2018
Functional Trajectories Before and After Major Surgery in Older Adults
Stabenau HF, Becher RD, Gahbauer EA, Leo-Summers L, Allore HG, Gill TM. Functional Trajectories Before and After Major Surgery in Older Adults. Annals Of Surgery 2018, 268: 911-917. PMID: 29356710, PMCID: PMC6521949, DOI: 10.1097/sla.0000000000002659.Peer-Reviewed Original ResearchConceptsMajor surgeryNonelective surgeryFunctional trajectoriesSevere disabilityOlder adultsCourse of disabilityFirst major surgeryPersons 70 yearsProspective cohort studyCohort studyFunctional prognosisModerate disabilityPartial improvementSurgeryPremorbid functionOlder personsStudy periodAnalytic sampleLittle improvementRapid improvementTrajectory groupsMild disabilityMost participantsDisabilityGradual improvement
2016
Sex Differences in Concomitant Trajectories of Self-Reported Disability and Measured Physical Capacity in Older Adults
Botoseneanu A, Allore HG, de Leon C, Gahbauer EA, Gill TM. Sex Differences in Concomitant Trajectories of Self-Reported Disability and Measured Physical Capacity in Older Adults. The Journals Of Gerontology Series A 2016, 71: 1056-1062. PMID: 27071781, PMCID: PMC4945890, DOI: 10.1093/gerona/glw038.Peer-Reviewed Original ResearchConceptsSelf-reported disabilityShort Physical Performance Battery scorePhysical Performance Battery scoreGrip strengthPhysical capacityFunctional statusBattery scoreShort Physical Performance BatterySelf-reported functional statusChronic disease statusPhysical Performance BatteryWeak grip strengthPrecipitating Events ProjectHealth risk factorsSex-specific comparisonsAge-related declineFunctional indicatorsDisability ScaleRisk factorsOlder womenPerformance BatterySociodemographic characteristicsOlder adultsDisabilityWomen
2015
The role of intervening hospital admissions on trajectories of disability in the last year of life: prospective cohort study of older people
Gill TM, Gahbauer EA, Han L, Allore HG. The role of intervening hospital admissions on trajectories of disability in the last year of life: prospective cohort study of older people. The BMJ 2015, 350: h2361. PMID: 25995357, PMCID: PMC4443433, DOI: 10.1136/bmj.h2361.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedCohort StudiesConnecticutDementiaDisability EvaluationDisabled PersonsDisease ProgressionFemaleFrail ElderlyGeriatric AssessmentHospitalizationHumansMaleMultiple Organ FailureNeoplasmsPrognosisProspective StudiesSeverity of Illness IndexTerminal CareUnited StatesConceptsCourse of disabilityProspective cohort studyHospital admissionTrajectories of disabilitySeverity of disabilityCatastrophic disabilitySevere disabilityCohort studyAcute hospital admissionPalliative care approachMultiple hospital admissionsAdvance care planningPersonal care needsEnd of lifeDisability scoresOlder patientsPotential confoundersOccurrence of admissionMultivariable modelCare planningMAIN OUTCOMECare approachDaily livingCare needsAdmissionFunctional Trajectories Among Older Persons Before and After Critical Illness
Ferrante LE, Pisani MA, Murphy TE, Gahbauer EA, Leo-Summers LS, Gill TM. Functional Trajectories Among Older Persons Before and After Critical Illness. JAMA Internal Medicine 2015, 175: 523-529. PMID: 25665067, PMCID: PMC4467795, DOI: 10.1001/jamainternmed.2014.7889.Peer-Reviewed Original ResearchConceptsIntensive care unitLong-term mortalityCritical illnessICU admissionModerate disabilityOlder personsMinimal disabilitySevere disabilityFunctional trajectoriesFunctional declineEarly deathProspective cohort studyDay of admissionPersons 70 yearsGoals of careRisk of deathShort-term mortalityGreater New HavenSignificant functional declineICU lengthCohort studyHospital dischargePremorbid disabilityCare unitMechanical ventilation
2014
Disentangling the Disabling Process: Insights From the Precipitating Events Project
Gill TM. Disentangling the Disabling Process: Insights From the Precipitating Events Project. The Gerontologist 2014, 54: 533-549. PMID: 25035454, PMCID: PMC4155452, DOI: 10.1093/geront/gnu067.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsMeSH KeywordsActivities of Daily LivingAgedDisability EvaluationDisabled PersonsFrail ElderlyHumansProblem SolvingConceptsHealth care utilizationPrecipitating Events ProjectPEP studyOlder personsCare utilizationEpidemiology of disabilityCommunity-living personsHome-based assessmentFrequency of assessmentDisability episodeEnd of lifeFunctional statusDaily livingOngoing longitudinal studyMedicare dataDisabling processEffective interventionsLonger durationLongitudinal studyDisabilityRecent linkageEvents ProjectPersonsSymptomsMorbid
2010
Trajectories of Disability in the Last Year of Life
Gill TM, Gahbauer EA, Han L, Allore HG. Trajectories of Disability in the Last Year of Life. New England Journal Of Medicine 2010, 362: 1173-1180. PMID: 20357280, PMCID: PMC2877372, DOI: 10.1056/nejmoa0909087.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAged, 80 and overBayes TheoremCause of DeathDisability EvaluationDisabled PersonsDisease ProgressionHumansLongitudinal StudiesConceptsCourse of disabilityDisability trajectoriesOrgan failureAdvanced dementiaSudden deathOlder personsSevere disabilityCommunity-dwelling older personsTrajectories of disabilityLevel of disabilityCatastrophic disabilityEnd of lifeProgressive disabilityFunctional statusDeath certificatesCommon conditionBaseline assessmentPredominant trajectoriesMonthly interviewsDeathDisabilityLongitudinal studyDementiaFrailtyDecedents
2006
Effects of a Physical Activity Intervention on Measures of Physical Performance: Results of the Lifestyle Interventions and Independence for Elders Pilot (LIFE-P) Study
Pahor M, Blair S, Espeland M, Fielding R, Gill T, Guralnik J, Hadley E, King A, Kritchevsky S, Maraldi C, Miller M, Newman A, Rejeski W, Romashkan S, Studenski S. Effects of a Physical Activity Intervention on Measures of Physical Performance: Results of the Lifestyle Interventions and Independence for Elders Pilot (LIFE-P) Study. The Journals Of Gerontology Series A 2006, 61: 1157-1165. PMID: 17167156, DOI: 10.1093/gerona/61.11.1157.Peer-Reviewed Original ResearchConceptsShort Physical Performance BatteryPhysical activity interventionsSPPB scoreMobility disabilityActivity interventionsPA interventionsPA groupBaseline short physical performance batteryComprehensive physical activity interventionModerate-intensity PA interventionElders Pilot StudyStructured PA interventionPhysical performanceDaily living (ADL) disabilityMajor mobility disabilityPhysical Performance BatteryHealth education interventionPhysical performance measuresDistal health outcomesLifestyle interventionSPPB performanceMore distal health outcomesLower incidenceSedentary personsPerformance Battery
2004
Recovery From Disability Among Community-Dwelling Older Persons
Hardy SE, Gill TM. Recovery From Disability Among Community-Dwelling Older Persons. JAMA 2004, 291: 1596-1602. PMID: 15069047, DOI: 10.1001/jama.291.13.1596.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAged, 80 and overDisability EvaluationDisabled PersonsFemaleHumansMaleProspective StudiesRecovery of FunctionTime FactorsConceptsOlder personsADL functionCommunity-dwelling older personsProspective cohort studyMonthly telephone interviewsCommunity-dwelling personsHigh-risk groupDuration of disabilityDuration of recoveryCourse of recoveryLikelihood of recoveryDisability episodeCohort studyMajority of participantsTrue incidenceChronic conditionsPhysical frailtyDaily livingDemographic featuresCognitive functionTelephone interviewsMonthsMonthly assessmentsPertinent subgroupsDisability