Featured Publications
Accuracy of diagnosis and health service codes in identifying frailty in Medicare data
Festa N, Shi SM, Kim DH. Accuracy of diagnosis and health service codes in identifying frailty in Medicare data. BMC Geriatrics 2020, 20: 329. PMID: 32894057, PMCID: PMC7487915, DOI: 10.1186/s12877-020-01739-w.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedCross-Sectional StudiesFrail ElderlyFrailtyGeriatric AssessmentHumansMedicareUnited StatesConceptsClinical frailty indexFrailty indexFrailty phenotypeMedicare dataClaims-based frailty indexDeficit-accumulation frailty indexMethodsThis cross-sectional studyPopulation health management strategiesService Medicare enrollmentHigh-risk patientsAdministrative claims dataCross-sectional studyClinical knowledgeClinical reference standardAccuracy of diagnosisFrailty statusClinical criteriaContinuous feeClinical definitionClaims dataStudy subsampleFrailtyMedicare enrollmentHealth management strategiesHospital bedsComparative utility of frailty to a general prognostic score in identifying patients at risk for poor outcomes after aortic valve replacement
Shi S, Festa N, Afilalo J, Popma JJ, Khabbaz KR, Laham RJ, Guibone K, Kim DH. Comparative utility of frailty to a general prognostic score in identifying patients at risk for poor outcomes after aortic valve replacement. BMC Geriatrics 2020, 20: 38. PMID: 32013890, PMCID: PMC6998298, DOI: 10.1186/s12877-020-1440-4.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAortic ValveAortic Valve StenosisFrailtyHeart Valve Prosthesis ImplantationHumansMalePrognosisProspective StudiesRisk FactorsTreatment OutcomeConceptsAortic valve replacementTranscatheter aortic valve replacementFrailty indexLee indexPoor outcomeValve replacementSAVR cohortTAVR cohortC-statisticFunctional declineSevere symptomsDeficit-accumulation frailty indexSingle academic medical centerProspective cohort studyHighest c-statisticAcademic medical centerBackgroundCurrent guidelinesSAVR patientsTAVR patientsCohort studyGeriatric assessmentOverall cohortPrognostic scoreMedical CenterCohort
2021
Association Between Neighborhood Disadvantage and Functional Well-being in Community-Living Older Persons
Gill TM, Zang EX, Murphy TE, Leo-Summers L, Gahbauer EA, Festa N, Falvey JR, Han L. Association Between Neighborhood Disadvantage and Functional Well-being in Community-Living Older Persons. JAMA Internal Medicine 2021, 181: 1297-1304. PMID: 34424276, PMCID: PMC8383163, DOI: 10.1001/jamainternmed.2021.4260.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedFemaleFunctional StatusHealthy Life ExpectancyHousing QualityHumansIndependent LivingLongitudinal StudiesMaleMental HealthNeighborhood CharacteristicsPrognosisPsychosocial FunctioningQuality of LifeSocial Determinants of HealthSocioeconomic FactorsUnited StatesConceptsProspective longitudinal cohort studyCommunity-living older personsAge 70 yearsActive life expectancyLongitudinal cohort studyOlder personsCohort studyPrognostic factorsLife expectancyArea deprivation index scoreCommunity-living personsPrecipitating Events ProjectDeprivation index scoreDisabled life expectancyAge 90 yearsArea Deprivation IndexPublic health initiativesPublic health interventionsNeighborhood disadvantageGreater percentageResource-poor environmentsIndividual-level socioeconomic characteristicsMean ageMAIN OUTCOMEDaily living