Evidence map›Paper›PMID 30704268›Full record

Observational studyAmerican journal of Alzheimer's disease and other dementias2019

Constant Observation Practices for Hospitalized Persons With Dementia: A Survey Study.

Liron Sinvani, Andrew Strunk, Vidhi Patel, Shalin Shah, Colm Mulvany, Andrzej Kozikowski, Marie Boltz, Renee Pekmezaris, Gisele Wolf-Klein

Open access · bronzeAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in American journal of Alzheimer's disease and other dementias, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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

9 authors at 2 institutions in 1 country.

Liron Sinvani1 Department of Medicine, Division of Hospital Medicine, Northwell Health, New York, NY, USA.ORCID 0000-0001-9700-251X
Andrew Strunk4 Department of Dermatology, Northwell Health, New York, NY, USA.
Vidhi Patel2 Center of Health Innovation and Outcomes Research (CHIOR), The Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA.
Shalin Shah1 Department of Medicine, Division of Hospital Medicine, Northwell Health, New York, NY, USA.
Colm Mulvany2 Center of Health Innovation and Outcomes Research (CHIOR), The Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA.ORCID 0000-0001-6645-0299
Andrzej Kozikowski2 Center of Health Innovation and Outcomes Research (CHIOR), The Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA.
Marie Boltz5 College of Nursing, Penn State, University Park, PA, USA.
Renee Pekmezaris2 Center of Health Innovation and Outcomes Research (CHIOR), The Feinstein Institute for Medical Research, Northwell Health, New York, NY, USA.
Gisele Wolf-Klein6 Department of Medicine, Division of Geriatrics and Palliative Medicine, Northwell Health, New York, NY, USA.
Northwell Health · USPennsylvania State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite substantial staffing and cost implications, the use of constant observation (CO) has been poorly described in the acute care setting. The purpose of this cross-sectional, multicenter, survey study was to assess hospital provider practices regarding the use of CO. Of the 543 surveys distributed, 231 were completed across 5 sites. Most respondents worked on medical units (67.5%), as nurses (49.1%); 44.8% were white; and 75.6% were female. The majority (84.2%) reported at least 1 patient/wk requiring CO. Most frequent indication for CO was dementia with agitation (60.7%), in patients older than 70 (62.3%) and predominantly by nurse assistants (93.9%). Almost half (47.3%) stated they felt pressured to discontinue CO, despite a strong perceived benefit (76%). Enhanced observation (92.6%) was most frequently used to decrease CO. Finally, 77.9% perceived that those performing CO lacked training. Our study highlights the widespread use of CO for hospitalized older adults with dementia.

Indexed as

Patient SafetyAdultCross-Sectional StudiesDementiaFemaleHospitalizationHumansMaleMiddle AgedNursing AssistantsNursing Staff, HospitalPsychomotor AgitationSitting PositionSurveys and QuestionnairesAlzheimer’s disease and related dementiabehavioral and psychological symptoms of dementiaconstant observationsitters

Identifiers

PMID30704268
PMCPMC10852488
OpenAlexW2914925140

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.