Evidence map›Paper›PMID 39918147›Full record

ArticleThe western journal of emergency medicine2025

Emergency Medical Services Provider-Perceived Alzheimer's Disease and Related Dementias in the Prehospital Setting.

Esmeralda Melgoza, Valeria Cardenas, Hiram Beltrán-Sánchez

Abstract read
In one paragraph

Article in The western journal of emergency medicine, 2025. 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

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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

3 authors.

Esmeralda MelgozaUniversity of California Los Angeles, Jonathan and Karin Fielding School of Public Health, Los Angeles, California.
Valeria CardenasUniversity of Southern California, Leonard Davis School of Gerontology, Los Angeles, California.
Hiram Beltrán-SánchezUniversity of California Los Angeles, Jonathan and Karin Fielding School of Public Health, Los Angeles, California.

Funding

RESEARCH TRAINING IN GERONTOLOGYT32AG000037 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE, EILEEN M CRIMMINS · 1985 to 2026
$13.2M
Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
An Analysis Of The Multi-Level Factors That Impact Provision Of Emergency Medical Services To Hispanic Older AdultsR36AG087312 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MELGOZA, ESMERALDA · 2024 to 2025
$84k
NIA NIH HHS R36 AG087312NIA NIH HHS T32 AG000037NICHD NIH HHS P2C HD041022
6 · The paper itself

Abstract

Objective: Our goal was to assess emergency medical services (EMS) provider-perceived Alzheimer's disease and related dementias (ADRD) by patient sociodemographic characteristics and ZIP code tabulation areas (ZCTA) in the prehospital setting. Methods: We conducted a retrospective descriptive analysis of EMS calls with patient contact for adults ≥ 65 years of age who were provided prehospital care between February 1, 2020 and January 31, 2022, using data from the San Francisco Department of Emergency Management and the 2021 American Community Survey. Logistic regression models assessed the associated between EMS provider-perceived ADRD and patient sociodemographic characteristics, including age, race/ethnicity, incident location, and ZCTA-level socioeconomic status. Results: A total of 55,129 patient encounters were recorded, with EMS provider-perceived ADRD recorded in 4,112 (7.5%). Among cases with EMS provider-perceived ADRD, the most common primary impressions were mental disorders (17.1%), weakness (17.0%), injury (15.7%), and pain (13.1%). Increasing age was associated with higher odds of EMS provider-perceived ADRD among both sexes. Among females, EMS provider-perceived ADRD was higher among Hispanics (odds ratio [OR] 1.30, 95% confidence interval [CI] 1.11-1.52), Blacks (OR 1.20, 95% CI 1.03-1.40), Asians (OR 1.18, 95% CI 1.06-1.31), and Native Hawaiian and Pacific Islanders (OR 1.48, 95% CI 1.05-2.08]), while among males, only Asians (OR 87, 95% CI .76-.99) had lower odds, all compared to Whites. Females in low- and medium-income ZCTAs had lower odds of EMS provider-perceived ADRD relative to high-income ZCTAs, with no significant findings in males. Conclusion: Our findings suggest a higher prevalence of EMS provider-perceived Alzheimer's disease and related dementias among minoritized and socioeconomically disadvantaged populations, including the oldest adults, and racial and ethnic minority communities. Future research and more precise data collection is needed to ensure equity for older adults who access emergency care in the prehospital setting.

Indexed as

Alzheimer DiseaseDementiaEmergency Medical ServicesAgedAged, 80 and overEthnicityFemaleHumansMaleRacial GroupsRetrospective StudiesSan Francisco

Identifiers

PMID39918147
PMCPMC11908516

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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.