{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:08:36Z","timestamp":1791230916751,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T00:00:00Z","timestamp":1644969600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Purpose<\/jats:title>\n                    <jats:p>Extreme events such as hurricanes adversely impact healthcare systems and the communities they serve. The degree to which hurricanes affect healthcare use among high need groups such as older adults with chronic conditions has not been well examined, nor has the impact of hurricane severity on health outcomes. We characterized hospitalizations among older adults by chronic condition after eight large\u2010scale hurricanes in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a combination of administrative healthcare data and the Federal Emergency Management Agency's Disaster Declaration database we conducted a self\u2010controlled case series analysis. We identified Medicare beneficiaries who were exposed to one of eight hurricanes and compared hospitalizations in the 30\u2010days after a hurricane to hospitalizations in the rest of the calendar year of the hurricane. We examined hospitalizations (1) in total, (2) separately for diabetes, congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) admissions, and (3) by hurricane damage category.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among all older adults exposed, hospitalizations in the 30\u2010day period after each disaster increased for all three chronic conditions; diabetes (incidence rate ratio [IRR]\u00a0=\u00a01.06, 95% confidence interval [CI] 1.03, 1.10), COPD (IRR\u00a0=\u00a01.06, 95% CI 1.04, 1.08), and CHF (IRR\u00a0=\u00a01.19, 95% CI 1.17, 1.21. In the 30\u2010to\u201060\u2010day period hospitalizations also increased for each chronic condition; diabetes (IRR\u00a0=\u00a01.06, 95% CI 1.03, 1.10), COPD (IRR\u00a0=\u00a01.12, 95% CI 1.10, 1.15), and CHF (IRR\u00a0=\u00a01.32, 95% CI 1.30, 1.34). Substantial differences in hospitalizations were observed according to individual hurricane and by the chronic disease examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Exposure to hurricanes is associated with an increase in hospitalizations for chronic conditions across all hurricane damage categories. As disasters are expected to increase in strength and frequency, our results underscore the need for response strategies and health policy planning for healthcare systems designed to address the health needs of older Americans with chronic conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17702","type":"journal-article","created":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T11:20:16Z","timestamp":1645010416000},"page":"1695-1703","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Hospitalizations for chronic conditions following hurricanes among older adults: A self\u2010controlled case series analysis"],"prefix":"10.1111","volume":"70","author":[{"given":"Sue Anne","family":"Bell","sequence":"first","affiliation":[{"name":"University of Michigan School of Nursing  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John P.","family":"Donnelly","sequence":"additional","affiliation":[{"name":"University of Michigan School of Medicine  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Li","sequence":"additional","affiliation":[{"name":"University of Michigan School of Nursing  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew A.","family":"Davis","sequence":"additional","affiliation":[{"name":"University of Michigan School of Nursing  Ann Arbor Michigan USA"},{"name":"University of Michigan School of Medicine  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,16]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"ColbyS OrtmanJ.Projections of the Size and Composition of the U.S. Population: 2014 to 2060;2015."},{"key":"e_1_2_9_3_1","unstructured":"National Council on Aging (2021).The Top 10 Chronic Conditions in Adults 65+.https:\/\/www.ncoa.org\/article\/the-top-10-most-common-chronic-conditions-in-older-adultsAccessed February 11 2022."},{"key":"e_1_2_9_4_1","unstructured":"Committee on Increasing National Resilience to Hazards and Disasters; Committee on Science E and Public Policy; The National Academies.Disaster Resilience: A National Imperative 2012;2012."},{"key":"e_1_2_9_5_1","unstructured":"National Academies of Science EaM.A Framework for Assessing Morbidity and Mortality After Large\u2010Scale Disasters;2020.https:\/\/www.nap.edu\/read\/25863\/chapter\/1#iiAccessed February 11 2022."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1049023x15005129"},{"key":"e_1_2_9_7_1","unstructured":"National Institute of Aging.Advancing Behavioral and Social Research on the Elderly inDisasters;2009."},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/clep.S105613"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41885\u2010019\u20100039\u20108"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc19\u20100567"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2017.06.042"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010018\u20102900\u20109"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/md.0000000000015589"},{"key":"e_1_2_9_14_1","unstructured":"Federal Emergency Management Agency.Disaster Declarations. 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