Evidence map›Paper›PMID 39174439›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2025

Posttraumatic Stress Disorder in Older Veterans admitted to VA Community Living Centers: Prevalence and Risk Correlates.

Kelly O'Malley, Jennifer Moye, Jianwei Leng, Zachary Burningham

Abstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Kelly O'MalleyVA Boston Healthcare System, Boston, MA (KO, JM); Department of Psychiatry, Harvard Medical School, Boston, MA (KO, JM). Electronic address: kelly.omalley@va.gov.
Jennifer MoyeVA Boston Healthcare System, Boston, MA (KO, JM); Department of Psychiatry, Harvard Medical School, Boston, MA (KO, JM); VA New England Geriatric Research Education and Clinical Center (GRECC), Boston, MA (JM).
Jianwei LengVeterans Health Administration (VHA) Office of Rural Health, Veterans Rural Health Resource Center, Salt Lake City, UT (JL, ZB); Informatics, Decision-Enhancement and Analytic Sciences (IDEAS) Centers of Innovation (COIN), Salt Lake City Veterans Affairs Medical Center, Salt Lake City, UT (JL, ZB); Division of Epidemiology, Internal Medicine, University of Utah, Salt Lake City, UT (JL, ZB).
Zachary BurninghamVeterans Health Administration (VHA) Office of Rural Health, Veterans Rural Health Resource Center, Salt Lake City, UT (JL, ZB); Informatics, Decision-Enhancement and Analytic Sciences (IDEAS) Centers of Innovation (COIN), Salt Lake City Veterans Affairs Medical Center, Salt Lake City, UT (JL, ZB); Division of Epidemiology, Internal Medicine, University of Utah, Salt Lake City, UT (JL, ZB).

Funding

Intramural VA VA999999
6 · The paper itself

Abstract

objectivesTo examine prevalence and risk correlates for post-traumatic stress disorder (PTSD) occurring during or after admission to a Veterans Administration (VA) skilled nursing facility.

designRetrospective cohort analysis of electronic health record information extracted from the VA Corporate Data Warehouse.

settingUnited States VA skilled nursing facility.

participants57,414 Veterans age 60+ with an admission during five fiscal years, 2018-2022, excluding those who died within six months of admission or were still admitted. MEASUREMENTS: The dependent variable was PTSD diagnosis during or six-months following the admission. Risk correlates examined were: age, gender, race, rurality, clinical complexity, prior dementia diagnosis, length of stay, and facility size; odds ratios (OR) and confidence intervals (CI) are provided for each correlate.

results19.1% of Veterans had a diagnosis of PTSD, associated with younger age (age 60-69 compared to age 80+; OR: 2.92, 95% CI: 2.70-3.14; age 70-79 compared to age 80+ OR: 4.51, 95% CI: 4.20-4.84); female gender (OR: 1.65, 95% CI: 1.50-1.82); minoritized race (OR: 1.17, 95% CI: 1.12-1.23); higher clinical complexity (OR:1.22, 95% CI: 1.17-1.28). As compared to Veterans who had a prior PTSD diagnosis, Veterans with newly diagnosed PTSD were more likely to be older (age 60 group OR= 0.59, 95% CI:0.51-0.70; age 70 group OR= 0.54, 95% CI:0.46-0.62,), rural (OR=1.14, 95% CI:1.04-1.24) and admitted to a larger facility (OR=1.22, 95% CI:1.12-1.33).

conclusionsPTSD is a significant concern for older Veterans admitted to VA skilled nursing facilities, supporting the need for trauma-informed care, particularly for those most at risk.

Indexed as

Stress Disorders, Post-TraumaticUnited States Department of Veterans AffairsVeteransAgedAged, 80 and overAge FactorsFemaleHumansMaleMiddle AgedPrevalenceRetrospective StudiesRisk FactorsSkilled Nursing FacilitiesUnited StatesagingPTSDskilled nursing facilityVeterans

Identifiers

PMID39174439
PMCPMC12159749

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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.