ArticlePloS one2015
Care needs and clinical outcomes of older people with dementia: a population-based propensity score-matched cohort study.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Multiple Therapeutic Applications of Metformin Moving Beyond Its Anti-Diabetic Role: A Systematic Review.Journal of the ASEAN Federation of Endocrine Societies · 2025Pooled it
- Insights into designing educational materials for persons living with dementia: a focus group study.BMC geriatrics · 2024Article
- Rural-urban differences in use of health services before and after dementia diagnosis: a retrospective cohort study.BMC health services research · 2024Article
- Study protocol for the development and validation of a clinical prediction tool to estimate the risk of 1-year mortality among hospitalized patients with dementia.Diagnostic and prognostic research · 2024Article
- Using Hypothesis-Led Machine Learning and Hierarchical Cluster Analysis to Identify Disease Pathways Prior to Dementia: Longitudinal Cohort Study.Journal of medical Internet research · 2023Article
- Effects of DementiaNet's Community Care Network Approach on Admission Rates and Healthcare Costs: A Longitudinal Cohort Analysis.International journal of health policy and management · 2023Article
- Article
- Health service use before and after dementia diagnosis: a retrospective matched case-control study.BMJ open · 2022Article
- Effects of continuity of care on hospitalizations and healthcare costs in older adults with dementia.BMC geriatrics · 2022Article
- Intrinsic Capacity Impairment Patterns and their Associations with Unfavorable Medication Utilization: A Nationwide Population-Based Study of 37,993 Community-Dwelling Older Adults.The journal of nutrition, health & aging · 2022Article
- Measurement Properties of the CAPACITY Instrument to Assess Perceived Communication With the Health Care Team Among Care Partners of Patients With Cognitive Impairment.Medical care · 2020Article
- Trajectories of health system use and survival for community-dwelling persons with dementia: a cohort study.BMJ open · 2020Article
- Prognostic Impact of Delirium in Older People With/Without Dementia: A Retrospective Cohort Study in Taiwan.The journal of nutrition, health & aging · 2020Article
- Gender and Age Differences and the Trend in the Incidence and Prevalence of Dementia and Alzheimer's Disease in Taiwan: A 7-Year National Population-Based Study.BioMed research international · 2019Article
- Hospital outcomes of older people with cognitive impairment: An integrative review.International journal of geriatric psychiatry · 2018Review
- Comparative Associations Between Measures of Anti-cholinergic Burden and Adverse Clinical Outcomes.Annals of family medicine · 2017Article
- Predicting mortality and hospitalization of older adults by the multimorbidity frailty index.PloS one · 2017Article
- The relationship between in-hospital location and outcomes of care in patients diagnosed with dementia and/or delirium diagnoses: analysis of patient journey.BMC geriatrics · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the healthcare resource utilization, psychotropic drug use and mortality of older people with dementia.
designA nationwide propensity score-matched cohort study.
settingNational Health Insurance Research database.
participantsA total of 32,649 elderly people with dementia and their propensity-score matched controls (n=32,649). MEASUREMENTS: Outpatient visits, inpatient care, psychotropic drug use, in-hospital mortality and all-cause mortality at 90 and 365 days.
resultsCompared to the non-dementia group, a higher proportion of patients with dementia used inpatient services (1 year after index date: 20.91% vs. 9.55%), and the dementia group had more outpatient visits (median [standard deviation]: 7.00 [8.87] vs. 3.00 [8.30]). Furthermore, dementia cases with acute admission had the highest psychotropic drug utilization both at baseline and at the post-index dates (difference-in-differences: all <0.001). Dementia was associated with an increased risk of all-cause mortality (90 days, Odds ratio (OR)=1.85 [95%CI 1.67-2.05], p<0.001; 365 days, OR=1.59 [1.50-1.69], p<0.001) and in-hospital mortality (90 days, OR=1.97 [1.71-2.27], p<0.001; 365 days, OR=1.82 [1.61-2.05], p<0.001) compared to matched controls.
conclusionsWhen older people with dementia are admitted for acute illnesses, they may increase their use of psychotropic agents and their risk of death, particularly in-hospital mortality.
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