Explanipedia

Critical Illness, Major Surgery, and Other Hospitalizations and Active and Disabled Life Expectancy Open

Thomas M. Gill, Emma Zang, Linda Leo‐Summers, Evelyne A. Gahbauer, Robert D. Becher , et al. · 2025

Importance Estimates of active and disabled life expectancy, defined as the projected number of remaining years without and with disability in essential activities of daily living, are commonly used by policymakers to forecast the function…

Changes in neighborhood disadvantage over the course of 22 years among community‐living older persons Open

Thomas M. Gill, Robert D. Becher, Linda Leo‐Summers, Evelyne A. Gahbauer · 2024

Background Among older persons, neighborhood disadvantage is a granular and increasingly used social determinant of health and functional well‐being. The frequency of transitions into or out of a disadvantaged neighborhood over time is not…

Changes in Restricting Symptoms after Critical Illness among Community-Living Older Adults Open

Snigdha Jain, Ling Han, Evelyne A. Gahbauer, Linda Leo‐Summers, Shelli L. Feder , et al. · 2023

Rationale: Survivors of critical illness have multiple symptoms, but how restricting symptoms change after critical illness and whether these changes differ among vulnerable subgroups is unknown. Objectives: To evaluate chang…

Relationship Between Distressing Symptoms and Changes in Disability After Major Surgery Among Community-living Older Persons Open

Thomas M. Gill, Ling Han, Shelli L. Feder, Evelyne A. Gahbauer, Linda Leo‐Summers , et al. · 2023

Objectives: To evaluate the relationship between distressing symptoms and changes in disability after major surgery and to determine whether this relationship differs according to the timing of surgery (nonelective vs elective), sex, multi…

Distressing symptoms after major surgery among community‐living older persons Open

Thomas M. Gill, Ling Han, Terrence E. Murphy, Shelli L. Feder, Evelyne A. Gahbauer , et al. · 2023

Background Relatively little is known about how distressing symptoms change among older persons in the setting of major surgery. Our objective was to evaluate changes in distressing symptoms after major surgery and determine whether these …

Factors Associated With Days Away From Home in the Year After Major Surgery Among Community-living Older Persons Open

Thomas M. Gill, Robert D. Becher, Terrence E. Murphy, Evelyne A. Gahbauer, Linda Leo‐Summers , et al. · 2022

Objective: To identify the factors associated with days away from home in the year after hospital discharge for major surgery. Background: Relatively little is known about which older persons are susceptible to spending a disproportionate …

Geriatric vulnerability and the burden of disability after major surgery Open

Thomas M. Gill, Terrence E. Murphy, Evelyne A. Gahbauer, Linda Leo‐Summers, Robert D. Becher · 2022

Background Strong epidemiologic evidence linking indicators of geriatric vulnerability to long‐term functional outcomes after major surgery is lacking. The objective of this study was to evaluate the association between geriatric vulnerabi…

Association Between Neighborhood Disadvantage and Functional Well-being in Community-Living Older Persons Open

Thomas M. Gill, Emma Zang, Terrence E. Murphy, Linda Leo‐Summers, Evelyne A. Gahbauer , et al. · 2021

In this prospective longitudinal cohort study, living in a disadvantaged neighborhood was associated with lower active life expectancy and a greater percentage of projected remaining life with disability. By addressing deficiencies in reso…

A Longitudinal Analysis of Functional Disability, Recovery, and Nursing Home Utilization After Hospitalization for Ambulatory Care Sensitive Conditions Among Community‐Living Older Persons Open

Cameron J. Gettel, Arjun K. Venkatesh, Linda Leo‐Summers, Terrence E. Murphy, Evelyne A. Gahbauer , et al. · 2021

BACKGROUND/OBJECTIVE Hospitalizations for ambulatory care sensitive conditions (ACSCs) are considered potentially preventable. With little known about the functional outcomes of older persons after ACSC‐related hospitalizations, our object…

Neighborhood Disadvantage and Active, Disabled and Total Life Expectancy Among Community-living Older Persons Open

Thomas M. Gill, Emma Zang, Terrence E. Murphy, Linda Leo‐Summers, Evelyne A. Gahbauer , et al. · 2021

Background Neighborhood disadvantage is a novel social determinant of health that could adversely affect the functional well-being and longevity of older persons. We evaluated whether estimates of active, disabled and total life expectancy…

Functional Effects of Intervening Illnesses and Injuries After Critical Illness in Older Persons Open

Thomas M. Gill, Ling Han, Evelyne A. Gahbauer, Linda Leo‐Summers, Terrence E. Murphy , et al. · 2021

OBJECTIVES: Intervening illnesses and injuries have pronounced deleterious effects on functional status in older persons, but have not been carefully evaluated after critical illness. We set out to evaluate the functional effects of interv…

Trends in Restricting Symptoms at the End of Life from 1998 to 2019: A Cohort Study of Older Persons Open

Thomas M. Gill, Evelyne A. Gahbauer, Linda Leo‐Summers, Terrence E. Murphy · 2020

OBJECTIVES To describe changes in the occurrence of restricting symptoms at the end of life from 1998 to 2019 and compare these changes according to the condition leading to death. DESIGN Prospective longitudinal study. SETTING Greater New…

Functional Effects of Intervening Illnesses and Injuries After Hospitalization for Major Surgery in Community-living Older Persons Open

Thomas M. Gill, Ling Han, Evelyne A. Gahbauer, Linda Leo‐Summers, Terrence E. Murphy , et al. · 2020

Objective: To evaluate the functional effects of intervening illnesses and injuries, that is, events, in the year after major surgery. Background: Intervening events have pronounced deleterious effects on functional status in older persons…

Recovery from Severe Disability that Develops Progressively Versus Catastrophically: Incidence, Risk Factors, and Intervening Events Open

Thomas M. Gill, Evelyne A. Gahbauer, Linda Leo‐Summers, Terrence E. Murphy · 2020

BACKGROUND Few prior studies have evaluated recovery after the onset of severe disability or have distinguished between the two subtypes of severe disability. OBJECTIVES To identify the risk factors and intervening illnesses and injuries (…

Risk Factors and Precipitants of Severe Disability Among Community-Living Older Persons Open

Thomas M. Gill, Ling Han, Evelyne A. Gahbauer, Linda Leo‐Summers, Terrence E. Murphy · 2020

The findings of this study suggest that whether it develops progressively or catastrophically, severe disability among older community-living adults arises most commonly in the setting of an intervening illness or injury. To reduce the bur…

Cohort Profile: The Precipitating Events Project (PEP Study) Open

Thomas M. Gill, L. Han, Evelyne A. Gahbauer, Linda Leo‐Summers, Terrence E. Murphy · 2020

Disability and Recovery After Hospitalization for Medical Illness Among Community‐Living Older Persons: A Prospective Cohort Study Open

Kumar Dharmarajan, Ling Han, Evelyne A. Gahbauer, Linda Leo‐Summers, Thomas M. Gill · 2020

Objectives To determine for each basic, instrumental, and mobility activity after hospitalization for acute medical illness: (1) disability prevalence immediately before and monthly for 6 months after hospitalization; (2) disability incide…

Spousal Influences on Monthly Disability in Late-Life Marriage in the Precipitating Events Project Open

Joan K. Monin, Holly Laws, Evelyne A. Gahbauer, Terrence E. Murphy, Thomas M. Gill · 2020

Objectives Few studies have examined spousal influences on disability in late-life marriage, and no prior study has examined these associations using monthly data. Drawing from interdependence theory, we hypothesized that one spouse curren…

Factors Associated With Insidious and Noninsidious Disability Open

Thomas M. Gill, Terrence E. Murphy, Evelyne A. Gahbauer, Linda Leo‐Summers, Ling Han · 2020

Background Although disability is often precipitated by an illness/injury, it may arise insidiously. Our objectives were to identify the factors associated with the development of insidious and noninsidious disability and to determine whet…

SPOUSAL ASSOCIATIONS IN MONTHLY REPORTS OF DISABILITY IN THE PRECIPITATING EVENTS PROJECT Open

Joan K. Monin, Holly Laws, Evelyne A. Gahbauer, Terrence E. Murphy, Thomas M. Gill · 2019

While many prior studies have evaluated the antecedents and consequences of changes in disability, few have considered the social context. As nearly 60% of older adults currently live with a spouse or intimate partner, it is important to e…

The Combined Effects of Frailty and Cognitive Impairment on Post-ICU Disability among Older ICU Survivors Open

Lauren E. Ferrante, Terrence E. Murphy, Linda Leo‐Summers, Evelyne A. Gahbauer, Margaret A. Pisani , et al. · 2019

Taking to Bed at the End of Life Open

Thomas M. Gill, Evelyne A. Gahbauer, Linda Leo‐Summers, Terrence E. Murphy · 2019

OBJECTIVES To evaluate the time course of “taking to bed” at the end of life and determine whether it differs according to age, sex, and condition leading to death. DESIGN Prospective longitudinal study. SETTING Greater New Haven, Connecti…

Factors Associated With Functional Recovery Among Older Survivors of Major Surgery Open

Robert D. Becher, Terrence E. Murphy, Evelyne A. Gahbauer, Linda Leo‐Summers, Hans F. Stabenau , et al. · 2019

Objective: The objectives of the current study were 2-fold: first, to evaluate the incidence and time to recovery of premorbid function within 6 months of major surgery and second, to identify factors associated with functional recovery am…

The Competing Risk of Death in Longitudinal Geriatric Outcomes Open

Terrence E. Murphy, Thomas M. Gill, Linda Leo‐Summers, Evelyne A. Gahbauer, Margaret A. Pisani , et al. · 2018

Objectives To address the competing risk of death in longitudinal studies of older persons, we demonstrate sensitivity analyses that evaluate robustness of associations between exposures and three outcome types: dichotomous, count, and tim…

Days Spent at Home in the Last Six Months of Life Among Community-Living Older Persons Open

Thomas M. Gill, Evelyne A. Gahbauer, Linda Leo‐Summers, Terrence E. Murphy, Ling Han · 2018

JOINT TRAJECTORIES OF COGNITION AND FRAILTY, AND ASSOCIATED BURDEN OF PATIENT-REPORTED OUTCOMES Open

Z Liu, Ling Han, Evelyne A. Gahbauer, Heather Allore, Thomas M. Gill · 2018

Longitudinal data (Year 1998–2009) from 690 community-living persons 70 years or older were used to evaluate joint trajectories of cognition (MMSE score) and frailty (Fried’s phenotype) and their association with the cumulative burden of p…

The Association of Frailty With Post-ICU Disability, Nursing Home Admission, and Mortality Open

Lauren E. Ferrante, Margaret A. Pisani, Terrence E. Murphy, Evelyne A. Gahbauer, Linda Leo‐Summers , et al. · 2018

Pre–Intensive Care Unit Cognitive Status, Subsequent Disability, and New Nursing Home Admission among Critically Ill Older Adults Open

Lauren E. Ferrante, Terrence E. Murphy, Evelyne A. Gahbauer, Linda Leo‐Summers, Margaret A. Pisani , et al. · 2018

Among older adults, any impairment (even minimal) in pre-intensive care unit cognitive status was associated with an increase in post-intensive care unit disability over the 6 months after a critical illness; moderate cognitive impairment …

Functional Trajectories Before and After Major Surgery in Older Adults Open

Hans F. Stabenau, Robert D. Becher, Evelyne A. Gahbauer, Linda Leo‐Summers, Heather Allore , et al. · 2018

Objectives: We hypothesized that distinct sets of functional trajectories can be identified in the year before and after major surgery, with unique transition probabilities from pre to postsurgical functional trajectories, and that outcome…

Joint Trajectories of Cognition and Frailty and Associated Burden of Patient-Reported Outcomes Open

Zuyun Liu, Ling Han, Evelyne A. Gahbauer, Heather Allore, Thomas M. Gill · 2017

Evelyne A. Gahbauer YOU? Author Swipe