The Adult Changes in Thought (ACT) Medical Records Abstraction Project: A Resource for Research on Biological, Psychosocial and Behavioral Factors on the Aging Brain and Alzheimer’s Disease and Related Dementias

Background: Adult Changes in Thought (ACT), a prospective cohort study, enrolls older adult members of Kaiser Permanente Washington. We describe an ambitious project to abstract medical records facilitating epidemiological investigation. Methods: Abstracted data include medications; laboratory resul...

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Main Authors: Nicole M. Gatto, Anne Renz, Sarah E. Tom, Mary Lyons, Jennifer A. Macuiba, Tammy S. Dodd, Bonnie K. Lind, Shelly L. Gray, Kelly Meyers, Eric B. Larson, Jennifer C. Nelson, Linda K. McEvoy, Sundary Sankaran, Dustin Key, Jeremiah A. Litondo, Paul K. Crane
Format: Article
Language:English
Published: MDPI AG 2024-10-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/14/11/1075
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author Nicole M. Gatto
Anne Renz
Sarah E. Tom
Mary Lyons
Jennifer A. Macuiba
Tammy S. Dodd
Bonnie K. Lind
Shelly L. Gray
Kelly Meyers
Eric B. Larson
Jennifer C. Nelson
Linda K. McEvoy
Sundary Sankaran
Dustin Key
Jeremiah A. Litondo
Paul K. Crane
author_facet Nicole M. Gatto
Anne Renz
Sarah E. Tom
Mary Lyons
Jennifer A. Macuiba
Tammy S. Dodd
Bonnie K. Lind
Shelly L. Gray
Kelly Meyers
Eric B. Larson
Jennifer C. Nelson
Linda K. McEvoy
Sundary Sankaran
Dustin Key
Jeremiah A. Litondo
Paul K. Crane
author_sort Nicole M. Gatto
collection DOAJ
description Background: Adult Changes in Thought (ACT), a prospective cohort study, enrolls older adult members of Kaiser Permanente Washington. We describe an ambitious project to abstract medical records facilitating epidemiological investigation. Methods: Abstracted data include medications; laboratory results; women’s health; blood pressure; physical injuries; cardiovascular, neurological, psychiatric and other medical conditions. Results: Of 1419 of 5763 participants with completed abstractions, 1387 (97.7%) were deceased; 602 (42.4%) were diagnosed with Alzheimer’s Disease and Related Dementias; 985 (69.4%) had a brain autopsy. Each participant had an average of 34.3 (SD = 13.4) years of data abstracted. Over 64% had pharmacy data preceding 1977; 87.5% had laboratory data preceding 1988. Stroke, anxiety, depression and confusion during hospitalization were common among participants diagnosed with dementia. Conclusions: Medical records are transformed into data for analyses with outcomes derived from other ACT data. We provide detailed, unparalleled longitudinal clinical data to support a variety of epidemiological research on clinical-pathological correlations.
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spelling doaj-art-8864eb05fb73452cbb7b6e0dddf452202024-11-26T17:54:52ZengMDPI AGBrain Sciences2076-34252024-10-011411107510.3390/brainsci14111075The Adult Changes in Thought (ACT) Medical Records Abstraction Project: A Resource for Research on Biological, Psychosocial and Behavioral Factors on the Aging Brain and Alzheimer’s Disease and Related DementiasNicole M. Gatto0Anne Renz1Sarah E. Tom2Mary Lyons3Jennifer A. Macuiba4Tammy S. Dodd5Bonnie K. Lind6Shelly L. Gray7Kelly Meyers8Eric B. Larson9Jennifer C. Nelson10Linda K. McEvoy11Sundary Sankaran12Dustin Key13Jeremiah A. Litondo14Paul K. Crane15Kaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USAColumbia University Irving Medical Center, New York, NY 10032, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USASchool of Pharmacy, University of Washington, Seattle, WA 98102, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USAKaiser Permanente Washington Health Research Institute, Seattle, WA 98101, USASchool of Medicine, University of Washington, Seattle, WA 98195, USABackground: Adult Changes in Thought (ACT), a prospective cohort study, enrolls older adult members of Kaiser Permanente Washington. We describe an ambitious project to abstract medical records facilitating epidemiological investigation. Methods: Abstracted data include medications; laboratory results; women’s health; blood pressure; physical injuries; cardiovascular, neurological, psychiatric and other medical conditions. Results: Of 1419 of 5763 participants with completed abstractions, 1387 (97.7%) were deceased; 602 (42.4%) were diagnosed with Alzheimer’s Disease and Related Dementias; 985 (69.4%) had a brain autopsy. Each participant had an average of 34.3 (SD = 13.4) years of data abstracted. Over 64% had pharmacy data preceding 1977; 87.5% had laboratory data preceding 1988. Stroke, anxiety, depression and confusion during hospitalization were common among participants diagnosed with dementia. Conclusions: Medical records are transformed into data for analyses with outcomes derived from other ACT data. We provide detailed, unparalleled longitudinal clinical data to support a variety of epidemiological research on clinical-pathological correlations.https://www.mdpi.com/2076-3425/14/11/1075chart abstractionhistorical datacomorbiditiesdementiaAlzheimer’s diseaseelectronic health record data
spellingShingle Nicole M. Gatto
Anne Renz
Sarah E. Tom
Mary Lyons
Jennifer A. Macuiba
Tammy S. Dodd
Bonnie K. Lind
Shelly L. Gray
Kelly Meyers
Eric B. Larson
Jennifer C. Nelson
Linda K. McEvoy
Sundary Sankaran
Dustin Key
Jeremiah A. Litondo
Paul K. Crane
The Adult Changes in Thought (ACT) Medical Records Abstraction Project: A Resource for Research on Biological, Psychosocial and Behavioral Factors on the Aging Brain and Alzheimer’s Disease and Related Dementias
Brain Sciences
chart abstraction
historical data
comorbidities
dementia
Alzheimer’s disease
electronic health record data
title The Adult Changes in Thought (ACT) Medical Records Abstraction Project: A Resource for Research on Biological, Psychosocial and Behavioral Factors on the Aging Brain and Alzheimer’s Disease and Related Dementias
title_full The Adult Changes in Thought (ACT) Medical Records Abstraction Project: A Resource for Research on Biological, Psychosocial and Behavioral Factors on the Aging Brain and Alzheimer’s Disease and Related Dementias
title_fullStr The Adult Changes in Thought (ACT) Medical Records Abstraction Project: A Resource for Research on Biological, Psychosocial and Behavioral Factors on the Aging Brain and Alzheimer’s Disease and Related Dementias
title_full_unstemmed The Adult Changes in Thought (ACT) Medical Records Abstraction Project: A Resource for Research on Biological, Psychosocial and Behavioral Factors on the Aging Brain and Alzheimer’s Disease and Related Dementias
title_short The Adult Changes in Thought (ACT) Medical Records Abstraction Project: A Resource for Research on Biological, Psychosocial and Behavioral Factors on the Aging Brain and Alzheimer’s Disease and Related Dementias
title_sort adult changes in thought act medical records abstraction project a resource for research on biological psychosocial and behavioral factors on the aging brain and alzheimer s disease and related dementias
topic chart abstraction
historical data
comorbidities
dementia
Alzheimer’s disease
electronic health record data
url https://www.mdpi.com/2076-3425/14/11/1075
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