ArticleAlzheimer's & dementia (New York, N. Y.)2022
Emergency department care transition barriers: A qualitative study of care partners of older adults with cognitive impairment.
Article in Alzheimer's & dementia (New York, N. Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Patient-reported outcome measure use among older adults after emergency department care: A systematic review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Pooled it
- 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 · 2026Article
- Health Care Contact Days Among Older Adults After Emergency Department Visits: A Cross-Sectional Analysis.Journal of the American Geriatrics Society · 2026Article
- Nurse-Led Telephonic Care Following Emergency Department Visits for Persons Living With Dementia and Their Care Partners: A Program Description.Journal of the American Geriatrics Society · 2026Article
- Development and validation of the Caregiver-reported Outcome Measure for Emergency care Transitions (COMET) tool.Alzheimer's & dementia. Behavior & socioeconomics of aging · 2026Article
- Development and validation of the Patient-Reported Outcome Measure-Older adult care Transitions from the Emergency Department (PROM-OTED) tool.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- Article
- Development and Pilot Testing of an Artificial Intelligence and Care Coach Intervention for Cognitively Impaired Older Adults.Journal of the American Geriatrics Society · 2025Article
- Engaging Community Reviewers: The Geriatric Emergency Care Applied Research (2.0)-Advancing Dementia Care Network Approach.Journal of the American Geriatrics Society · 2025Article
- Emergency Department Care Coordination Program for Assisted Living Residents With Dementia: A Qualitative Study.JAMA network open · 2025Article
- Detection and differentiation of undiagnosed dementia in the emergency department: A pilot referral pathway.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- Screening for Cognitive Impairment in the Emergency Department: Agreement between Older Adult Patient- and Informant-Completed Ascertain Dementia 8 Tool.Dementia and geriatric cognitive disorders · 2025Observational
- End-of-life emergency department use and healthcare expenditures among older adults: A nationally representative study.Journal of the American Geriatrics Society · 2025Article
- "What Matters" in the Emergency Department: A Prospective Analysis of Older Adults' Concerns and Desired Outcomes.Medical care · 2024Observational
- Daily care hours among caregivers of older emergency department patients with dementia and undiagnosed cognitive impairment.Journal of the American Geriatrics Society · 2024Article
- Emergency Department Visits Among Patients With Dementia Before and After Diagnosis.JAMA network open · 2024Article
- Perspectives from persons living with dementia and their caregivers on emergency department visits, care transitions, and outpatient follow-up: A qualitative study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024Article
- "Follow-up in a few days": Limitations to primary care access among older adults following emergency department discharge.Journal of the American Geriatrics Society · 2024Article
- Lessons learned from a design thinking workshop: Intervention design involving persons living with dementia and care partners.Journal of the American Geriatrics Society · 2024Article
- Emergency Department-to-Community Transitions of Care: Best Practices for the Older Adult Population.Clinics in geriatric medicine · 2023Review
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
introductionAfter emergency department (ED) discharge, persons living with cognitive impairment (PLWCI) and their care partners are particularly at risk for adverse outcomes. We sought to identify the barriers experienced by care partners of PLWCI during ED discharge care transitions.
methodsWe conducted a qualitative study of 25 care partners of PLWCI discharged from four EDs. We used the validated 4AT and care partner-completed AD8 screening tools, respectively, to exclude care partners of older adults with concern for delirium and include care partners of older adults with cognitive impairment. We conducted recorded, semi-structured interviews using a standardized guide, and two team members coded and analyzed all professional transcriptions to identify emerging themes and representative quotations.
resultsCare partners' mean age was 56.7 years, 80% were female, and 24% identified as African American. We identified four major barriers regarding ED discharge care transitions among care partners of PLWCI: (1) unique care considerations while in the ED setting impact the perceived success of the care transition, (2) poor communication and lack of care partner engagement was a commonplace during the ED discharge process, (3) care partners experienced challenges and additional responsibilities when aiding during acute illness and recovery phases, and (4) navigating the health care system after an ED encounter was perceived as difficult by care partners. DISCUSSION: Our findings demonstrate critical barriers faced during ED discharge care transitions among care partners of PLWCI. Findings from this work may inform the development of novel care partner-reported outcome measures as well as ED discharge care transition interventions targeting care partners.
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Registered trials
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.