Evidence map›Paper›PMID 38943089›Full record

ArticleBMC geriatrics2024

Factors associated with a history of critical wandering among Medic-Alert subscribers.

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

Abstract read
In one paragraph

Article in BMC geriatrics, 2024. 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

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

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

5 authors.

Antonio Miguel CruzDepartment of Occupational Therapy. Faculty of Rehabilitation Medicine, University of Alberta, 2-64 Corbett Hall, Edmonton, AB, T6G 2G4, Canada. miguelcr@ualberta.ca.
Hector PerezSchool of Public Health Sciences, Faculty of Health, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L 3G5, Canada.
Emily RutledgeSchool of Public Health Sciences, Faculty of Health, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L 3G5, Canada.
Christine DaumSchool of Public Health Sciences, Faculty of Health, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L 3G5, Canada.
Lili LiuSchool of Public Health Sciences, Faculty of Health, University of Waterloo, 200 University Ave W, Waterloo, ON, N2L 3G5, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCritical wandering occurs when an individual living with dementia leaves a location and is unaware of place or time. Critical wandering incidents are expected to increase with the growing prevalence of persons living with dementia worldwide. We investigated the association between demographic, psychopathological, and environmental factors and a history of critical wandering among Medic-Alert subscribers, both with and without dementia.

methodsOur retrospective study included data of 25,785 Canadian Medic-Alert subscribers who were aged 40 years or older. We used multivariable logistic regression analysis to examine the associations between a history of critical wandering and dementia status as psychopathological independent variable, controlled by demographic (age, ethnic background, sex at birth, Canadian languages spoken) and environmental (living arrangement, population density) factors.

resultsThe overall study sample comprised of mainly older adults (77.4%). Medic-Alert subscribers who were older, male sex at birth, living with dementia, of a minority ethnic group and who did not have proficiency in an official Canadian language had a higher likelihood of a history of critical wandering. Residing in an urban environment, in an institution or with a family member, were environmental factors associated with a higher likelihood of a history of critical wandering.

conclusionsPeople living with dementia experience a higher likelihood of a history of critical wandering compared to those without dementia. Medic-Alert and similar organizations can develop algorithms based on the associated factors that can be used to flag risks of critical wandering. This can inform preventative strategies at the individual and community levels.

Indexed as

DementiaWandering BehaviorAdultAgedAged, 80 and overCanadaFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsAlzheimer's diseaseClassificationCognitive impairmentLogistics regressionMissing incident

Identifiers

PMID38943089
PMCPMC11212194

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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.