Evidence map›Paper›PMID 34957873›Full record

SynthesisResearch on aging

The Impact of Ambulatory Dementia Care Models on Hospitalization of Persons Living With Dementia: A Systematic Review.

Vaneh Hovsepian, Ani Bilazarian, Amelia E Schlak, Tatiana Sadak, Lusine Poghosyan

Abstract readSystematic Review
In one paragraph

Synthesis in Research on aging. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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
  3. 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

5 authors.

Vaneh HovsepianSchool of Nursing, 15760Columbia University, New York, NY, USA.ORCID 0000-0002-0116-0132
Ani BilazarianSchool of Nursing, 15760Columbia University, New York, NY, USA.
Amelia E SchlakSchool of Nursing, 15760Columbia University, New York, NY, USA.
Tatiana SadakSchool of Nursing, 16181University of Washington, Seattle, WA, USA.
Lusine PoghosyanSchool of Nursing, 15760Columbia University, New York, NY, USA.

Funding

Systems Science and Comparative and Cost-Effectiveness Research Training for Nurse Scientists (S2CER2)T32NR014205 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Lusine Poghosyan, Jingjing Shang · 2013 to 2026
$4.2M
Racial and Ethnic Disparities in Chronic Disease Outcomes and Nurse Practitioner PracticeR01MD011514 · NIMHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI POGHOSYAN, LUSINE · 2017 to 2020
$3.0M
The Influence of Primary Care Structural Capabilities on Hospitalizations among Older Adults with DementiaR36AG071946 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HOVSEPIAN, VANEH ELENA · 2021 to 2021
$48k
NIA NIH HHS R36 AG071946NIMHD NIH HHS R01 MD011514NINR NIH HHS T32 NR014205
6 · The paper itself

Abstract

This systematic review presents an overview of the existing dementia care models in various ambulatory care settings under three categories (i.e., home- and community-based care models, partnership between health systems and community-based resources, and consultation models) and their impact on hospitalization among Persons Living with Dementia (PLWD). PRISMA guidelines were applied, and our search resulted in a total of 13 studies focusing on 11 care models. Seven studies reported that utilization of dementia care models was associated with a modest reduction in hospitalization among community-residing PLWD. Only two studies reported statistically significant results. Dementia care models that were utilized in specialty ambulatory care settings such as memory care showed more promising results than traditional primary care. To develop a better understanding of how dementia care models can be improved, future studies should explore how confounders (e.g., stage of dementia) influence hospitalization.

Indexed as

DementiaAmbulatory CareHospitalizationHumansReferral and Consultationambulatory care settingscommunity-residing PLWDdementia care modelshospitalization

Identifiers

PMID34957873
PMCPMC9429825

What OpenQuestion holds

Textmetadata
LicenceTDM
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.