ArticleJournal of the American Geriatrics Society2015
Transitions in Care in a Nationally Representative Sample of Older Americans with Dementia.
Article in Journal of the American Geriatrics Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
65 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Mind the gap: a systematic review of barriers, facilitators, and experiences of care transitions for people living with dementia and their informal caregivers.The Gerontologist · 2026Pooled it
- Using meta-ethnography to understand the care transition experience of people with dementia and their caregivers.Dementia (London, England) · 2022Pooled it
- Process evaluation of the residential care transition module.BMC health services research · 2025Trial
- Supporting older people with cognitive impairment during and after hospital stays with intersectoral care management (intersec-CM)-results of a randomised clinical trial.Age and ageing · 2025Trial
- Efficacy of the residential care transition module: A telehealth intervention for dementia family caregivers of relatives living in residential long-term care settings.Psychology and aging · 2024Trial
- Trial
- Targeting Functional Decline in Alzheimer Disease: A Randomized Trial.Annals of internal medicine · 2017Trial
- Racial and Ethnic Differences in Post-acute Home Health Services Among Older Adults With Alzheimer's Disease and Related Dementias.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Clinician Specialization in Skilled Nursing Facility Practice and Post-Acute Outcomes of Patients With Dementia.Health services research · 2026Article
- Home Time Following Emergency Department Visits Among People With Dementia.JAMA network open · 2025Article
- Care Trajectories for a Cohort of First-Time Nursing Home Admissions: A 5-Year Longitudinal Study in Minnesota.Journal of the American Medical Directors Association · 2025Article
- Post-Hospitalization Telerehabilitation is Acceptable and Feasible for Veterans With Dementia: A Secondary Qualitative Study.Journal of the American Medical Directors Association · 2025Article
- Opioid Exposure Measurement in Postacute Care Under Medicare Consolidated Payments.JAMA health forum · 2025Article
- Transitional Care Management in Persons With Dementia After Heart Failure Hospitalization and Skilled Nursing Facility Care.Journal of the American Geriatrics Society · 2025Article
- CEDART Study: protocol for a non-randomized feasibility study.Research square · 2025Article
- Identifying Patient, Care Partner, and Clinician Needs for Functional Recovery Following Hospitalization When Dementia is Present.Journal of the American Medical Directors Association · 2025Article
- Initiation and Persistence of Antipsychotic Medications at Hospital Discharge Among Community-Dwelling Veterans With Dementia.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025Article
- Skilled home healthcare utilization and outcomes for older adults with dementia: A scoping review.Journal of the American Geriatrics Society · 2025Article
- Extracting Cognitive Impairment Assessment Information From Unstructured Notes in Electronic Health Records Using Natural Language Processing Tools: Validation with Clinical Assessment Data.Clinical epidemiology · 2025Article
- Fragmented Readmissions From a Nursing Facility in Medicare Beneficiaries.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesTo describe transitions in care for older adults with dementia identified from a nationally representative cohort and to describe transition rates in those with more-severe levels of cognitive and functional impairment.
designLongitudinal cohort study.
settingHealth and Retirement Study (HRS).
participantsHRS respondents aged 65 and older whose survey data were linked with Medicare claims from 1999 to 2008 (N = 16,186). MEASUREMENTS: Transitions in care between home, home with formal services, hospital, and nursing facility care; cognitive function; activities of daily living; and mortality.
resultsThe 3,447 (21.3%) HRS subjects who were ever diagnosed with dementia experienced frequent transitions. Of subjects transitioning from a hospital stay, 52.2% returned home without home care services, and 33.8% transitioned to a nursing facility. Of subjects transitioning from a nursing facility, 59.2% transitioned to the hospital, and 25.3% returned home without services. There were 2,139 transitions to death, and 58.7% of HRS subjects with dementia died at home. Even in persons with moderate to severe dementia, multiple transitions in care were documented, including transitions from the hospital to home and back to the hospital.
conclusionIn this nationally representative sample of older adults, subjects diagnosed with dementia experience frequent transitions. Persons with dementia who are cared for at home and who transition back to home often have moderate to severe impairments in function and cognition.
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