ArticleJournal of the American Geriatrics Society2018
Lower Postsurgical Mortality for Individuals with Dementia with Better-Educated Hospital Workforce.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis 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
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Associations Between Nurse Staffing Levels and 30- and 60-Day Readmissions for Acute Care Patients With Intellectual and Developmental Disability.Research in nursing & health · 2025Article
- Nurses retrospective view on nursing education: A repeated cross-sectional study over three decades.Heliyon · 2024Article
- The association of the emergency department work environment on patient care and nurse job outcomes.Journal of the American College of Emergency Physicians open · 2023Article
- Accountable care organizations and use of surgery among patients with Alzheimer disease and related dementias.The American journal of managed care · 2023Article
- Nurse Education and Hospital Readmissions for Children With and Without a Mental Health Condition.Hospital pediatrics · 2023Article
- RT education and COVID-19 pneumonia discharge quality.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2023Article
- Nursing Resources Linked to Postsurgical Outcomes for Patients With Opioid Use Disorder: An Observational Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- Association of Medicare bundled payment model with joint replacement care for people with dementia.Journal of the American Geriatrics Society · 2022Article
- Value of Nurse Practitioner Inpatient Hospital Staffing.Medical care · 2021Article
- Changes in proportion of bachelor's nurses associated with improvements in patient outcomes.Research in nursing & health · 2021Article
- The association of mental health disease with perioperative outcomes following femoral neck fractures.Journal of clinical orthopaedics and trauma · 2019Article
- In Hospitals With More Nurses Who Have Baccalaureate Degrees, Better Outcomes For Patients After Cardiac Arrest.Health affairs (Project Hope) · 2019Article
- Review
- Variations in nursing baccalaureate education and 30-day inpatient surgical mortality.Nursing outlookArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectivesTo investigate whether care in a hospital with more nurses holding at least a Bachelor of Science in Nursing (BSN) degree is associated with lower mortality for individuals with Alzheimer's disease and related dementias (ADRD) undergoing surgery ADRD.
designCross-sectional data from 2006-07 Medicare claims were linked with the Multi-State Nursing Care and Patient Safety Survey of nurses in 4 states.
settingAdult, nonfederal, acute care hospitals in California, Florida, New Jersey, and Pennsylvania (N=531).
participantsMedicare beneficiaries aged 65 and older with and without ADRD undergoing general, orthopedic, or vascular surgery (N=353,333; ADRD, n=46,163; no ADRD, n=307,170). MEASUREMENTS: Thirty-day mortality and failure to rescue (death after a complication).
resultsControlling for hospital, procedure, and individual characteristics, each 10% increase in the proportion of BSN nurses was associated with 4% lower odds of death (odds ratio (OR)=0.96, 95% confidence interval (CI)=0.93-0.98) for individuals without ADRD, but 10% lower odds of death (OR=0.90, 95% CI=0.87-0.94) for those with ADRD. Each 10% increase in the proportion of nurses holding a BSN degree or higher was associated with 5% lower odds of failure to rescue (OR=0.95, 95% CI=0.92-0.98) for individuals without ADRD but 10% lower odds of failure to rescue (OR=0.90, 95% CI=0.87-0.94) for those with ADRD.
conclusionIndividuals undergoing surgery who have coexisting ADRD are more likely to die within 30 days of admission and die after a complication than those without ADRD. Having more BSN nurses in the hospital improves the odds of good outcomes for all individuals and has a much greater effect in individuals with ADRD.
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