Integration of Geriatrics Principles into the Care of Older Adults with Cardiovas

将老年病学原理融入老年人心血管疾病的护理中

基本信息

批准号：
9223621
负责人：
MICHAEL W RICH
金额：
$ 3万
依托单位：
AMERICAN COLLEGE OF CARDIOLOGY
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-03-15 至 2019-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9223621
关键词：
Address Adult Age Age-Years Aging American Aortic Valve Stenosis Area Atrial Fibrillation Award Cardiac Cardiology Cardiovascular Diseases Cardiovascular system Caring Charge Chronic Disease Clinical Clinical Research Collaborations Communication Communities Comorbidity Complex Coronary Arteriosclerosis Data Decision Making Development Devices Diagnostic Procedure Diagnostic tests Disease Disease Management Education and Outreach Educational Materials Educational workshop Elderly Ensure Ethnic Origin Faculty Fostering Gender Generations Genetic Geriatrics Gerontology Goals Government Guidelines Health Health Professional Healthcare Heart Heart Diseases Heart failure Impaired cognition Incidence Inflammation Influentials Interdisciplinary Study Journals Knowledge Life Link Longevity Measures Medical Medicine Memory Mentors Metabolic Methods Morbidity - disease rate National Heart, Lung, and Blood Institute National Institute of Diabetes and Digestive and Kidney Diseases National Institute on Aging Nurses Older Population Organizational Policy Outcome Pain Patient Preferences Patient-Centered Care Patient-Focused Outcomes Patients Peer Review Performance Pharmaceutical Preparations Pharmacists Physical Function Physicians Physiological Polypharmacy Population Population Heterogeneity Predisposition Prevalence Process Professional Education Professional Organizations Provider Publications Race Recommendation Research Research Personnel Research Priority Resources Risk Scientific Advances and Accomplishments Scientist Series Societies Specialist Structure Syndrome Time Translating Translational Research Travel United States United States Agency for Healthcare Research and Quality United States National Institutes of Health Ursidae Family Washington aged care delivery career career development clinical care clinical decision-making college design evidence base frailty functional decline improved individual patient insight medical specialties multiple chronic conditions novel novel strategies older patient patient oriented programs public health relevance symposium web site webinar

项目摘要

DESCRIPTION (provided by applicant): Aging is associated with fundamental changes in cardiovascular structure and function that contribute to a progressive increase in the incidence and prevalence of cardiovascular disease (CVD) with advancing age. The traditional paradigm of care for older adults with CVD has focused primarily on specific disorders, such as coronary artery disease, aortic stenosis, heart failure, or atrial fibrillation, and has failed to integrate prevalent geriatric syndromes, e.g. multimorbidity, polypharmacy, cognitive impairment, and frailty, into clinical care and decision-making. A critical factor contributing to the current inadequacies in care for older patients with CVD is the marked deficiency of evidence upon which to formulate guidelines for management of the complex and heterogeneous population of older adults with CVD. Thus, the Specific Aims of this U13 application, submitted under the auspices of the American College of Cardiology Council on Cardiovascular Care for Older Adults (CCCOA), in collaboration with the American Geriatrics Society and the National Institute on Aging, are to (1) identify critical knowledge gaps and research priorities for optimizing patient-centered care and outcomes for older adults with CVD by conducting a series of 3 biannual interdisciplinary workshops focusing on the intersections between CVD and multimorbidity, polypharmacy, and optimal diagnostic testing in older adults; (2) promote geriatric medicine and gerontology research within the cardiology community by providing a forum for direct interactions between senior investigators and academic leaders in geriatrics and cardiology; and (3) promote the development of a new generation of investigators committed to advancing the scientific underpinnings of gerocardiology through a Young Investigators Travel Award program. Workshops will take place at Heart House, ACC's premier conference center in Washington, DC, and will include representatives from NIA, other NIH ICs (NHLBI, NIDDK, NINR), key governmental and policy organizations (FDA, IOM, CMS, AAIM, AARP), and other major stake holders (PCORI, AHRQ, NQF, drug and device companies), in addition to influential leaders in cardiology and geriatrics (officers in professional societies, journal editors, clinical trialists, prominent division chiefs) and selected trainees and "rising stars" in geriatric cardiolgy. Workshops will include didactic presentations with ample time for discussion and multiple breakout groups charged with identifying current clinical and research needs, determining what resources are required to address the current needs, and formulating a prioritized research agenda that can be translated into specific RFAs and PAs. Conference proceedings and recommendations will be widely disseminated through ACC's extensive communications network, publication in top-tier peer-reviewed journals (e.g. JACC, JAGS), development of a conference website, and hosting of webinars. Ultimately, it is anticipated that the conferences will fuel an upsurge in research in CVD in older adults with complex comorbidities that will translate into new patient- centered guidelines and performance measures leading to improved care and clinical outcomes.

描述（由申请人提供）：衰老与心血管结构和功能的根本变化有关，这有助于随着年龄的增长而逐渐增加心血管疾病（CVD）的发病率和患病率。 CVD老年人的传统护理范式主要集中在特定疾病上，例如冠状动脉疾病，主动脉狭窄，心力衰竭或心房颤动，并且未能整合流行的老年综合征，例如多种病态，多功能，认知障碍以及脆弱的临床护理和决策。导致CVD老年患者当前护理不足的关键因素是明显的证据不足，以制定用于管理CVD老年人的复杂和异质种群的指南。因此，该U13申请的具体目的是在美国心脏病学院的老年人心血管护理委员会（CCCOA）（CCCOA）的主持下提交的，与美国老年医学学会和国家老化研究所合作，将与（1）确定优化患者的老年人的重要知识差距和研究优先级，以优先考虑患者的CV序列CV。跨学科研讨会着重于CVD与多发性，多功能性和最佳诊断测试之间的相互作用；（2）通过为高级研究人员与老年医学和心脏病学学术领导者之间的直接相互作用提供论坛，促进心脏病学社区内的老年医学和老年医学研究；（3）促进了新一代的调查人员的发展，该研究人员致力于通过年轻的研究人员旅行奖计划来推进老年病学的科学基础。研讨会将在华盛顿特区的ACC总理会议中心举行，包括NIA，其他NIH IC的代表（NHLBI，NHLBI，NIDDK，NINR），主要的政府和政策组织（FDA，IOM，IOM，IOM，CMS，CMS，AAIM，AAIM，AAM，AARP），以及其他主要的股份持有人（PCORI，AHRQ，AHRQ，AHRQ，AHRQ，NIQF，NIQF，niqf，niqf，ahrq fyrimient and Informient）老年病（专业社会的官员，期刊编辑，临床审判者，著名的部门负责人）和老年人心脏中的选拔学员和“崛起的明星”。讲习班将包括有足够时间进行讨论的教学演示，并负责确定当前的临床和研究需求，确定需要哪些资源来满足当前的需求，并制定可以转化为特定RFA和PAS的优先研究议程。会议诉讼和建议将通过ACC广泛的通信网络，一流的同行评审期刊（例如JACC，JAGS），开发会议网站的开发以及网络研讨会的托管。最终，预计这些会议将在具有复杂合并症的老年人中加剧CVD研究的增长，这将转化为新的以患者为中心的指南和绩效指标，从而改善了护理和临床结果。