Evidence map›Paper›PMID 39822288›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)

Hospitalization outcomes among older adults living undiagnosed or unaware of dementia.

Halima Amjad, Vishaldeep K Sekhon, Jennifer L Wolff, Quincy M Samus, David L Roth

Abstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
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  4. 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

5 authors.

Halima AmjadDivision of Geriatric Medicine and Gerontology MFL Center Tower Johns Hopkins University School of Medicine Baltimore Maryland USA.ORCID https://orcid.org/0000-0002-0642-6956
Vishaldeep K SekhonCenter on Aging and Health Johns Hopkins University Baltimore Maryland USA.
Jennifer L WolffDepartment of Health Policy and Management Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA.
Quincy M SamusJohns Hopkins University School of Nursing Baltimore Maryland USA.
David L RothDivision of Geriatric Medicine and Gerontology MFL Center Tower Johns Hopkins University School of Medicine Baltimore Maryland USA.

Funding

Improving Post-Diagnosis Dementia Care in Primary CareK23AG064036 · NIA · JOHNS HOPKINS UNIVERSITY · PI AMJAD, HALIMA · 2020 to 2024
$932k
Health Services Use and Outcomes in Older Adults with Dementia Living Undiagnosed or Unaware of DementiaR03AG063237 · NIA · JOHNS HOPKINS UNIVERSITY · PI AMJAD, HALIMA · 2019 to 2020
$328k
NIA NIH HHS K23 AG064036NIA NIH HHS R03 AG063237
6 · The paper itself

Abstract

introductionMany persons with dementia are undiagnosed or unaware of dementia, which may affect hospitalization outcomes.

methodsWe evaluated differences in length of stay, days not at home, discharge destination, and 30-day readmissions over 1 year in 6296 older adults in the National Health and Aging Trends Study with linked Medicare claims. Multivariable-adjusted models compared outcomes across no dementia, undiagnosed dementia, unaware but diagnosed with dementia, and aware and diagnosed with dementia.

resultsPersons with undiagnosed dementia had longer length of stay and were more likely to be discharged to a facility (44.8% vs. 19.3%) compared to no dementia; differences persisted in multivariable models. Persons undiagnosed or unaware experienced outcomes similar to persons aware and diagnosed except for more 30-day readmissions in the undiagnosed (adjusted odds ratio [95% confidence interval] 2.05 [1.01, 4.16]). DISCUSSION: Persons undiagnosed or unaware of dementia experience worse hospitalization outcomes, suggesting potential clinically significant implications of unrecognized dementia. Highlights: Persons with undiagnosed versus no dementia have worse hospitalization outcomes.Persons with undiagnosed dementia have more 30-day readmissions compared to persons diagnosed.Lack of clinician or family recognition of dementia may adversely affect hospitalization outcomes.

Indexed as

dementia awarenessdementia detectionhealth services usehospitalization outcomesundiagnosed dementia

Identifiers

PMID39822288
PMCPMC11736704

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.