ArticleJournal of the American Geriatrics Society2020
National Trends in Potentially Preventable Hospitalizations of Older Adults with Dementia.
Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses 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
46 citing papers in PubMed, 2 syntheses or guidelines 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
- Pooled it
- Effects of a virtual iSupport Program on carers and people with dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Trial
- Supervised, Self-Administered Tablet-Based Cognitive Assessment in Neurodegenerative Disorders and Stroke.Dementia and geriatric cognitive disorders · 2023Trial
- Machine Learning Prediction of One-Year Rehospitalization in Dementia: A Retrospective Cohort Study.Health science reports · 2026Article
- Billing for Comprehensive Dementia Care Services Among Traditional Medicare Beneficiaries: Implications for the GUIDE Model.Journal of the American Geriatrics Society · 2026Article
- A culturally tailored iSupport model for dementia carers: Study protocol for a hybrid type I randomised controlled trial.International journal of nursing studies advances · 2026Article
- A Retrospective National Cohort Study of Trends in Mechanical Ventilation Among Veterans Living With Dementia, 2010-2019.Journal of the American Geriatrics Society · 2026Article
- Disposition at Equipoise: A Qualitative Study of Emergency Physicians' Decision-Making About Hospitalizing People With Dementia.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Cognitive Interviews With Emergency Physicians to Understand Disposition Decisions With People With Dementia With Borderline Cases.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Overall and Avoidable Healthcare Utilization among Heterogeneous Hispanic/Latino Ethnic Groups with Cognitive Impairment in the Study of Latinos-Investigation of Neurocognitive Aging (SOL-INCA).Journal of racial and ethnic health disparities · 2026Article
- When context matters: social disparities in preventable hospitalizations among Medicare beneficiaries with dementia.Innovation in aging · 2026Article
- Dissemination of the Care Ecosystem Collaborative Care Model for Dementia.Journal of the American Geriatrics Society · 2025Article
- Care Decisions in the Hospital: Challenges for Family Members of Hospitalized Persons With Dementia.Journal of pain and symptom management · 2025Article
- Detection of emergency department patients at risk of dementia through artificial intelligence.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Observational
- The Association of Dementia and Mild Cognitive Impairment With Outpatient Ambulatory Care Utilization in the Community.Journal of the American Geriatrics Society · 2025Article
- Detection and differentiation of undiagnosed dementia in the emergency department: A pilot referral pathway.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Untangling the complex web of avoidable nursing home-to-hospital transfers of residents with dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- Fragmented Readmissions From a Nursing Facility in Medicare Beneficiaries.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Ascertaining Out-of-Pocket Costs of Dementia Care: Feasibility Study of a Web-Based Weekly Survey.JMIR formative research · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
BACKGROUND/
objectivesDementia is associated with higher healthcare expenditures, in large part due to increased hospitalization rates relative to patients without dementia. Data on contemporary trends in the incidence and outcomes of potentially preventable hospitalizations of patients with dementia are lacking.
designRetrospective cohort study using the National Inpatient Sample from 2012 to 2016.
settingU.S. acute care hospitals.
participantsA total of 1,843,632 unique hospitalizations of older adults (aged ≥65 years) with diagnosed dementia. MEASUREMENTS: Annual trends in the incidence of hospitalizations for all causes and for potentially preventable conditions including acute ambulatory care sensitive conditions (ACSCs), chronic ACSCs, and injuries. In-hospital outcomes including mortality, discharge disposition, and hospital costs.
resultsThe survey weighted sample represented an estimated 9.27 million hospitalizations for patients with diagnosed dementia (mean [standard deviation] age = 82.6 [6.7] years; 61.4% female). In total, 3.72 million hospitalizations were for potentially preventable conditions (40.1%), 2.07 million for acute ACSCs, .76 million for chronic ACSCs, and .89 million for injuries. Between 2012 and 2016, the incidence of all-cause hospitalizations declined from 1.87 million to 1.85 million per year (P = .04) while the incidence of potentially preventable hospitalizations increased from .75 million to .87 million per year (P < .001), driven by an increased number of hospitalizations of community-dwelling older adults. Among patients with dementia hospitalized for potentially preventable conditions, inpatient mortality declined from 6.4% to 6.1% (P < .001), inflation-adjusted median costs increased from $7,319 to $7,543 (P < .001), and total annual costs increased from $7.4 to $9.3 billion. Although 86.0% of hospitalized patients were admitted from the community, only 32.7% were discharged to the community.
conclusionThe number of potentially preventable hospitalizations of older adults with dementia is increasing, driven by hospitalizations of community-dwelling older adults. Improved strategies for early detection and goal-directed treatment of potentially preventable conditions in patients with dementia are urgently needed. J Am Geriatr Soc 68:2240-2248, 2020.
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