Evidence map›Paper›PMID 32812457›Full record

ArticleJournal of geriatric psychiatry and neurology2021

Discharge Communication of Dementia-Related Neuropsychiatric Symptoms and Care Management Strategies During Hospital to Skilled Nursing Facility Transitions.

Andrea L Gilmore-Bykovskyi, Melissa Hovanes, Jacquelyn Mirr, Laura Block

Abstract read
In one paragraph

Article in Journal of geriatric psychiatry and neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  7. Review
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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

4 authors.

Andrea L Gilmore-Bykovskyi5228University of Wisconsin-Madison School of Nursing, Madison, WI, USA.ORCID 0000-0003-4930-3558
Melissa Hovanes5228University of Wisconsin-Madison School of Nursing, Madison, WI, USA.
Jacquelyn MirrDivision of Geriatrics, Department of Medicine, 5228University of Wisconsin-Madison School of Medicine & Public Health, Madison, WI, USA.
Laura Block5228University of Wisconsin-Madison School of Nursing, Madison, WI, USA.

Funding

Novel Approaches to Identifying and Engaging Disadvantaged Patients with Alzheimer’s Disease (AD) in Clinical ResearchK76AG060005 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI GILMORE-BYKOVSKYI, ANDREA L · 2018 to 2022
$1.1M
The Hospital Discharge Summary's Impact on Sub-Acute Care Patient OutcomesK23AG034551 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI KIND, AMY J. · 2010 to 2012
$556k
NIA NIH HHS K23 AG034551NIA NIH HHS K76 AG060005
6 · The paper itself

Abstract

Provided the complexity of managing dementia-related neuropsychiatric symptoms (NPS), accurate communication about these symptoms at hospital discharge is critical to facilitating safe and effective transitions, particularly transitions from hospitals to skilled nursing facilities (SNF), which are often poorly managed. Skilled nursing facilities providers have cited undercommunication regarding NPS as a major challenge that contributes to poor outcomes including rehospitalization. This multisite retrospective cohort study identified omission rates for NPS and associated management strategies in discharge communication as compared to medical record documentation in the 72 hours preceding discharge among hospitalized patients with dementia. High rates of omission were found across NPS and management strategies: anxiety (94%), agitation/aggression (77%), hallucinations (85%), 1:1 supervision (90%), high fall risk (89%), use of restraints (91%). Omission rate for new or modified antipsychotic medication was 12.9%. Findings underscore the need for additional research on cross-setting communication regarding care needs of patients with dementia-who often cannot communicate these needs on their own-in facilitating high-quality transitions.

Indexed as

DementiaSkilled Nursing FacilitiesCommunicationHospitalsHumansPatient DischargePatient TransferRetrospective Studiesdementiadementia symptom managementneuropsychiatric symptomstransitions

Identifiers

PMID32812457
PMCPMC7892639

What OpenQuestion holds

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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.