ArticleJournal of the American Medical Directors Association2019
High-Intensity Telemedicine Reduces Emergency Department Use by Older Adults With Dementia in Senior Living Communities.
Article in Journal of the American Medical Directors Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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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
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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of medication management interventions on healthcare utilisation in people with dementia: a systematic review with meta-analysis.Age and ageing · 2026Pooled it
- Emergency Department Utilisation and Related Costs in People With and Without Dementia in Their Last Years of Life.Emergency medicine Australasia : EMA · 2026Article
- Impact of regular televisits on unplanned hospital admissions of nursing home residents in rural Germany: a pre-post intervention study.BMC geriatrics · 2025Article
- Ambulatory Care Sensitive Hospitalizations and Disparities Among Older Adults With Dementia Before and During the Pandemic.Journal of the American Geriatrics Society · 2025Observational
- Implementation of Telemedicine for Patients With Dementia and Their Caregivers: Scoping Review.Journal of medical Internet research · 2025Article
- Virtual primary care for people living with dementia in Canada: cross-sectional surveys of patients, care partners, and family physicians.BMC primary care · 2025Article
- Multilevel factors influencing eHealth adoption among older adults during the pandemic.Frontiers in public health · 2025Article
- Telemedicine and Disparities in Mental Health Service Use Among Community-Dwelling Older Adults With Alzheimer Disease and Related Dementias.Journal of the American Medical Directors Association · 2024Observational
- Navigating Through Innovation in Elderly's Health: A Scoping Review of Digital Health Interventions.Public health reviews · 2024Article
- Perceptions of Acute Care Telemedicine Among Caregivers for Persons Living with Dementia: A Qualitative Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Perceptions and Uses of Telehealth in the Care of Older Adults.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023Article
- How Telemedicine Can Improve the Quality of Care for Patients with Alzheimer's Disease and Related Dementias? A Narrative Review.Medicina (Kaunas, Lithuania) · 2022Review
- Nursing Home-Sensitive Hospitalizations and the Relevance of Telemedicine: A Scoping Review.International journal of environmental research and public health · 2022Article
- Emergency and post-emergency care of older adults with Alzheimer's disease/Alzheimer's disease related dementias.Journal of the American Geriatrics Society · 2022Article
- There and back again: the shape of telemedicine in U.S. nursing homes following COVID-19.BMC geriatrics · 2022Article
- Effect of Collaborative Governance on Medical and Nursing Service Combination: An Evaluation Based on Delphi and Entropy Method.Healthcare (Basel, Switzerland) · 2021Article
- Digital delivery of non-pharmacological intervention programmes for people living with dementia during the COVID-19 pandemic.BMJ case reports · 2021Article
- Characterizing Emergency Department Use in Assisted Living.Journal of the American Medical Directors Association · 2021Observational
- Telehealth in Neurodegenerative Diseases: Opportunities and Challenges for Patients and Physicians.Brain sciences · 2021Review
- Reducing Emergency Department Transfers from Skilled Nursing Facilities Through an Emergency Physician Telemedicine Service.The western journal of emergency medicine · 2020Observational
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectivesIndividuals with dementia have high rates of emergency department (ED) use for acute illnesses. We evaluated the effect of a high-intensity telemedicine program that delivers care for acute illnesses on ED use rates for individuals with dementia who reside in senior living communities (SLCs; independent and assisted living).
designWe performed a secondary analysis of data for patients with dementia from a prospective cohort study over 3.5 years that evaluated the effectiveness of high-intensity telemedicine for acute illnesses among SLC residents. SETTING AND
participantsWe studied patients cared for by a primary care geriatrics practice at 22 SLCs in a northeastern city. Six SLCs were selected as intervention facilities and had access to patient-to-provider high-intensity telemedicine services to diagnose and treat illnesses. Patients at the remaining 15 SLCs served as controls. Participants were considered to have dementia if they had a diagnosis of dementia on their medical record problem list, were receiving medications for the indication of dementia, or had cognitive testing consistent with dementia. MEASURES: We compared the rate of ED use among participants with dementia and access to high-intensity telemedicine services to control participants with dementia but without access to services.
resultsIntervention group participants had 201 telemedicine visits. In participants with dementia, it is estimated that 1 year of access to telemedicine services is associated with a 24% decrease in ED visits (rate ratio 0.76, 95% confidence interval 0.61, 0.96). CONCLUSIONS/IMPLICATIONS: Telemedicine in SLCs can effectively decrease ED use by individuals with dementia, but further research is needed to confirm this secondary analysis and to understand how to best implement and optimize telemedicine for patients with dementia suffering from acute illnesses.
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