Evidence map›Paper›PMID 26523710›Full record

ArticleAlzheimer disease and associated disorders

Emergency Department Use Among Older Adults With Dementia.

Michael A LaMantia, Timothy E Stump, Frank C Messina, Douglas K Miller, Christopher M Callahan

Registry-linked trialAbstract read
In one paragraph

Article in Alzheimer disease and associated disorders. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06273917 (Deprescribing Potentially Inappropriate Medications in the Emergency Department for Persons Living With Dementia), which is not on this map. Cited by 137 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
137citing papers in PubMed, 7 pooled it
–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.

NCT06273917 nacompletednot on this map

Deprescribing Potentially Inappropriate Medications in the Emergency Department for Persons Living With Dementia

TypeinterventionalSponsorNational Institute on Aging (NIA)Ran2024 to 2025Enrolled300ConditionsDementiaArmsPRIDE
3 · Its place in the literature

Who cites it

137 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. A Systematic Review Evaluating Pain Assessment Strategies for Patients With Dementia in the Emergency Department: The Geriatric ED Guidelines 2.0.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
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  12. Housing Assistance and Health Care Access Among Older Adults with Alzheimer's Disease and Related Dementias: Evidence from Multisource Linked Survey-Administrative Data.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2026
    Article
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  14. Ambulatory Care Follow-Up and Fragmentation After Emergency Department Visits Among Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
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77 more citing papers are in PubMed but not listed here.

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

5 authors.

Michael A LaMantia*Indiana University Center for Aging Research †Regenstrief Institute Inc. ‡Indiana University School of Medicine, Indianapolis, IN.
Timothy E Stump
Frank C Messina
Douglas K Miller
Christopher M Callahan

Funding

Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
TRANSLATION RESEARCH ON CHRONIC DISEASE SELF-MANAGEMENTP30AG024967 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CALLAHAN, CHRISTOPHER M · 2004 to 2013
$3.2M
Patient-Oriented Research to Improve Geriatric Care-K24K24AG024078 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CALLAHAN, CHRISTOPHER M · 2004 to 2013
$1.4M
Delirium Evaluation in the Emergency Department for Seniors (DEEDS)K23AG043498 · NIA · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI LAMANTIA, MICHAEL ANDREW · 2014 to 2018
$633k
NCATS NIH HHS UL1 TR001108NIA NIH HHS 1K23AG043498NIA NIH HHS 5K24AG024078NIA NIH HHS 5P30AG024967NIA NIH HHS K23 AG043498NIA NIH HHS K24 AG024078NIA NIH HHS P30 AG024967
6 · The paper itself

Abstract

Although persons with dementia are frequently hospitalized, relatively little is known about the health profile, patterns of health care use, and mortality rates for patients with dementia who access care in the emergency department (ED). We linked data from our hospital system with Medicare and Medicaid claims, Minimum Data Set, and Outcome and Assessment Information Set data to evaluate 175,652 ED visits made by 10,354 individuals with dementia and 15,020 individuals without dementia over 11 years. Survival rates after ED visits and associated charges were examined. Patients with dementia visited the ED more frequently, were hospitalized more often than patients without dementia, and had an increased odds of returning to the ED within 30 days of an index ED visit compared with persons who never had a dementia diagnosis (odds ratio, 2.29; P<0.001). Survival rates differed significantly between patients by dementia status (P<0.001). Mean Medicare payments for ED services were significantly higher among patients with dementia. These results show that older adults with dementia are frequent ED visitors who have greater comorbidity, incur higher charges, are admitted to hospitals at higher rates, return to EDs at higher rates, and have higher mortality after an ED visit than patients without dementia.

Indexed as

DementiaAgedAged, 80 and overComorbidityEmergency Service, HospitalFemaleHealth Care CostsHumansMaleMedicaidMedicareMiddle AgedPatient ReadmissionSurvival RateUnited States

Identifiers

PMID26523710
PMCPMC4764430

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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.