Evidence map›Paper›PMID 24413540›Full record

ArticleAmerican journal of Alzheimer's disease and other dementias2014

Functional Decline Predicts Emergency Department Use in Veterans With Dementia.

Stephanie Ng, Robert O Morgan, Annette Walder, Jonmenjoy Biswas, David M Bass, Katherine S Judge, A Lynn Snow, Nancy Wilson, Mark E Kunik

Registry-linked trialAbstract read
In one paragraph

Article in American journal of Alzheimer's disease and other dementias, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00291161 (Partners in Dementia Care), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00291161 nacompletednot on this map

Partners in Dementia Care

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2006 to 2011Enrolled994ConditionsDementia, Alzheimer DiseaseArmsPartners in Dementia Care
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Physical Activity and Acute Care Utilization Among Older Adults With Mild Cognitive Impairment and Dementia.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Stephanie NgBaylor College of Medicine, Houston, TX, USA Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Houston, TX, USA.
Robert O MorganManagement, Policy and Community Health, The University of Texas School of Public Health, Houston, TX, USA.
Annette WalderHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA.
Jonmenjoy BiswasMichael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA.
David M BassMargaret Blenkner Research Institute, Benjamin Rose Institute, Cleveland, OH, USA.
Katherine S JudgeDepartment of Psychology, Cleveland State University, Cleveland, OH, USA.
A Lynn SnowCenter for Mental Health and Aging, University of Alabama, Tuscaloosa Veterans Affairs Medical Center, Tuscaloosa, AL, USA.
Nancy WilsonHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA.
Mark E KunikHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Houston, TX, USA Baylor College of Medicine, Houston, TX, USA Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA VA South Central Mental Illness Research, Education and Clinical Center, USA mkunik@bcm.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe examined emergency room (ER) utilization by persons with dementia (PWDs) using caregiver and patient characteristics as predictors.

methodsA secondary analysis of 296 veteran-caregiver dyads. Caregivers recorded PWD baseline characteristics and noted ER visits over the next year. Two sets of regression models analyzed categorical ER use and repeat ER use.

resultsIn the univariate analysis, categorical use of the ER was predicted by patients' functional status (P ≤ .008) and Veterans Affairs priority grouping (P ≤ .02). Repeat ER admissions were predicted by functional status (P ≤ .04), number of chronic conditions (P ≤ .01), and caregiver-reported relationship strain (P ≤ .04). In multivariate analysis, categorical ER use was predicted by functional status (P ≤ .02), priority grouping (P ≤ .03), and number of chronic conditions (P ≤ .06).

conclusionsFunctional status most strongly predicted ER use, highlighting the promise of home-based interventions to improve activities of daily living. Number of chronic conditions and caregiver-reported relationship strain are potential targets of intervention during discharge process.

Indexed as

DementiaAgedAged, 80 and overCaregiversEmergency Service, HospitalFemaleHumansMaleMiddle AgedVeteransactivities of daily livingdementiaemergencyhealth services researchmedical services

Identifiers

PMID24413540
PMCPMC10852555

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.