{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T17:31:06Z","timestamp":1789147866026,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T00:00:00Z","timestamp":1671580800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG060581\u201001"],"award-info":[{"award-number":["R01AG060581\u201001"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006379","name":"Office of Research and Development","doi-asserted-by":"publisher","award":["3K112021B"],"award-info":[{"award-number":["3K112021B"]}],"id":[{"id":"10.13039\/100006379","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nursing home (NH) residents are vulnerable to mortality after natural disasters. We examined NH residents' excess all\u2010cause mortality associated with Hurricane Harvey, a unique disaster with long\u2010lasting flooding effects. We also explored how mortality differed between short\u2010stay and long\u2010stay residents and by chronic conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective observational study of Texas NH residents, comparing 30\u2010 and 90\u2010day mortality among residents exposed to Hurricane Harvey in August 2017 to residents not exposed in the same location and time period during the previous 2\u2009years. Data came from the Minimum Data Set Assessments and the Medicare Beneficiary Summary File. We used linear probability models to examine the association between hurricane exposure and mortality, adjusting for resident demographics, clinical acuity, and NH fixed effects. Models were stratified by short\u2010stay and long\u2010stay status. We also described differences in mortality by residents' chronic conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In 2017, 18,479 Texas NH residents were exposed to Hurricane Harvey. Exposure to Hurricane Harvey was not significantly associated with 30\u2010day mortality. However, 7.6% (95% CI: 7.2, 7.9) of long\u2010stay residents died 90\u2009days after exposure to Harvey, compared to 6.3% (95% CI: 6.0, 6.7) during 2015. Apparently, this effect was driven by chronic obstructive pulmonary disease (COPD) as approximately 9.2% of these residents died within 90\u2009days after Harvey landing compared to 7.2% in 2015 (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hurricane exposure appears to have significant consequences for mortality among long\u2010stay NH residents, which appear to materialize over the long\u2010term (90\u2009days post\u2010hurricane in our study) and may not be apparent immediately (30\u2009days post\u2010hurricane in our study). NH residents with COPD may be particularly vulnerable to increased mortality risk following hurricane exposure. The results highlight the need to pay special attention to mortality risk in NH residents, particularly those with COPD, following hurricane exposure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18143","type":"journal-article","created":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T03:02:43Z","timestamp":1671591763000},"page":"888-894","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The relationship between exposure to Hurricane Harvey and mortality among nursing home residents"],"prefix":"10.1111","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1249-7088","authenticated-orcid":false,"given":"Cassandra L.","family":"Hua","sequence":"first","affiliation":[{"name":"U.S. Department of Veterans Affairs Medical Center Center of Innovation in Long\u2010Term Services and Supports  Providence Rhode Island USA"},{"name":"School of Public Health Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sweta","family":"Patel","sequence":"additional","affiliation":[{"name":"School of Public Health Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kali S.","family":"Thomas","sequence":"additional","affiliation":[{"name":"U.S. Department of Veterans Affairs Medical Center Center of Innovation in Long\u2010Term Services and Supports  Providence Rhode Island USA"},{"name":"School of Public Health Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay J.","family":"Peterson","sequence":"additional","affiliation":[{"name":"School of Aging Studies University of South Florida  Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Andel","sequence":"additional","affiliation":[{"name":"Edson College of Nursing and Health Innovation Arizona State University  Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily","family":"Gordon","sequence":"additional","affiliation":[{"name":"School of Public Health Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9878-9633","authenticated-orcid":false,"given":"Dylan J.","family":"Jester","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of California San Diego  La Jolla California USA"},{"name":"Sam and Rose Stein Institute for Research on Aging University of California San Diego  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Dosa","sequence":"additional","affiliation":[{"name":"U.S. Department of Veterans Affairs Medical Center Center of Innovation in Long\u2010Term Services and Supports  Providence Rhode Island USA"},{"name":"School of Public Health Brown University  Providence Rhode Island USA"},{"name":"Warren Alpert Medical School Brown University  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/dmp.2010.11"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2011.07.011"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.19460"},{"key":"e_1_2_11_5_1","unstructured":"BlakeES ZelinskyDA.Tropical Cyclone Report Hurricane Harvey. 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Accessed June 7 2022.https:\/\/dshs.texas.gov\/IDCU\/disease\/influenza\/surveillance\/Texas-Influenza-Summary-Report-2016-2017-Season-final.pdf."}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.18143","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.18143","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.18143","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T17:26:11Z","timestamp":1762190771000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.18143"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,21]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1111\/jgs.18143"],"URL":"https:\/\/doi.org\/10.1111\/jgs.18143","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,21]]},"assertion":[{"value":"2022-08-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}