ArticleJournal of the American Geriatrics Society2017
New or Worsening Symptoms and Signs in Community-Dwelling Persons with Dementia: Incidence and Relation to Use of Acute Medical Services.
Article in Journal of the American Geriatrics Society, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Hospitalisation rates and predictors in people with dementia: a systematic review and meta-analysis.BMC medicine · 2019Pooled it
- Pooled it
- Transitional Care of People With Dementia and Caregivers in the ADRD-PC Trial: A Mixed Methods Study.Journal of pain and symptom management · 2024Article
- Using Natural Language Processing to Identify Home Health Care Patients at Risk for Diagnosis of Alzheimer's Disease and Related Dementias.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Social Media Discourse Related to Caregiving for Older Adults Living With Alzheimer Disease and Related Dementias: Computational and Qualitative Study.JMIR aging · 2024Article
- Unique Care Needs of People with Dementia and Their Caregivers during Transitions from Skilled Nursing Facilities to Home and Assisted Living: A Qualitative Study.Journal of the American Medical Directors Association · 2022Article
- A research agenda for promoting continence for people living with dementia in the community: Recommendations based on a critical review and expert-by-experience opinion.Journal of clinical nursing · 2022Review
- Avoidable Hospitalizations in Persons with Dementia: a Population-Wide Descriptive Study (2000-2015).Canadian geriatrics journal : CGJ · 2021Article
- Nursing Home Transfers for Behavioral Concerns: Findings from the OPTIMISTIC Demonstration Project.Journal of the American Geriatrics Society · 2021Article
- Urgent care for patients with dementia: a scoping review of associated factors and stakeholder experiences.BMJ open · 2020Article
- Emergency Department Use by Community-Dwelling Individuals With Dementia in the United States: An Integrative Review.Journal of gerontological nursing · 2018Review
- Adapting the Connect-Home transitional care intervention for the unique needs of people with dementia and their caregivers: A feasibility study.Geriatric nursing (New York, N.Y.)Review
- Free-Text Documentation of Dementia Symptoms in Home Healthcare: A Natural Language Processing Study.Gerontology & geriatric medicineArticle
- Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectivesTo understand the range of symptoms that present to family caregivers of community-dwelling persons with Alzheimer's disease and related dementias (ADRD).
designSix-month longitudinal prospective study to identify the incidence of new or worsening symptoms and their association with acute care medical service use.
settingCommunity-based sample of volunteers from multiple states.
participantsA total of 136 patient-caregiver dyads with a range of dementia severity. MEASUREMENTS: Forty four symptoms and signs common in older persons and/or persons with dementia; frequency of emergency department visits, hospitalizations, and death; and associations between reported symptoms and acute medical care.
resultsDuring a mean of 5.7 months' follow-up, new or worsening organ-specific (90% of participants), nonspecific (89%), and behavioral (88%) symptoms were common, with the average caregiver reporting seven new or worsening symptoms. Most common were worsening confusion (74%), decreased activity (64%), agitation (57%), hallucinations/delusions (45%), voice and speaking problems (45%), not eating or drinking (44%), and stress/anxiety (41%). Hospitalization and emergency department use occurred respectively in 19% and 20% of participants, and were associated with organ-specific symptoms (OR 3.15, P = .02), less so with nonspecific symptoms (OR 2.27, P = .07), and very little with behavioral symptoms (OR 1.44, P = .38). Within each symptom category, certain symptoms were significantly associated with acute medical service use.
conclusionFamily caregivers of persons with ADRD must respond to a variety of medical, nonspecific, and behavioral symptoms. The high incidence of new or worsening symptoms and of acute medical care use suggests a need to better target symptom evaluation and management in caregiver education.
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