Observational studyJournal of the American Medical Directors Association2016
Patterns of Emergency Department Use Among Long-Stay Nursing Home Residents With Differing Levels of Dementia Severity.
Observational study in Journal of the American Medical Directors Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled 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.
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
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Variations in older people's emergency care use by social care setting: a systematic review of international evidence.British medical bulletin · 2024Pooled it
- Pooled it
- Age and sex differences in emergency department visits of nursing home residents: a systematic review.BMC geriatrics · 2018Pooled it
- Systematic Dementia Screening by Multidisciplinary Team Meetings in Nursing Homes for Reducing Emergency Department Transfers: The IDEM Cluster Randomized Clinical Trial.JAMA network open · 2020Trial
- Permanent cognitive or physical impairment after transfer from long-term care to acute care: a retrospective cohort study.Age and ageing · 2026Article
- A Qualitative Study of Health Priorities of People With Dementia and Care Partners in Emergency Department and Hospital Care in a Public Safety-Net Setting.Journal of the American Geriatrics Society · 2025Article
- Frequency and predictors of emergency department visits among the oldest old in Finland: the Vitality 90+ Study.BMC health services research · 2025Article
- Hospitalizations, emergency medical care utilization, and contacts with the regional on-call medical services among nursing home residents in Germany: a cross-sectional study in 44 nursing homes.BMC health services research · 2025Article
- Association of Dementia Severity at Diagnosis With Health Care Utilization and Costs Around the Time of Incident Diagnosis.Innovation in aging · 2025Article
- A scoping review of geriatric emergency medicine research transparency in diversity, equity, and inclusion reporting.Journal of the American Geriatrics Society · 2024Article
- Identifying Dementia Severity Among People Living With Dementia Using Administrative Claims Data.Journal of the American Medical Directors Association · 2024Article
- Strategies to Improve Emergency Transitions From Long-Term Care Facilities: A Scoping Review.The Gerontologist · 2024Article
- Hospital admissions and emergency department visits for people with dementia.QJM : monthly journal of the Association of Physicians · 2024Article
- Emergency department visits and associated factors among people with dementia residing in nursing homes in Taiwan: a one-year cohort study.BMC geriatrics · 2023Article
- Short-term associations between ambient air pollution and emergency department visits for Alzheimer's disease and related dementias.Environmental epidemiology (Philadelphia, Pa.) · 2023Article
- Optimal Emergency Department Care Practices for Persons Living With Dementia: A Scoping Review.Journal of the American Medical Directors Association · 2022Article
- [Emergency situations and emergency department visits in nursing homes-a scoping review about circumstances and healthcare interventions].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Article
- Trajectories and determinants of emergency department use among nursing home residents: a time series analysis (2012-2019).BMC geriatrics · 2022Article
- Trends and Variations in Emergency Department Use Associated With Diabetes in the US by Sociodemographic Factors, 2008-2017.JAMA network open · 2022Article
- Nursing Home Transfers for Behavioral Concerns: Findings from the OPTIMISTIC Demonstration Project.Journal of the American Geriatrics Society · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo describe emergency department (ED) utilization among long-stay nursing home residents with different levels of dementia severity.
designRetrospective cohort study.
settingPublic Health System.
participantsA total of 4491 older adults (age 65 years and older) who were long-stay nursing home residents. MEASUREMENTS: Patient demographics, dementia severity, comorbidities, ED visits, ED disposition decisions, and discharge diagnoses.
resultsForty-seven percent of all long-stay nursing home residents experienced at least 1 transfer to the ED over the course of a year. At their first ED transfer, 36.4% of the participants were admitted to the hospital, whereas 63.1% of those who visited the ED were not. The median time to first ED visit for the participants with advanced stage dementia was 258 days, whereas it was 250 days for the participants with early to moderate stage dementia and 202 days for the participants with no dementia (P = .0034). Multivariate proportional hazard modeling showed that age, race, number of comorbidities, number of hospitalizations in the year prior, and do not resuscitate status all significantly influenced participants' time to first ED visit (P < .05 for all). After accounting for these effects, dementia severity (P = .66), years in nursing home before qualification (P = .46), and gender (P = .36) lost their significance.
conclusionsThis study confirms high rates of transfer of long-stay nursing home residents, with nearly one-half of the participants experiencing at least 1 ED visit over the course of a year. Although dementia severity is not a predictor of time to ED use in our analyses, other factors that influence ED use are readily identifiable. Nursing home providers should be aware of these factors when developing strategies that meet patient care goals and avoid transfer from the nursing home to the ED.
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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.