A5022035976- Palliative Care and End-of-Life Issues
- Grief, Bereavement, and Mental Health
- Machine Learning in Healthcare
- Geriatric Care and Nursing Homes
- Pharmaceutical Practices and Patient Outcomes
- Medication Adherence and Compliance
- Clinical Reasoning and Diagnostic Skills
- Emergency and Acute Care Studies
- Frailty in Older Adults
- Health Systems, Economic Evaluations, Quality of Life
- Obesity, Physical Activity, Diet
- Cultural Competency in Health Care
- Intensive Care Unit Cognitive Disorders
- Chronic Disease Management Strategies
- Blood Pressure and Hypertension Studies
- Health disparities and outcomes
- Long-Term Effects of COVID-19
- Family and Patient Care in Intensive Care Units
- Empathy and Medical Education
- Aging, Health, and Disability
- Air Quality and Health Impacts
- Sepsis Diagnosis and Treatment
- Topic Modeling
- Smoking Behavior and Cessation
San Francisco VA Medical Center
2022-2025
University of California, San Francisco
2022-2024
Northern California Institute for Research and Education
2024
Abstract Background People with dementia (PWD) take medications that may be unnecessary or harmful. This problem can addressed through deprescribing, but it is unclear if PWD would willing to engage in deprescribing their providers. Our goal was investigate attitudes toward among PWD. Methods a cross‐sectional study of 422 aged ≥65 years who completed the module National Health and Aging Trends Study (NHATS) 2016. Proxies provided responses when participant unable respond due health...
Palliative care is known to improve quality of life in advanced cancer. Natural language processing offers insights how documentation around palliative relation metastatic cancer has changed. We analyzed inpatient clinical notes using unsupervised models that learn words related (e.g. "mets", "metastases") and "palliative care", "pal care") appear relationally change over time. included any note from adults hospitalized at the University California, San Francisco system. The primary outcome...
Importance The widowhood effect, in which mortality increases and function decreases the period following spousal death, may be heightened older adults with functional impairment serious illnesses, such as cancer, dementia, or organ failure, who are highly reliant on others, particularly spouses, for support. Yet there limited data among people these conditions. Objective To determine association of failure. Design, Setting, Participants This longitudinal cohort study used population-based,...
OBJECTIVES: Understanding the long-term effects of severe COVID-19 illness on survivors is essential for effective pandemic recovery planning. Therefore, we investigated impairments among hospitalized adults discharged to acute care hospitals (LTACHs) prolonged who survived 1 year. DESIGN: The Recovery After Transfer an LTACH (RAFT COVID) study was a national, multicenter, prospective longitudinal cohort study. SETTING AND PATIENTS: We included English-speaking transferred one nine LTACHs in...
Abstract Background Potentially disruptive medical, surgical, and social events—such as pneumonia, hip fracture, widowhood—may accelerate the trajectory of decline impact caregiving needs in older adults, especially among people with dementia (PWD). Prior research has focused primarily on nursing home residents dementia. We sought to assess incidence potentially events community‐dwelling without Methods Retrospective cohort study participants aged 65+ enrolled Health Retirement Study between...
Background Social constructs like race can affect how patients are perceived and impact care. This study investigated whether mentions of in notes for critically ill differed according to patients’ race. Methods retrospective cohort included intensive care unit adults (≥18 years old) admitted any 6 units at University California, San Francisco, from 2012 through 2020. Notes were linked National Provider Identifier records obtain note writer characteristics. Logistic regression analysis with...
OBJECTIVES: To develop proof-of-concept algorithms using alternative approaches to capture provider sentiment in ICU notes. DESIGN: Retrospective observational cohort study. SETTING: The Multiparameter Intelligent Monitoring of Intensive Care III (MIMIC-III) and the University California, San Francisco (UCSF) deidentified notes databases. PATIENTS: Adult (≥18 yr old) patients admitted ICU. MEASUREMENTS AND MAIN RESULTS: We developed two models: 1) a keywords-based approach consensus-based...
Abstract Disruptive medical events such as pneumonia and hip fracture occur more frequently among older adults with dementia than those without dementia. It is not well-understood whether these increase the risk of mortality to a greater extent for people (PWD) compared (PWoD). Using data from Health Retirement Study linked Medicare claims, we estimated impact on 700 PWD 12,438 PWoD using Cox proportional hazards model. had higher both in case (HR 1.64, 95% CI 1.31, 1.96) 1.21 1.09, 1.34)...
Abstract Numerous studies suggest that there is an association between widowhood and mortality. This “widowhood effect” may be heightened in patients with dementia, who have high support needs for whom spouses typically provide extensive caregiving support. Yet are limited data on mortality account dementia status. To determine the relative risk of among those without we conducted a retrospective cohort study community-dwelling, married/partnered persons, ≥65 years, enrolled Health...