Evidence map›Paper›PMID 35749416›Full record

ArticlePloS one2022

Emergency department visits among people with predementia highly predicts conversion to dementia.

Chia-Min Chung, Po-Chi Chan, Cheng-Yu Wei, Guang-Uei Hung, Ray-Chang Tzeng, Pai-Yi Chiu

Abstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Chia-Min ChungDepartment of Emergency Medicine, Show Chwan Memorial Hospital, Changhua, Taiwan.
Po-Chi ChanDepartment of Neurology, Show Chwan Memorial Hospital, Changhua, Taiwan.
Cheng-Yu WeiDepartment of Exercise and Health Promotion, College of Education, Chinese Culture University, Taipei, Taiwan.
Guang-Uei HungDepartment of Nuclear Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan.
Ray-Chang TzengDepartment of Neurology, Tainan Municipal Hospital, Tainan, Taiwan.
Pai-Yi ChiuDepartment of Neurology, Show Chwan Memorial Hospital, Changhua, Taiwan.ORCID 0000-0003-2552-4516

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emergency department visits (EDV) are common among older adults with and without dementia. The risk factors and demands of EDVs for people with dementia have been well studied; however, the association between EDVs and conversion to dementia among people with predementia has not been thoroughly explored. To study the predictive value of EDVs in predementia's progression to dementia. The baseline predementia cohort registered from September 2015 to August 2017, with longitudinal follow-up in the History-based Artificial Intelligent Clinical Dementia Diagnostic System database, was retrospectively analyzed. The rates of conversion among the different EDVs were compared. Multivariate logistic regression and Cox proportional hazards analyses were applied to study the influence of EDVs on progression. Age, education, sex, neuropsychological tests, activities of daily living, neuropsychiatric symptoms, parkinsonism, and multiple vascular risk factors were adjusted for. A total of 512 participants were analyzed, including 339 (66.2%) non-converters and 173 (33.8%) converters with a mean follow-up of 3.3 (range 0.4-6.1) and 2.8 (range 0.5-5.9) years, respectively. Compared to people without EDV (EDV 0), the hazard ratios for conversion to dementia were 3.6, 5.9, and 6.9 in those with EDV once (EDV 1), twice (EDV 2), and more than twice (EDV >2), respectively. In addition, older age, lower education, poorer cognition, poorer ADL performance, and longer follow-up periods also increased the conversion rates. EDVs in the predementia stages highly predict progression to dementia. Therefore, a sound public health as well as primary healthcare system that provide strategies for better management of mental and physical condition might help prevention of EDVs among older people in the predementia stages.

Indexed as

Activities of Daily LivingDementiaAgedEmergency Service, HospitalHumansNeuropsychological TestsRetrospective Studies

Identifiers

PMID35749416
PMCPMC9231782

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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.