2024
Association Between Restricting Symptoms and Disability After Critical Illness Among Older Adults.
Jain S, Han L, Gahbauer E, Leo-Summers L, Feder S, Ferrante L, Gill T. Association Between Restricting Symptoms and Disability After Critical Illness Among Older Adults. Critical Care Medicine 2024, 52: 1816-1827. PMID: 39298623, DOI: 10.1097/ccm.0000000000006427.Peer-Reviewed Original ResearchActivities of daily livingAssociated with increased disabilityDaily livingOlder adultsRestricting symptomsInstrumental activities of daily livingCommunity-living older adultsICU hospitalizationMultivariable Poisson regression modelsCommunity-living adultsOlder ICU survivorsAge of participantsPoisson regression modelsSurvive critical illnessCritical illnessQuality of lifeInstrumental activitiesICU survivorsProspective longitudinal studyLength of stayPost-ICUIncreased disabilityMonthly interviewsICU length of stayPre-ICUPopulation‐based estimates of major forms of housing insecurity among community‐living older Americans
Paredes L, Wang Y, Keene D, Gill T, Becher R. Population‐based estimates of major forms of housing insecurity among community‐living older Americans. Journal Of The American Geriatrics Society 2024 PMID: 39229863, DOI: 10.1111/jgs.19167.Peer-Reviewed Original ResearchPoor housing affordabilityPoor housing qualityPoor neighborhood qualityNational Health and Aging Trends StudyPopulation-based estimatesHousing insecurityOlder AmericansOlder adultsImprove social determinants of healthSocial determinants of healthHigh-risk older adultsStudy of Medicare beneficiariesCalculated population-based estimatesImprove social determinantsDeterminants of healthMultidimensional approachPersons of colorHousing affordabilityNeighborhood qualityAdequate housingHousing qualityDementia statusProspective longitudinal studyTrends StudyMedicare beneficiariesChanges in neighborhood disadvantage over the course of 22 years among community‐living older persons
Gill T, Becher R, Leo‐Summers L, Gahbauer E. Changes in neighborhood disadvantage over the course of 22 years among community‐living older persons. Journal Of The American Geriatrics Society 2024 PMID: 39206716, DOI: 10.1111/jgs.19172.Peer-Reviewed Original ResearchArea Deprivation IndexArea deprivation index scoreNeighborhood disadvantageDisadvantaged neighborhoodsOlder personsLongitudinal studies of older personsCommunity-living older personsSocial determinants of healthStudy of older personsCommunity-living personsDeterminants of healthFunctional well-beingCensus block levelSouth central ConnecticutDeprivation indexSocial determinantsFollow-upProspective longitudinal studyWell-beingLongitudinal studyDecile changeCentral ConnecticutNeighborhoodParticipantsPersons
2023
Changes in Restricting Symptoms after Critical Illness among Community-Living Older Adults.
Jain S, Han L, Gahbauer E, Leo-Summers L, Feder S, Ferrante L, Gill T. Changes in Restricting Symptoms after Critical Illness among Community-Living Older Adults. American Journal Of Respiratory And Critical Care Medicine 2023, 208: 1206-1215. PMID: 37769149, PMCID: PMC10868351, DOI: 10.1164/rccm.202304-0693oc.Peer-Reviewed Original ResearchConceptsNeighborhood-level socioeconomic disadvantageCritical illnessIntensive care unitHospital dischargeCommunity-living older adultsOlder adultsOlder ICU survivorsPost-ICU careSocioeconomic disadvantageProspective longitudinal studyQuality of lifeICU admissionICU survivorsCare unitFunctional recoverySymptom managementMultiple symptomsThird monthThree monthsSymptomsIllnessRestricted activityVulnerable subgroupsFirst monthMonthsDistressing symptoms after major surgery among community‐living older persons
Gill T, Han L, Murphy T, Feder S, Gahbauer E, Leo‐Summers L, Becher R. Distressing symptoms after major surgery among community‐living older persons. Journal Of The American Geriatrics Society 2023, 71: 2430-2440. PMID: 37010784, PMCID: PMC10524276, DOI: 10.1111/jgs.18357.Peer-Reviewed Original ResearchConceptsCommunity-living older personsMajor surgeryDistressing symptomsArea Deprivation IndexOlder personsSocioeconomic disadvantageCommunity-living personsTiming of surgeryProspective longitudinal studyYears of ageQuality of lifeSymptom burdenNonelective surgeryPresurgery valuesElective surgeryMultivariable analysisFunctional outcomeNonelective proceduresChronic conditionsSurgerySymptomsProportional increaseMedicaid eligibilityDeprivation indexMonths
2021
The Incidence and Cumulative Risk of Major Surgery in Older Persons in the United States
Becher RD, Vander Wyk B, Leo-Summers L, Desai MM, Gill TM. The Incidence and Cumulative Risk of Major Surgery in Older Persons in the United States. Annals Of Surgery 2021, 277: 87-92. PMID: 34261884, PMCID: PMC8758792, DOI: 10.1097/sla.0000000000005077.Peer-Reviewed Original ResearchConceptsMajor surgeryOlder personsCumulative riskNational HealthCommunity-living older personsHigh-quality surgical careNon-frail groupPopulation-based incidenceService Medicare beneficiariesMedicaid Services dataCumulative risk estimatesProspective longitudinal studyUnited States agesAging Trends StudyGeriatric characteristicsRepresentative incidenceFrail groupAdjusted incidenceGeriatric populationProbable dementiaSurgical carePersons 85Medicare beneficiariesSurgeryVulnerable subgroups