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

通过健康评估促进弱势老年人疏散的战略方法 护养院及辅助生活设施(避风港II研究 项目摘要/摘要 12,000多名养老院居民和12,000多名辅助生活居民被疏散 在飓风哈维和伊尔玛期间从德克萨斯州和佛罗里达州的设施。老年人尤其是 在灾难中容易受到伤害，因为他们患有痴呆症等医学并发症， 和功能障碍。灾难中的一个基本问题是是否疏散 居民或避难所就位。我们先前对疗养院(NH)住院结果的检查 在2005-08年的墨西哥湾飓风之后，发生了显著的发病率和死亡率 在风暴之后的几个月里，那些被疏散的人遭受了更大的痛苦 与那些在原地避难的人相比，发病率和死亡率更高。然而，对此的回应 2017年8月和9月的飓风哈维和伊尔玛表明， 我们在对海湾的反应中首次观察到的长期护理后送的趋势 十年前的风暴。它表明需要额外的证据来为制定的政策提供信息 在灾难中保护脆弱的NH居民。有一种特别需要检查的效果 关于辅助生活(AL)社区的灾难，关于这些社区的证据很少 灾害对居民健康和安全的影响。这项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和避难的知识。它 包括一个或另一个对NH和AL居民死亡率的影响的检查 和发病率。我们的提案审查了飓风对NH居民的影响(Aim1)。它 使用一种新的方法来识别AL居民，这是我们团队通过最近的 NIA R21并检查其结果(目标2)。它考察了AL的经历 管理员更好地了解在这些地区进行疏散和避难的影响 社区(目标3)。这将是首批了解灾害对人类健康影响的研究之一 不断增长的AL人口。这一建议代表着对最近的灾难做出的快速反应 确保在事件新鲜时收集适当和及时的数据，并指导 灾难规划者和应急者努力保护日益脆弱的NH和AL 防止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.