R June
University Of Pittsburgh At Pittsburghcity: Pittsburgh country: United States (us)
Grant 5R01NR012459-02 from National Institute Of Nursing Research
Keywords: Accident and Emergency department; Acute; Age; aged; Aging; American; Assertiveness; Back; base; Body Composition; Caring; Cessation of life; Chronic; Clinical; cognitive function; cohort; Communities; Complex; Data; Decision Making; design; Distress; Elderly; end of life; Face; Family; follow-up; Frequencies (time pattern); Goals; Health; Health care facility; health care service utilization; Healthcare; high risk; hospice environment; Hospitalization; Hospitals; improved; Interview; Life; Medical; Methodology; Methods; Nursing Homes; Onset of illness; Outcome; outcome forecast; Participant; Persons; Physical Function; Physicians; Population; population based; preference; proband; prospective; Prospective Studies; public health medicine (field); public health relevance; Race; Recovery; Research; Respondent; Risk; Sampling; Severities; Socioeconomic Status; Source; Specific qualifier value; Symptoms; Telephone; Time; United States National Institutes of Health; Variant
Relevance: NARRATIVE 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
Project start date: 2010-12-23
Project end date: 2015-11-30
Budget start date: 6-DEC-2011
Budget end date: 30-NOV-2012
5R01NR012459-02 (2012): $483221
Sponsored Links Excellgen http://Excellgen.com
Grants awarded to R June
R June, Professor
University Of Pittsburgh At Pittsburghcity: Pittsburgh country: United States (us)
Grant 1R01NR012459-01 from National Institute Of Nursing Research
Abstract: 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. 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
Keywords: Accident and Emergency department; Acute; Age; aged; Aging; American; Assertiveness; Back; base; Body Composition; Caring; Cessation of life; Chronic; Clinical; cognitive function; cohort; Communities; Complex; Data; Decision Making; design; Distress; Elderly; end of life; Face; Family; follow-up; Frequencies (time pattern); Goals; Health; Health care facility; health care service utilization; Healthcare; high risk; hospice environment; Hospitalization; Hospitals; improved; Interview; Life; Medical; Methodology; Methods; Nursing Homes; Onset of illness; Outcome; outcome forecast; Participant; Persons; Physical Function; Physicians; Population; population based; preference; proband; prospective; Prospective Studies; public health medicine (field); Race; Recovery; Research; Respondent; Risk; Sampling; Severities; Socioeconomic Status; Source; Specific qualifier value; Symptoms; Telephone; Time; United States National Institutes of Health; Variant
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
Project start date: 2010-12-23
Project end date: 2015-11-30
Budget start date: 23-DEC-2010
Budget end date: 30-NOV-2011
PFA/PA: PA-10-067
1R01NR012459-01 (2011): $707379