End of Life in the Very Old
老人生命的终结
基本信息
- 批准号:8021960
- 负责人:
- 金额:$ 70.74万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2010
- 资助国家:美国
- 起止时间:2010-12-23 至 2015-11-30
- 项目状态:已结题
- 来源:
- 关键词:Accident and Emergency departmentAcuteAgeAgingAmericanAssertivenessBackBody CompositionCaringCessation of lifeChronicClinicalCommunitiesComplexDataDecision MakingDistressElderlyFaceFamilyFrequenciesGoalsHealthHealth care facilityHealthcareHospitalizationHospitalsInterviewLifeMedicalMethodologyMethodsNursing HomesOnset of illnessOutcomeParticipantPersonsPhysical FunctionPhysiciansPopulationProspective StudiesPublic HealthRaceRecoveryResearchRespondentRiskSamplingSeveritiesSocioeconomic StatusSourceSpecific qualifier valueSymptomsTelephoneTimeUnited States National Institutes of HealthVariantagedbasecognitive functioncohortdesignend of lifefollow-uphealth care service utilizationhigh riskhospice environmentimprovedoutcome forecastpopulation basedpreferenceprobandprospective
项目摘要
DESCRIPTION (provided by applicant): A large proportion of deaths in the U.S. involve the very old: people aged 80+ comprise 44% of deaths and people 85+ 29%. Yet little population-based data are available to describe dying, health care choices, and clinical trajectories in persons who have reached very old age. The overriding goal of the proposed study is to provide information on a broad-based sample of elders aged 85+ in order to improve care at the end of life in advanced age. To accomplish this goal, we propose to continue follow-up of participants in the Health, Aging, and Body Composition cohort (Health-ABC), a bi-racial population-based sample that currently numbers about 1600 with an average age of 85. Our prospective study will follow the clinical course of these participants with an in-person baseline assessment and quarterly telephone assessments with participants and their substitute decision makers (SDMs) over 4 years, as well as a follow-back interview with SDMs after respondent deaths. The objectives of the research are to (i) characterize clinical trajectories and risk of death in very old age, (ii) assess participant and SDM decision-making in late life in the presence of very high risk of dying, and (iii) examine predictors of hospitalization and emergency department care in very old age. Expected outcomes and impact include clarification of choices and determinants of levels of care in older people at high risk of dying.
PUBLIC HEALTH RELEVANCE: Little population-based data are available to describe dying, health care choices, and clinical trajectories in persons who have reached very old age. The overriding goal of the proposed study is to provide information on a broad-based sample of elders aged 85+ in order to improve care at the end of life in advanced age. To accomplish this goal, we propose to continue follow- up of participants in the NIH Health, Aging, and Body Composition cohort (Health-ABC) over an additional 3 years. Health ABC is a bi-racial community-based sample from Pittsburgh, PA and Memphis, TN that currently numbers about 1600 with an average age of 85.
描述(由申请人提供):在美国,很大一部分死亡涉及老年人:80 岁以上的人占死亡人数的 44%,85 岁以上的人占 29%。然而,很少有基于人群的数据可以描述高龄人群的死亡、医疗保健选择和临床轨迹。拟议研究的首要目标是提供 85 岁以上老年人的广泛样本信息,以改善高龄临终护理。为了实现这一目标,我们建议继续跟踪健康、衰老和身体成分队列 (Health-ABC) 的参与者,这是一个基于双种族人群的样本,目前约有 1600 人,平均年龄为 85 岁。我们的前瞻性研究将跟踪这些参与者的临床过程,在 4 年内与参与者及其替代决策者 (SDM) 进行面对面的基线评估和季度电话评估,并进行后续访谈 受访者死亡后的 SDM。该研究的目的是(i)描述高龄患者的临床轨迹和死亡风险,(ii)评估参与者和SDM在死亡风险极高的情况下晚年的决策,以及(iii)检查高龄患者住院和急诊科护理的预测因素。预期成果和影响包括澄清高死亡风险老年人的选择和护理水平的决定因素。
公共卫生相关性:很少有基于人群的数据可用于描述高龄人群的死亡、医疗保健选择和临床轨迹。拟议研究的首要目标是提供 85 岁以上老年人的广泛样本信息,以改善高龄临终护理。为了实现这一目标,我们建议继续对 NIH 健康、衰老和身体成分队列 (Health-ABC) 的参与者进行额外 3 年的随访。 Health ABC 是来自宾夕法尼亚州匹兹堡和田纳西州孟菲斯的双种族社区样本,目前约有 1600 人,平均年龄为 85 岁。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Steven M Albert其他文献
Effectiveness of statewide falls prevention efforts with and without group exercise.
有或没有团体锻炼的全州跌倒预防工作的有效性。
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10.1016/j.ypmed.2017.08.010 - 发表时间:
2017 - 期刊:
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Steven M Albert;Jennifer A. King - 通讯作者:
Jennifer A. King
CFWAを用いた深部静脈血栓症における抗凝固治療経過の評価
CFWA评价深静脉血栓抗凝疗程
- DOI:
- 发表时间:
2022 - 期刊:
- 影响因子:0
- 作者:
Kenya Ie;Reiko Machino;Steven M Albert;Shiori Tomita;Mio Kushibuchi;Masanori Hirose;Takahide Matsuda;Chiaki Okuse;Yoshiyuki Ohira;下村大樹;河野紋;吉岡明治 - 通讯作者:
吉岡明治
Potentially Inappropriate Medications and Risk of Hospitalization in Retirees
退休人员潜在的不适当药物和住院风险
- DOI:
- 发表时间:
2010 - 期刊:
- 影响因子:2.8
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Steven M Albert;A. Colombi;J. Hanlon - 通讯作者:
J. Hanlon
凝固波形解析と病態について
关于凝血波形分析和病理情况
- DOI:
- 发表时间:
2022 - 期刊:
- 影响因子:0
- 作者:
Kenya Ie;Reiko Machino;Steven M Albert;Shiori Tomita;Mio Kushibuchi;Masanori Hirose;Takahide Matsuda;Chiaki Okuse;Yoshiyuki Ohira;下村大樹 - 通讯作者:
下村大樹
CFWAを用いた深部静脈血栓症の凝固線溶メカニズムの評価
CFWA评价深静脉血栓的凝血纤溶机制
- DOI:
- 发表时间:
2022 - 期刊:
- 影响因子:0
- 作者:
Kenya Ie;Reiko Machino;Steven M Albert;Shiori Tomita;Mio Kushibuchi;Masanori Hirose;Takahide Matsuda;Chiaki Okuse;Yoshiyuki Ohira;下村大樹;河野紋;吉岡明治;森田麻由佳 - 通讯作者:
森田麻由佳
Steven M Albert的其他文献
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{{ truncateString('Steven M Albert', 18)}}的其他基金
Understanding Delayed Access to HIV Prevention Services among Black MSM
了解黑人男男性接触者延迟获得艾滋病毒预防服务的情况
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9244681 - 财政年份:2013
- 资助金额:
$ 70.74万 - 项目类别:
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