Evidence map›Paper›PMID 39208871›Full record

ArticleJournal of the American Medical Directors Association2024

Impact of Extreme Weather Events on Health Outcomes of Nursing Home Residents Receiving Post-Acute Care and Long-Term Care: A Scoping Review.

Laila Gad, Olivia J Keenan, Jessica S Ancker, Mark Aaron Unruh, Hye-Young Jung, Michelle R Demetres, Arnab K Ghosh

Abstract readScoping Review
In one paragraph

Article in Journal of the American Medical Directors Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Laila GadDepartment of Medicine, Weill Cornell Medical College, Cornell University, New York, NY, USA.
Olivia J KeenanDepartment of Medicine, Weill Cornell Medical College, Cornell University, New York, NY, USA.
Jessica S AnckerDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.
Mark Aaron UnruhDepartment of Population Health Sciences, Weill Cornell Medical College, Cornell University, New York, NY, USA.
Hye-Young JungDepartment of Population Health Sciences, Weill Cornell Medical College, Cornell University, New York, NY, USA.
Michelle R DemetresSamuel J. Wood Library & C.V. Starr Biomedical Information Center, Weill Cornell Medicine, New York, NY, USA.
Arnab K GhoshDepartment of Medicine, Weill Cornell Medical College, Cornell University, New York, NY, USA. Electronic address: akg9010@med.cornell.edu.

Funding

Understanding the long-term effects of hurricanes on cardiovascular health and outcomesK08HL163329 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Arnab Kumar Ghosh · 2023 to 2026
$672k
NHLBI NIH HHS K08 HL163329
6 · The paper itself

Abstract

objectivesTo systematically examine the evidence of the association between extreme weather events (EWEs) and adverse health outcomes among short-stay patients undergoing post-acute care (PAC) and long-stay residents in nursing homes (NHs).

designThis is a scoping review. The findings were reported using the Preferred Reporting Items for Systematic Review and Meta-Analysis Extension for Scoping Reviews checklist. SETTINGS AND

participantsStudies published on short-stay PAC and long-stay residents in NHs.

methodsA literature search was performed in 6 databases. Studies retrieved were screened for eligibility against predefined inclusion and exclusion criteria. Studies were qualitatively synthesized based on the EWE, health outcomes, and special populations studied.

resultsOf the 5044 studies reviewed, 10 met our inclusion criteria. All were retrospective cohort studies. Nine studies examined the association between hurricane exposure, defined inconsistently across studies, and PAC patients and long-stay residents in the NH setting in the Southern United States; the other study focused on post-flood risk among North Dakota NH residents. Nine studies focused on long-stay NH residents receiving custodial care, and 1 focused on patients receiving PAC. Outcomes examined were unplanned hospitalization rates and mortality rates within 30 and 90 days and changes in cognitive impairment. Nine studies consistently found an association between hurricane exposure and increased risk of 30- and 90-day mortality compared to unexposed residents. CONCLUSIONS AND IMPLICATIONS: Of the EWEs examined, hurricanes are associated with an increased risk of mortality among long-stay NH residents and those admitted to hospice, and with increased risk of hospitalization for short-stay PAC patients. As the threat of climate-amplified EWEs increases, future studies of NH residents should evaluate the impact of all types of EWEs, and not solely hurricanes, across wider geographic regions, and include longer-term health outcomes, associated costs, and analyses of potential disparities associated with vulnerable populations in NHs.

Indexed as

Extreme WeatherLong-Term CareNursing HomesSubacute CareAgedAged, 80 and overFemaleHumansMaleClimate changehealth outcomeshospitalizationmortalitynursing homesolder adults

Identifiers

PMID39208871
PMCPMC11560733

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.