ArticleJournal of the American Medical Directors Association2020
Dementia Severity Associated With Increased Risk of Potentially Preventable Readmissions During Home Health Care.
Article in Journal of the American Medical Directors Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- The effect of psychosocial and healthcare interventions on reducing hospitalization in people with dementia: an umbrella review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Pooled it
- Clinical Group Assignment in Home Health Care for Medicare Beneficiaries With ADRD: A 2019 Pre-PDGM Simulation.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Applying the Brief Interview for Mental Status in a Diverse Home Health Patient Population.Journal of the American Medical Directors Association · 2026Article
- Machine Learning Prediction of One-Year Rehospitalization in Dementia: A Retrospective Cohort Study.Health science reports · 2026Article
- Hospital-to-Home Neurological Transition Care: A Scoping Review Across Selected Chronic Neurological Disorders.Medical sciences (Basel, Switzerland) · 2026Article
- Hospitalization costs associated with 30-day unplanned readmissions and potentially preventable readmissions in US older patients with Alzheimer's disease and related dementias.BMC health services research · 2026Article
- Family Caregiver Availability and Capacity Associated With Home Health Service Types for Patients With Dementia.Journal of the American Medical Directors Association · 2025Article
- Knowledge, attitudes, and representations of caregivers of individuals with major neurocognitive disorders regarding palliative and end-of-life care: a narrative literature review.BMC palliative care · 2025Review
- Undocumented Dementia Diagnosis During Skilled Home Health Care: Prevalence and Associated Factors.Journal of the American Geriatrics Society · 2025Article
- Skilled home healthcare utilization and outcomes for older adults with dementia: A scoping review.Journal of the American Geriatrics Society · 2025Article
- Association of Dementia Severity at Diagnosis With Health Care Utilization and Costs Around the Time of Incident Diagnosis.Innovation in aging · 2025Article
- Home Health Care and Place of Death in Medicare Beneficiaries With and Without Dementia.The Gerontologist · 2024Article
- Validation of Claims-Based Frailty Index for Identifying Moderate-to-Severe Dementia in Medicare Beneficiaries.Journal of the American Medical Directors Association · 2024Article
- Patterns of national emergency department utilization by fee-for-service Medicare beneficiaries with dementia.Journal of the American Geriatrics Society · 2024Article
- Risk Management During the Transition From Hospital to Home: A Multiple Case Study Documenting the Experience of Patients Living With a Major Neurocognitive Disorder, Their Caregivers, and Healthcare Professionals.Journal of patient experience · 2024Article
- Claims-Based Frailty Index as a Measure of Dementia Severity in Medicare Claims Data.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Identifying Medicare beneficiaries with Alzheimer's disease and related dementia using home health OASIS assessments.Journal of the American Geriatrics Society · 2023Article
- Unmet Caregiving Needs Among Sepsis Survivors Receiving Home Health Care: The Need for Caregiver Training.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- Cognitive impairment associated with greater care intensity during home health care.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2022Article
- [5-Year Readmission Status and Risk Factors for Senile Dementia Patients: A Study Based on Chengdu Municipal Medical Insurance Database].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesApproximately 14% of Medicare beneficiaries are readmitted to a hospital within 30 days of home health care admission. Individuals with dementia account for 30% of all home health care admissions and are at high risk for readmission. Our primary objective was to determine the association between dementia severity at admission to home health care and 30-day potentially preventable readmissions (PPR) during home health care. A secondary objective was to develop a dementia severity scale from Outcome and Assessment Information Set (OASIS) items based on the Functional Assessment Staging Tool (FAST).
designRetrospective cohort study. SETTING AND
participantsHome health care; 126,292 Medicare beneficiaries receiving home health care (July 1, 2013-June 1, 2015) diagnosed with dementia (ICD-9 codes). MEASURES: 30-day PPR during home health care. Dementia severity categorized into 6 levels (nonaffected to severe).
resultsThe overall rate of 30-day PPR was 7.6% [95% confidence interval (CI) 7.4, 7.7] but varied by patient and health care utilization characteristics. After adjusting for sociodemographic and clinical characteristics, the odds ratio (OR) for dementia severity category 6 was 1.37 (95% CI 1.29, 1.46) and the OR for category 7 was 1.94 (95% CI 1.64, 2.31) as compared to dementia severity category 1/2. CONCLUSIONS AND IMPLICATIONS: Dementia severity in the later stages is associated with increased risk for potentially preventable readmissions. Our findings suggest that individuals admitted to home health during the later stages of Alzheimer's disease and related dementias may require greater supports and specialized care to minimize negative outcomes such as readmissions. Development of a dementia severity scale based on OASIS items and the FAST is feasible. Future research is needed to determine effective strategies for decreasing potentially preventable readmissions of individuals with severe dementia who receive home health care. Future research is also needed to validate the proposed dementia severity categories used in this study.
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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.