Evidence map›Paper›PMID 35940683›Full record

ArticleJournal of the American Medical Directors Association2022

Optimal Emergency Department Care Practices for Persons Living With Dementia: A Scoping Review.

Scott M Dresden, Zachary Taylor, Peter Serina, Maura Kennedy, Annie B Wescott, Teresita Hogan, Manish N Shah, Ula Hwang, GEAR 2.0-ADC Network

Abstract readScoping Review
In one paragraph

Article in Journal of the American Medical Directors Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 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

38 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. A Systematic Review Evaluating Pain Assessment Strategies for Patients With Dementia in the Emergency Department: The Geriatric ED Guidelines 2.0.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Pooled it
  3. A systematic review of interventions for persons living with dementia: The Geriatric ED Guidelines 2.0.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Pooled it
  4. Effects of a Geriatric Emergency Department Multidisciplinary Intervention on Functional Status and Quality of Life: A Pre/Post Cohort Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Trial
  5. Ambulatory Care Follow-Up and Fragmentation After Emergency Department Visits Among Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  6. Article
  7. Article
  8. Beyond Triage: Cognitive Profiles and ED-To-Inpatient Costs and Resource Pathways in Older Adults.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  9. Article
  10. Disposition at Equipoise: A Qualitative Study of Emergency Physicians' Decision-Making About Hospitalizing People With Dementia.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  11. Article
  12. Visit Characteristics of Emergency Departments Caring for Persons Living With Dementia: A Nationally Representative Sample.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Emergency Care for Persons Living with Dementia.Emergency medicine clinics of North America · 2025
    Review
  19. Article
  20. 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

9 authors.

Scott M DresdenDepartment of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. Electronic address: s-dresden@northwestern.edu.
Zachary TaylorDepartment of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Peter SerinaDepartment of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Maura KennedyDepartment of Emergency Medicine, Harvard Medical School, Boston, MA, USA.
Annie B WescottGalter Library and Learning Center, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Teresita HoganSection of Emergency Medicine, Department of Medicine, University of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Manish N ShahBerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Ula HwangDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA; Geriatric Research, Education and Clinical Center, James J. Peters VA Medical Center, Bronx, NY, USA.
GEAR 2.0-ADC Network

Funding

Geriatrics Emergency care Applied Research Network 2.1 - AdvanCing and Expanding Dementia care (GEAR 2.1 - ACED)R33AG069822 · NIA · YALE UNIVERSITY · PI Ula Y Hwang, MANISH N SHAH · 2023 to 2026
$5.3M
Growing the Geriatric Emergency care Applied Research (GEAR 1.1) network: Expanding and sustaining an emergency care aging study infrastructure.R33AG058926 · NIA · YALE UNIVERSITY · PI Ula Y Hwang, Daniella Meeker · 2020 to 2026
$4.6M
Geriatric Emergency care Applied Research network 2.0 - Advancing Dementia Care (GEAR 2.0 ADC)R61AG069822 · NIA · YALE UNIVERSITY · PI HWANG, ULA Y, SHAH, MANISH N · 2020 to 2021
$3.0M
Building the Geriatric Emergency care Applied Research (GEAR) networkR21AG058926 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HWANG, ULA Y · 2018 to 2019
$463k
NIA NIH HHS R21 AG058926NIA NIH HHS R33 AG058926NIA NIH HHS R33 AG069822NIA NIH HHS R61 AG069822
6 · The paper itself

Abstract

objectivesTo summarize research on optimal emergency department (ED) care practices for persons living with dementia (PLWDs) and develop research priorities.

designSystematic scoping review. SETTINGS AND

participantsPLWDs in the ED.

methodsThe following Patient-Intervention-Comparison-Outcome (PICO) questions were developed: PICO 1, What components of emergency department care improve patient-centered outcomes for persons with dementia? PICO 2, How do emergency care needs for persons with dementia differ from other patients in the emergency department? A scoping review was conducted following PRISMA-ScR guidelines and presented to the Geriatric Emergency care Applied Research 2.0 Advancing Dementia Care network to inform research priorities.

resultsFrom the 6348 publications identified, 23 were abstracted for PICO 1 and 26 were abstracted for PICO 2. Emergency care considerations for PLWDs included functional dependence, behavioral and psychological symptoms of dementia, and identification of and management of pain. Concerns regarding ED care processes, the ED environment, and meeting a PWLD's basic needs were described. A comprehensive geriatric assessment and dedicated ED unit, a home hospital program, and a low-stimulation bed shade and contact-free monitor all showed improvement in patient-centered or health care use outcomes. However, all were single-site studies evaluating different outcomes. These results informed the following research priorities: (1) training and dementia care competencies; (2) patient-centric and care partner-centric evaluation interventions; (3) the impact of community- and identity-based factors on ED care for PLWDs; (4) economic or other implementation science measures to address viability; and (5) environmental, operational, personnel, system, or policy changes to improve ED care for PLWDs. CONCLUSIONS AND IMPLICATIONS: A wide range of components of both ED care practices and ED care needs for PLWDs have been studied. Although many interventions show positive results, the lack of depth and reproducible results prevent specific recommendations on best practices in ED care for PLWDs.

Indexed as

DementiaEmergency Medical ServicesAgedEmergency Service, HospitalGeriatric AssessmentHumansOutcome Assessment, Health Carecognitive impairmentdementiaEmergency department

Identifiers

PMID35940683
PMCPMC12328016

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.