ArticleGerontology & geriatric medicine
Free-Text Documentation of Dementia Symptoms in Home Healthcare: A Natural Language Processing Study.
Article in Gerontology & geriatric medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Natural language processing for geriatric syndromes: a systematic review of methods, applications, and challenges.BMC medical informatics and decision making · 2026Pooled it
- Natural language processing with machine learning methods to analyze unstructured patient-reported outcomes derived from electronic health records: A systematic review.Artificial intelligence in medicine · 2023Pooled it
- Use of Machine Learning and Artificial Intelligence Methods in Geriatric Mental Health Research Involving Electronic Health Record or Administrative Claims Data: A Systematic Review.Frontiers in psychiatry · 2021Pooled it
- A multi-site benchmarking framework for scalable extraction of geriatric care constructs from electronic health records.npj health systems · 2026Article
- Recruitment and Participation of Black Home Health Care Patients in Speech-Based Cognitive Research: Mixed Methods Feasibility Study.JMIR formative research · 2026Article
- Leveraging Natural Language Processing for Symptom Identification in Acute Myeloid Leukemia Using Clinical Notes from Electronic Health Records.Cancer nursing · 2026Article
- Accelerating real-world prediction and research in Alzheimer's: The M3AD study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Developing a Multimodal Screening Algorithm for Mild Cognitive Impairment and Early Dementia in Home Health Care: Protocol for a Cross-Sectional Case-Control Study Using Speech Analysis, Large Language Models, and Electronic Health Records.JMIR research protocols · 2026Article
- Sex differences in documented clinical features of memory clinic patients: a natural language processing study.Cerebral circulation - cognition and behavior · 2026Article
- Dementia-related volumetric assessments in neuroradiology reports: a natural language processing-based study.BMJ open · 2025Article
- Identifying and Reducing Stigmatizing Language in Home Health Care With a Natural Language Processing-Based System (ENGAGE): Protocol for a Mixed Methods Study.JMIR research protocols · 2025Article
- Article
- Skilled home healthcare utilization and outcomes for older adults with dementia: A scoping review.Journal of the American Geriatrics Society · 2025Article
- Beyond electronic health record data: leveraging natural language processing and machine learning to uncover cognitive insights from patient-nurse verbal communications.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Applying natural language processing to understand symptoms among older adult home healthcare patients with urinary incontinence.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025Article
- Using real-world electronic health record data to predict the development of 12 cancer-related symptoms in the context of multimorbidity.JAMIA open · 2024Article
- Using Natural Language Processing to Identify Home Health Care Patients at Risk for Diagnosis of Alzheimer's Disease and Related Dementias.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Prevalence of cognitive impairment in home health physical therapy.Journal of the American Geriatrics Society · 2024Article
- Identification of risk factors for the onset of delirium associated with COVID-19 by mining nursing records.PloS one · 2024Article
- Natural Language Processing Applied to Clinical Documentation in Post-acute Care Settings: A Scoping Review.Journal of the American Medical Directors Association · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundLittle is known about symptom documentation related to Alzheimer's disease and related dementias (ADRD) by home healthcare (HHC) clinicians.
objectiveThis study: (1) developed a natural language processing (NLP) algorithm that identifies common neuropsychiatric symptoms of ADRD in HHC free-text clinical notes; (2) described symptom clusters and hospitalization or emergency department (ED) visit rates for patients with and without these symptoms.
methodWe examined a corpus of -2.6 million free-text notes for 112,237 HHC episodes among 89,459 patients admitted to a non-profit HHC agency for post-acute care with any diagnosis. We used NLP software (NimbleMiner) to construct indicators of six neuropsychiatric symptoms. Structured HHC assessment data were used to identify known ADRD diagnoses and construct measures of hospitalization/ED use during HHC.
resultsNeuropsychiatric symptoms were documented for 40% of episodes. Common clusters included impaired memory, anxiety and/or depressed mood. One in three episodes without an ADRD diagnosis had documented symptoms. Hospitalization/ED rates increased with one or more symptoms present.
conclusionHHC providers should examine episodes with neuropsychiatric symptoms but no ADRD diagnoses to determine whether ADRD diagnosis was missed or to recommend ADRD evaluation. NLP-generated symptom indicators can help to identify high-risk patients for targeted interventions.
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