Evidence map›Paper›PMID 38995783›Full record

ArticleJournal of Alzheimer's disease : JAD2024

Time to Dementia Diagnosis Among Veterans with Comorbid Insomnia and Depressive Episodes.

Melanie L Bozzay, Hannah E Joyce, Lan Jiang, Alyssa N De Vito, Sheina Emrani, Julia Browne, Thomas A Bayer, McKenzie J Quinn, Jennifer M Primack, Catherine M Kelso and 4 more

Abstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Cystic Fibrosis-related neurodegenerative disease associated with tauopathy and cognitive decline in aged CF mice.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2025
    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

14 authors.

Melanie L BozzayDepartment of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Hannah E JoyceButler Hospital, Providence, RI, USA.
Lan JiangVA Center of Innovation in Long Term Services, Providence VA Medical Center, Providence, RI, USA.
Alyssa N De VitoButler Hospital, Providence, RI, USA.
Sheina EmraniDepartment of Psychiatry & Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
Julia BrowneVA Center of Innovation in Long Term Services, Providence VA Medical Center, Providence, RI, USA.
Thomas A BayerVA Center of Innovation in Long Term Services, Providence VA Medical Center, Providence, RI, USA.
McKenzie J QuinnVA RR& D Center for Neurorestoration and Neurotechnology, Providence VA Medical Center, Providence, RI, USA.
Jennifer M PrimackVA Center of Innovation in Long Term Services, Providence VA Medical Center, Providence, RI, USA.
Catherine M KelsoVA RR& D Center for Neurorestoration and Neurotechnology, Providence VA Medical Center, Providence, RI, USA.
Wen-Chih WuVA Center of Innovation in Long Term Services, Providence VA Medical Center, Providence, RI, USA.
James L RudolphVA Center of Innovation in Long Term Services, Providence VA Medical Center, Providence, RI, USA.
John E McGearyVA Center of Innovation in Long Term Services, Providence VA Medical Center, Providence, RI, USA.
Zachary J KunickiVA Center of Innovation in Long Term Services, Providence VA Medical Center, Providence, RI, USA.

Funding

Magnesium supplement and vascular health: Machine learning from the longitudinal medical recordR01HL156518 · NHLBI · GEORGE WASHINGTON UNIVERSITY · PI AHMED, ALI, WU, WEN-CHIH · 2021 to 2024
$1.9M
A Longitudinal Study of Physical Activity and Function in Older Veterans with Serious Mental IllnessIK1RX003904 · VA · PROVIDENCE VA MEDICAL CENTER · PI BROWNE, JULIA · 2023 to 2023
–
NHLBI NIH HHS R01 HL156518RRD VA IK1 RX003904
6 · The paper itself

Abstract

Background: Older adults with heart failure are at elevated risk of Alzheimer's disease and related dementias (AD/ADRD). Research suggests that insomnia and depressive episodes contribute somewhat dissociable impacts on risk for AD/ADRD in this patient population, although the temporal ordering of effects is unknown. Objective: This study examined time to dementia diagnosis among patients with comorbid insomnia and/or depressive episodes in an epidemiological sample. Methods: Secondary data analyses were conducted using a cohort study of 203,819 Veterans with a primary admission diagnosis of heart failure in 129 VA Medical Centers. Results: Patients with diagnoses of both insomnia and depressive episodes had the shortest time to a dementia diagnosis at both 1-year (Hazard ratio = 1.43, 95% CI [1.36, 1.51]) and 3-year follow-up time points (Hazard ratio = 1.40, 95% CI [1.34, 1.47]) versus patients with one or neither comorbidity. Conclusions: Individuals with both comorbidities had the shortest time to dementia onset. Screening for these comorbidities may help to identify patients at elevated risk of dementia who could benefit from enhanced monitoring or early intervention strategies for more rapid detection and management of dementia symptoms.

Indexed as

ComorbidityDementiaDepressionSleep Initiation and Maintenance DisordersVeteransAgedAged, 80 and overCohort StudiesFemaleHeart FailureHumansMaleTime FactorsAlzheimer’s diseasedementiadepressionheart failuresleep disordersVeterans

Identifiers

PMID38995783
PMCPMC12499908

What OpenQuestion holds

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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.