Evidence map›Paper›PMID 29355877›Full record

ReviewJournal of gerontological nursing2018

Emergency Department Use by Community-Dwelling Individuals With Dementia in the United States: An Integrative Review.

Lauren J Hunt, Lorinda A Coombs, Caroline E Stephens

Registry-linked trialAbstract readReview
In one paragraph

Review in Journal of gerontological nursing, 2018. 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 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–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 mapstarted 2024, after this paper: background citation

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

36 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Beyond Triage: Cognitive Profiles and ED-To-Inpatient Costs and Resource Pathways in Older Adults.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Detection and differentiation of undiagnosed dementia in the emergency department: A pilot referral pathway.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Observational
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

3 authors.

Lauren J Hunt
Lorinda A Coombs
Caroline E Stephens

Funding

Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
Improving Palliative Care Access Through Technology (ImPAcTT): A Multi-Component Pilot StudyK76AG054862 · NIA · UNIVERSITY OF UTAH · PI STEPHENS, CAROLINE · 2017 to 2021
$1.2M
Outcomes of Pain in Community-Dwelling Older Adults with DementiaF31NR015380 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HUNT, LAUREN · 2014 to 2017
$94k
NCATS NIH HHS KL2 TR000143NIA NIH HHS K76 AG054862NINR NIH HHS F31 NR015380
6 · The paper itself

Abstract

As part of the National Plan to Address Alzheimer's Disease, reducing potentially avoidable emergency department (ED) use by individuals with dementia has been identified as a component of enhancing the quality and efficiency of care for this population. To help inform the development of interventions to achieve this goal, an integrative review was conducted to: (a) compare rates and reasons for ED visits by community-dwelling individuals with and without dementia, considering also the effect of dementia subtype and severity; and (b) identify other risk factors for increased ED use among community-dwelling individuals with dementia. Nineteen articles met inclusion criteria. Individuals with dementia had higher rates of ED visits compared to those without dementia, although differences were attenuated in the last year of life. Increased symptoms and disability were associated with increased rates of ED visits, whereas resources that enabled effective management of increased need decreased rates. Gerontological nurses across settings are on the frontlines of preventing potentially avoidable ED visits by community-dwelling individuals with dementia through patient and family education and leadership in the development of new models of care. [Journal of Gerontological Nursing, 44(3), 23-30.].

Indexed as

Independent LivingAlzheimer DiseaseCase-Control StudiesEmergency Service, HospitalGeriatric NursingHumansModels, PsychologicalNurse's RoleRisk FactorsSeverity of Illness IndexUnited States

Identifiers

PMID29355877
PMCPMC5982587

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.