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

为弱势长者进行健康评估以协助他们撤离的策略 疗养院和辅助生活设施（SAFE HAVEN II研究 项目总结/摘要 超过12，000名养老院居民和超过12，000名辅助生活居民被疏散 从德克萨斯州和佛罗里达的设施在飓风哈维和厄玛。老年人尤其 在灾难期间容易受到伤害，因为他们患有痴呆症等医学合并症， 和功能障碍。灾难中的一个基本问题是是否撤离 当地居民或避难所。我们之前对疗养院（NH）居民结果的检查 2005年至2008年的海湾飓风后， 在风暴过后的几个月里，那些被疏散的人遭受了更大的痛苦， 发病率和死亡率相比，那些谁庇护到位。然而，对 2017年8月和9月的飓风哈维和伊尔玛表明， 我们在对海湾战争的反应中首次观察到的长期护理疏散趋势 十年前的暴风雨它表明需要更多的证据来告知所创建的策略 在灾难中保护脆弱的NH居民。特别需要研究以下方面的影响： 援助生活（AL）社区的灾难，其中几乎没有证据表明， 灾害对居民健康和安全的影响。本研究提案的总体目标是 了解更多关于飓风紧急情况下的疏散与避难的信息。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。我们的提案审查了飓风对NH居民的影响（Aim 1）。它 利用一种新的方法来确定AL居民开发我们的团队通过最近的 NIA R21并审查其结果（目标2）。它考察了AL的经验 管理人员，以更好地了解疏散和庇护的影响，在这些地方 社区（目标3）。这将是首批了解灾害对人类影响的研究之一。 不断增长的人口。这项建议是对最近发生的灾害作出的迅速反应， 确保在事件新鲜时收集适当和及时的数据，并指导 灾害规划者和响应者努力保护日益脆弱的NH和AL 居民在未来的灾难中受到伤害。

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.