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This cohort study assesses changes in emergency department (ED) use among Medicare beneficiaries aged 65 years and older before and after receiving a diagnosis of dementia.
Conflict of Interest Disclosures: Dr Gettel reported receiving support from the Centers for Medicare & Medicaid Services (contract No. HHSM-75FCMC18D0042) during the conduct of the study, grants from the National Institute on Aging (NIA), grants from the Alzheimer's Association, and grants from the National Academy of Medicine outside the submitted work. Dr Nothelle reported receiving grants from the NIA during the conduct of the study. Dr Venkatesh reported receiving grants from the Centers for Medicare & Medicaid Services outside the submitted work. No other disclosures were reported.
Figures
Figure.. Emergency Department (ED) Visit Rates and…
Figure.. Emergency Department (ED) Visit Rates and Outcomes Among Patients With and Without a Dementia…
Figure.. Emergency Department (ED) Visit Rates and Outcomes Among Patients With and Without a Dementia Diagnosis
A, ED visit rates among patients with and without a dementia diagnosis. The dotted line delineates the date of diagnosis. B, Forest plot of patient characteristics and their associations with ED visit outcomes within the 12-month period of dementia diagnosis. ADL indicates activities of daily living; IADL, instrumental activities of daily living; and OR, odds ratio.
Gettel CJ, Serina PT, Uzamere I, et al. Emergency department care transition barriers: a qualitative study of care partners of older adults with cognitive impairment. Alzheimers Dement (N Y). 2022;8(1):e12355. doi: 10.1002/trc2.12355
-
DOI
-
PMC
-
PubMed
LaMantia MA, Stump TE, Messina FC, Miller DK, Callahan CM. Emergency department use among older adults with dementia. Alzheimer Dis Assoc Disord. 2016;30(1):35-40. doi: 10.1097/WAD.0000000000000118
-
DOI
-
PMC
-
PubMed
Salaj D, Schultz T, Strang P. Nursing home residents with dementia at end of life: emergency department visits, hospitalizations, and acute hospital deaths. J Palliat Med. 2024;27(1):24-30. doi: 10.1089/jpm.2023.0201
-
DOI
-
PubMed
Nowroozpoor A, Dussetschleger J, Perry W, et al. ; GEAR 2.0-ADC Network . Detecting cognitive impairment and dementia in the emergency department: a scoping review. J Am Med Dir Assoc. 2022;23(8):1314.e31-1314.e88. doi: 10.1016/j.jamda.2022.03.019
-
DOI
-
PMC
-
PubMed
Galske J, Chera T, Hwang U, et al. Daily care hours among caregivers of older emergency department patients with dementia and undiagnosed cognitive impairment. J Am Geriatr Soc. Published online July 5, 2024. doi: 10.1111/jgs.19062
-
DOI
-
PMC
-
PubMed