Evidence map›Paper›PMID 38857069›Full record

ArticleJMIR aging2024

The Prevalence of Missing Incidents and Their Antecedents Among Older Adult MedicAlert Subscribers: Retrospective Descriptive Study.

Antonio Miguel-Cruz, Hector Perez, Yoojin Choi, Emily Rutledge, Christine Daum, Lili Liu

Abstract read
In one paragraph

Article in JMIR aging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

5 citing papers in PubMed.

  1. Alert Systems for People Living with Dementia who go Missing: Case Studies in Canada, Scotland, and the United States.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026
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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.

Antonio Miguel-Cruz *Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0003-1618-8733
Hector Perez *Faculty of Health, University of Waterloo, Waterloo, ON, Canada.ORCID 0000-0002-3820-9120
Yoojin Choi *Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-6223-7607
Emily RutledgeFaculty of Health, University of Waterloo, Waterloo, ON, Canada.ORCID 0000-0002-9401-2445
Christine Daum *Faculty of Health, University of Waterloo, Waterloo, ON, Canada.ORCID 0000-0001-5555-3698
Lili Liu *Faculty of Health, University of Waterloo, Waterloo, ON, Canada.ORCID 0000-0001-7082-4898

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the population aging, the number of people living with dementia is expected to rise, which, in turn, is expected to lead to an increase in the prevalence of missing incidents due to critical wandering. However, the estimated prevalence of missing incidents due to dementia is inconclusive in some jurisdictions and overlooked in others.

objectiveThe aims of the study were to examine (1) the demographic, psychopathological, and environmental antecedents to missing incidents due to critical wandering among older adult MedicAlert Foundation Canada (hereinafter MedicAlert) subscribers; and (2) the characteristics and outcomes of the missing incidents.

methodsThis study used a retrospective descriptive design. The sample included 434 older adult MedicAlert subscribers involved in 560 missing incidents between January 2015 and July 2021.

resultsThe sample was overrepresented by White older adults (329/425, 77.4%). MedicAlert subscribers reported missing were mostly female older adults (230/431, 53.4%), living in urban areas with at least 1 family member (277/433, 63.8%). Most of the MedicAlert subscribers (345/434, 79.5%) self-reported living with dementia. MedicAlert subscribers went missing most frequently from their private homes in the community (96/143, 67.1%), traveling on foot (248/270, 91.9%) and public transport (12/270, 4.4%), during the afternoon (262/560, 46.8%) and evening (174/560, 31.1%). Most were located by first responders (232/486, 47.7%) or Good Samaritans (224/486, 46.1%). Of the 560 missing incidents, 126 (22.5%) were repeated missing incidents. The mean time between missing incidents was 11 (SD 10.8) months. Finally, the majority of MedicAlert subscribers were returned home safely (453/500, 90.6%); and reports of harm, injuries (46/500, 9.2%), and death (1/500, 0.2%) were very low.

conclusionsThis study provides the prevalence of missing incidents from 1 database source. The low frequency of missing incidents may not represent populations that are not White. Despite the low number of missing incidents, the 0.2% (1/500) of cases resulting in injuries or death are devastating experiences that may be mitigated through prevention strategies.

Indexed as

DementiaWandering BehaviorAgedAged, 80 and overCanadaFemaleHumansMalePrevalenceRetrospective StudiesAlzheimer diseasecognitive impairmentcritical wanderingdementiamemory lossmissing incidentolder adultsretrospective designwandering

Identifiers

PMID38857069
PMCPMC11196911

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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.