Observational studyJournal of the American Geriatrics Society2021
Do Caregiving Factors Affect Hospitalization Risk Among Disabled Older Adults?
Observational study in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06635876 (Piloting an Online Emergency Preparedness Toolkit for Caregivers Preparing for Their Own Health Care Emergency), which is not on this 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.
Piloting an Online Emergency Preparedness Toolkit for Caregivers Preparing for Their Own Health Care Emergency
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health Care-Related Tasks of Informal Dementia Caregivers in the U.S.: A Systematic Review with Narrative Synthesis.Inquiry : a journal of medical care organization, provision and financingPooled it
- A Pilot Trial Evaluating Collaborative Healthcare Encounters With Caregivers: A Checklist-Based Intervention for Primary Care.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Trial
- Long-term effects of collaborative dementia care on quality of life and caregiver well-being.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Trial
- Palliative care for patients with heart failure and family caregivers in rural Appalachia: a randomized controlled trial.BMC palliative care · 2024Trial
- Associations between caregiver-provider communication quality and unmet care needs among older adults.BMC geriatrics · 2026Article
- Associations between Caregiver-Provider Communication Quality and Unmet Care Needs Among Older Adults.Research square · 2025Article
- Caregiver recruitment and engagement: identifying best practices and strategies for including family caregivers of veterans in health services research.BMC health services research · 2025Article
- A Call to Action: Arming Nurses With Political Knowledge to Advocate for Older People.International journal of older people nursing · 2025Article
- Family Caregiver Perspectives on Digital Methods to Measure Stress: Qualitative Descriptive Study.Journal of medical Internet research · 2025Article
- Caregiving Trajectories and Unmet Care Needs in Later Life.The Gerontologist · 2025Article
- Leveraging Existing Datasets to Advance Family Caregiving Research: Opportunities to Measure What Matters.Journal of aging & social policy · 2024Article
- Prevalence Estimates of Arthritis and Activity-Limiting Pain Among Family Caregivers to Older Adults.The Gerontologist · 2024Article
- 2024 Alzheimer's disease facts and figures.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- Understanding Care Needs of Older Adults with Disabilities: A Scoping Review.Journal of multidisciplinary healthcare · 2024Article
- Dementia caregiver burdens predict overnight hospitalization and hospice utilization.Palliative & supportive care · 2023Article
- Differences in healthcare service utilization in patients with polypharmacy according to their risk level by adjusted morbidity groups: a population-based cross-sectional study.Journal of pharmaceutical policy and practice · 2023Article
- Heart failure with comorbid dementia: Association with clinical characteristics and outcomes.Journal of the American Geriatrics Society · 2023Article
- Shared Care Networks Assisting Older Adults: New Insights From the National Health and Aging Trends Study.The Gerontologist · 2023Article
- Catalyzing dementia care through the learning health system and consumer health information technology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Article
- Validation of a Measure of Role Overload and Gains for End-of-Life Dementia Caregivers.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
BACKGROUND/
objectivesHospitalization is common among older adults with disability, many of whom receive help from a caregiver and have dementia. Our objective was to evaluate the association between caregiver factors and risk of hospitalization and whether associations differ by dementia status.
designLongitudinal observational study.
settingThe 1999 and 2004 National Long-Term Care Survey and the 2011 and 2015 National Health and Aging Trends Study, linked caregiver surveys, and Medicare claims.
participantsA total of 2,589 community-living Medicare fee-for-service beneficiaries, aged 65 years or older (mean age = 79 years; 63% women; 31% with dementia), with self-care or mobility disability and their primary family or unpaid caregiver. MEASUREMENTS: Self-reported characteristics of older adults and their caregivers were assessed from older adult and caregiver survey interviews. Older adult hospitalization over the subsequent 12 months was identified in Medicare claims. Multivariable Cox proportional hazards models adjusted for older adult characteristics and were stratified by dementia status.
resultsIn this nationally representative cohort, 38% of older adults with disabilities were hospitalized over 12 months following interview. Increased hospitalization risk was associated with having a primary caregiver who helped with healthcare tasks (adjusted hazard ratio (aHR) = 1.22; 95% confidence interval (CI) = 1.05-1.40), reported physical strain (aHR = 1.21; 95% CI = 1.04-1.42), and provided more than 40 hours of care weekly (aHR = 1.26; 95% CI = 1.04-1.54 vs ≤20 hours). Having a caregiver who had helped for 4 years or longer (vs <1 year) was associated with 38% lower risk of hospitalization (aHR = 0.62; 95% CI = 0.49-0.79). Older adults with and without dementia had similar rates of hospitalization (39.5% vs 37.3%; P = .4), and caregiving factors were similarly associated with hospitalization regardless of older adults' dementia status.
conclusionSelect caregiving characteristics are associated with hospitalization risk among older adults with disability. Hospitalization risk reduction strategies may benefit from understanding and addressing caregiving circumstances.
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