{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T02:19:57Z","timestamp":1789179597141,"version":"build-2803163510"},"reference-count":47,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T00:00:00Z","timestamp":1501632000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec id=\"S1935789317000441_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>Older adults are a potentially medically vulnerable population with increased mortality rates during and after disasters. To evaluate the impact of a natural disaster on this population, we performed a temporal and geospatial analysis of emergency department (ED) use by adults aged 65 years and older in New York City (NYC) following Hurricane Sandy\u2019s landfall.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789317000441_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>We used an all-payer claims database to analyze demographics, insurance status, geographic distribution, and health conditions for post-disaster ED visits among older adults. We compared ED patterns of use in the weeks before and after Hurricane Sandy throughout NYC and the most afflicted evacuation zones.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789317000441_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>We found significant increases in ED utilization by older adults (and disproportionately higher in those aged \u226585 years) in the 3 weeks after Hurricane Sandy, especially in NYC evacuation zone one. Primary diagnoses with notable increases included dialysis, electrolyte disorders, and prescription refills. Secondary diagnoses highlighted homelessness and care access issues.<\/jats:p><\/jats:sec><jats:sec id=\"S1935789317000441_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Older adults display heightened risk for worse health outcomes with increased ED visits after a disaster. Our findings suggest the need for dedicated resources and planning for older adults following a natural disaster by ensuring access to medical facilities, prescriptions, dialysis, and safe housing and by optimizing health care delivery needs to reduce the burden of chronic disease. (<jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>. 2018;12:184\u2013193)<\/jats:p><\/jats:sec>","DOI":"10.1017\/dmp.2017.44","type":"journal-article","created":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T10:03:34Z","timestamp":1501668214000},"page":"184-193","source":"Crossref","is-referenced-by-count":79,"title":["Vulnerability of Older Adults in Disasters: Emergency Department Utilization by Geriatric Patients After Hurricane Sandy"],"prefix":"10.1017","volume":"12","author":[{"given":"Sidrah","family":"Malik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David C.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly M.","family":"Doran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corita R.","family":"Grudzen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Worthing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Portelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lewis R.","family":"Goldfrank","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silas W.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2017,8,2]]},"reference":[{"key":"S1935789317000441_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2015.06.016"},{"key":"S1935789317000441_ref17","unstructured":"Redfoot D , Feinberg L , Houser A . 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