Evidence map›Paper›PMID 34484504›Full record

ArticleCanadian geriatrics journal : CGJ2021

Avoidable Hospitalizations in Persons with Dementia: a Population-Wide Descriptive Study (2000-2015).

Claire Godard-Sebillotte, Erin Strumpf, Nadia Sourial, Louis Rochette, Eric Pelletier, Isabelle Vedel

Open access · diamondAbstract read
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Emergency department utilization and presenting chief complaints by Veterans living with dementia.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2023
    Observational
  5. Article
  6. Review
  7. Article
  8. Article
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

6 authors at 2 institutions in 2 countries.

Claire Godard-SebillotteDepartment of Family Medicine, McGill University, Montreal, QC.
Erin StrumpfDepartment of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC.
Nadia SourialDepartment of Family Medicine, McGill University, Montreal, QC.
Louis RochetteDepartment of Economics, McGill University, Montreal, QC.
Eric PelletierDepartment of Economics, McGill University, Montreal, QC.
Isabelle VedelDepartment of Family Medicine, McGill University, Montreal, QC.
McGill University · CAInstitut National de Santé Publique · CI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhether avoidable hospitalizations in community-dwelling persons with dementia have decreased during primary care reforms is unknown.

methodsWe described the prevalence and trends in avoidable hospitalizations in population-based repeated yearly cohorts of 192,144 community-dwelling persons with incident dementia (Quebec, 2000-2015) in the context of a province-wide primary care reform, using the provincial health administrative database.

resultsTrends in both types of Ambulatory Care Sensitive Condition (ACSC) hospitalization (general and older population) and 30-day readmission rates remained constant with average rates per 100 person-years: 20.5 (19.9-21.1), 31.7 (31.0-32.4), 20.6 (20.1-21.2), respectively. Rates of delayed hospital discharge (i.e., alternate level of care (ALC) hospitalizations) decreased from 23.8 (21.1-26.9) to 17.9 (16.1-20.1) (relative change -24.6%).

conclusionsThese figures shed light on the importance of the phenomenon, its lack of improvement for most outcomes over the years, and the need to develop evidence-based policies to prevent avoidable hospitalizations in this vulnerable population.

Indexed as

Ambulatory Care Sensitive Conditionsavoidable hospitalizationdementiainterdisciplinary primary care teamsprimary care

Identifiers

PMID34484504
PMCPMC8390329
OpenAlexW3196942143

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.