Evidence map›Paper›PMID 38114545›Full record

ArticleScientific reports2023

Dementia risk analysis using temporal event modeling on a large real-world dataset.

R Andrew Taylor, Aidan Gilson, Ling Chi, Adrian D Haimovich, Anna Crawford, Cynthia Brandt, Phillip Magidson, James M Lai, Scott Levin, Adam P Mecca and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Risk factors and risk stratification approaches for delirium screening: A Geriatric Emergency Department Guidelines 2.0 systematic review.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2024
    Pooled it
  2. Evaluation of trajectory analysis for disease risk assessment: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
  3. Article
  4. Detection of emergency department patients at risk of dementia through artificial intelligence.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Observational
  5. Patterns of emergency department visits prior to dementia or cognitive impairment diagnosis: An opportunity for dementia detection?Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025
    Article
  6. Review
  7. Detection and differentiation of undiagnosed dementia in the emergency department: A pilot referral pathway.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    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

11 authors.

R Andrew Taylor *Department of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA. richard.taylor@yale.edu.
Aidan Gilson *Department of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.
Ling ChiDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.
Adrian D HaimovichDepartment of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Anna CrawfordDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.
Cynthia BrandtSection for Biomedical Informatics and Data Science, Yale School of Medicine, New Haven, CT, USA.
Phillip MagidsonDepartment of Emergency Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
James M LaiSection of Geriatrics, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Scott LevinDepartment of Emergency Medicine, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Adam P MeccaDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Ula HwangDepartment of Emergency Medicine, Yale School of Medicine, New Haven, CT, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Utilizing Technology and AI Approaches to Facilitate Independence andResilience in Older AdultsP30AG073104 · NIA · JOHNS HOPKINS UNIVERSITY · PI Alexis Battle · 2021 to 2026
$31.2M
Yale Alzheimer Disease Research CenterP30AG066508 · NIA · YALE UNIVERSITY · PI STEPHEN M STRITTMATTER · 2020 to 2026
$30.2M
Institutional Career Development CoreKL2TR002542 · NCATS · HARVARD MEDICAL SCHOOL · PI BREDELLA, MIRIAM ANTOINETTE, RUTKOVE, SEWARD B. · 2018 to 2022
$8.7M
Short Term Research Training: Students in Health Professional SchoolsT35DK104689 · NIDDK · YALE UNIVERSITY · PI LLOYD G CANTLEY, Sarwat I Chaudhry · 2015 to 2026
$2.6M
NCATS NIH HHS KL2 TR002542NCATS NIH HHS UL1 TR001863NIA NIH HHS P30 AG066508NIA NIH HHS P30 AG073104NIA NIH HHS P30AG073104NIDDK NIH HHS T35 DK104689NIDDK NIH HHS T35DK104689NIH HHS KL2TR002542
6 · The paper itself

Abstract

The objective of the study is to identify healthcare events leading to a diagnosis of dementia from a large real-world dataset. This study uses a data-driven approach to identify temporally ordered pairs and trajectories of healthcare codes in the electronic health record (EHR). This allows for discovery of novel temporal risk factors leading to an outcome of interest that may otherwise be unobvious. We identified several known (Down syndrome RR = 116.1, thiamine deficiency RR = 76.1, and Parkinson's disease RR = 41.1) and unknown (Brief psychotic disorder RR = 68.6, Toxic effect of metals RR = 40.4, and Schizoaffective disorders RR = 40.0) factors for a specific dementia diagnosis. The associations with the greatest risk for any dementia diagnosis were found to be primarily related to mental health (Brief psychotic disorder RR = 266.5, Dissociative and conversion disorders RR = 169.8), or neurologic conditions or procedures (Dystonia RR = 121.9, Lumbar Puncture RR = 119.0). Trajectory and clustering analysis identified factors related to cerebrovascular disorders, as well as diagnoses which increase the risk of toxic imbalances. The results of this study have the ability to provide valuable insights into potential patient progression towards dementia and improve recognition of patients at risk for developing dementia.

Indexed as

Cerebrovascular DisordersDementiaPsychotic DisordersHumansMental HealthRisk Assessment

Identifiers

PMID38114545
PMCPMC10730574

What OpenQuestion holds

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Registered trials

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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.