administrator; Aging; American; Area; Assisted Living Facilities; Attention; Beds; Cessation of life; Characteristics; Communities; Comorbidity; County; Data; Dementia; Disaster Planning; Disasters; Elderly; Elements; Emergency Situation; Ensure; Event; Florida; Focus Groups; Future; Goals; Health; Health care facility; Home environment; Hospitalization; Hurricane; Impaired cognition; Injury; Interview; Long-Term Care; Louisiana; Medical; Medicare; Methodology; Mississippi; Morbidity - disease rate; Natural Disasters; Nursing Homes; Older Population; Outcome; Policies; Population; Readiness; Regulation; Research; Research Proposals; Safety; Shelter facility; Surveys; Texas; Time; Vulnerable Populations; Work; community living; evidence base; experience; functional disability; health assessment; high risk; innovation; mortality; novel; residential care facility; response; trend

Strategic Approach to Facilitating Evacuation by Health Assessment of Vulnerable Elderly in Nursing Home and Assisted Living Facilities (SAFE HAVEN II Study PROJECT SUMMARY/ABSTRACT Over 12,000 nursing home residents and over 12,000 assisted living residents were evacuated from Texas and Florida facilities during Hurricanes Harvey and Irma. Older adults are especially vulnerable to harm during disasters because of their medical comorbidities, such as dementia, and functional impairments. A fundamental question in disasters is whether to evacuate residents or shelter in place. Our prior examinations of nursing home (NH) resident outcomes after the Gulf hurricanes from 2005-08 showed that significant morbidity and mortality occurred in the months following the storms, and that those who were evacuated suffered greater morbidity and mortality compared to those who sheltered in place. However, the response to Hurricanes Harvey and Irma in August and September of 2017 suggest a continuation of the trend toward long-term care evacuations that we first observed in the response to the Gulf storms a decade ago. It demonstrates a need for additional evidence to inform policies created to protect vulnerable NH residents in disasters. A particular need exists to examine the effect of disasters on assisted living (AL) communities, for which little evidence exists concerning the effect of disasters on resident health and safety. The overall goal of this research proposal is to understand more about evacuation vs. sheltering in place during hurricane emergencies. It includes an examination of the impact of doing one or the other on NH and AL resident mortality and morbidity. Our proposal examines the effect of the hurricanes on NH residents (Aim1). It utilizes a novel methodology to identify AL residents developed by our team through a recent NIA R21 and to examine their outcomes (Aim 2). It examines the experiences of AL administrators to better understand the impact of evacuation and sheltering in place in those communities (Aim 3). It will be among the first studies to understand the impact of disasters on the growing AL population. This proposal represents a rapid response to the recent disasters to ensure that appropriate and timely data are collected while events are fresh, and to guide disaster planners and responders in efforts to protect increasingly vulnerable NH and AL residents from harm in future disasters.

通过对弱势老年人的健康评估促进疏散的战略方法 疗养院和辅助生活设施（Safe Haven II研究 项目摘要/摘要 超过12,000名养老院居民和超过12,000多名辅助居民被撤离 来自德克萨斯州和佛罗里达州哈维和艾尔玛期间的设施。特别是老年人 由于其医学合并症，例如痴呆，容易受到伤害的伤害， 和功能障碍。灾难中的一个基本问题是是否撤离 居民或庇护所。我们先前对疗养院（NH）居民成果的考试 从2005 - 08年开始，海湾飓风表明发生了明显的发病率和死亡率 在暴风雨后的几个月中，那些被撤离的人遭受了更大的痛​​苦 与庇护到位的人相比，发病率和死亡率。但是，对 2017年8月和9月，Harvey和Irma飓风表明继续 我们在对海湾的反应中首先观察到的长期护理疏散的趋势 十年前暴风雨。它表明需要其他证据来告知创建的政策 保护灾难中脆弱的NH居民。特定的需要检查 关于辅助生活（AL）社区的灾难，几乎没有证据 灾难对居民健康和安全的影响。该研究建议的总体目标是 了解有关在飓风紧急情况下疏散与庇护所的更多信息。它 包括检查一个或另一个对NH和AL居民死亡率的影响 和发病率。我们的建议研究了飓风对NH居民的影响（AIM1）。它 利用一种新颖的方法来识别我们团队开发的AL居民通过最近的一个 NIA R21并检查其结果（AIM 2）。它检查了Al的经历 管理员更好地了解疏散和庇护所的影响 社区（目标3）。这将是最早了解灾难对 人口不断增长。该提议代表了对最近的灾难的快速回应 确保在事件新鲜时收集适当和及时的数据，并指导 灾难计划者和响应者为保护日益脆弱的NH和AL努力 未来灾难中造成伤害的居民。