ArticleBMJ open2018
Preventing emergency department (ED) visits and hospitalisations of older adults with cognitive impairment compared with the general senior population: what do we know about avoidable incidents? Results from a scoping review.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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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
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Who cites it
15 citing papers in PubMed, 21 citations in OpenAlex.
- Program of intensive support in emergency departments for care partners of cognitively impaired patients: A randomized controlled trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Trial
- SpeechDETECT: an explainable automated speech processing pipeline for early detection of neurological and health changes.Health information science and systems · 2026Article
- Identifying Cognitive Impairment in People Who Are Homeless in Metropolitan Australia: An Exploratory Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Conditions identified by common comprehensive geriatric assessment measures and subsequent acute care among adults with SLE.Lupus science & medicine · 2026Article
- Emergency Department Utilisation and Related Costs in People With and Without Dementia in Their Last Years of Life.Emergency medicine Australasia : EMA · 2026Article
- 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 · 2026Article
- Validation of predictive factors for hospital admission in elderly patients transported by emergency medical services: a retrospective observational study.BMC emergency medicine · 2025Observational
- SpeechCARE: dynamic multimodal modeling for cognitive screening in diverse linguistic and speech task contexts.NPJ digital medicine · 2025Article
- Emergency Department Care Coordination Program for Assisted Living Residents With Dementia: A Qualitative Study.JAMA network open · 2025Article
- Optimal Emergency Department Care Practices for Persons Living With Dementia: A Scoping Review.Journal of the American Medical Directors Association · 2022Article
- Impact of COVID-19 on emergency department visits among palliative home care recipients: a retrospective population-based cohort study in the Piedmont region, Italy.Palliative care and social practice · 2022Article
- Determinants Associated With the Risk of Emergency Department Visits Among Patients Receiving Integrated Home Care Services: A 6-Year Retrospective Observational Study in a Large Italian Region.International journal of health policy and management · 2021Observational
- Features of primary care practice influence emergency care-seeking behaviors by caregivers of persons with dementia: A multiple-perspective qualitative study.Dementia (London, England) · 2021Article
- Predictors and trajectories of ED visits among patients receiving palliative home care services: findings from a time series analysis (2013-2017).BMC palliative care · 2020Article
- Factors Influencing Emergency Care by Persons With Dementia: Stakeholder Perceptions and Unmet Needs.Journal of the American Geriatrics Society · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesOlder cognitively impaired adults present a higher risk of hospitalisation and mortality following a visit to the emergency department (ED). Better understanding of avoidable incidents is needed to prevent them and the associated ED presentations in community-dwelling adults. This study aimed to synthetise the actual knowledge concerning these incidents leading this population to ED presentation, as well as possible preventive measures to reduce them.
designA scoping review was performed according to the Arksey and O'Malley framework.
methodsScientific and grey literature published between 1996 and 2017 were examined in databases (Medline, Cumulative Index of Nursing and Allied Health, Ageline, Scopus, ProQuest Dissertations/theses, Evidence-based medecine (EBM) Reviews, Healthstar), online library catalogues, governmental websites and published statistics. Sources discussing avoidable incidents leading to ED presentations were included and then extended to those discussing hospitalisation and mortality due to a lack of sources. Data (type, frequency, severity and circumstances of incidents, preventive measures) was extracted using a thematic chart, then analysed with content analysis.
results67 sources were included in this scoping review. Five types of avoidable incidents (falls, burns, transport accidents, harm due to self-negligence and due to wandering) emerged, and all but transport accidents were more frequent in cognitively impaired seniors. Differences regarding circumstances were only reported for burns, as scalding was the most prevalent mechanism of injury for this population compared with flames for the general senior population. Multifactorial interventions and implications of other professionals (eg, pharmacist, firefighters) were reported as potential interventions to reduce avoidable incidents. However, few preventive measures were specifically tested in this population.
conclusionsPrimary research that screens for cognitive impairment and involves actors (eg, paramedics) to improve our understanding of avoidable incidents leading to ED visits is greatly needed. This knowledge is essential to develop preventive measures tailored to the needs of older cognitively impaired adults.
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